Measles & Rubella Weekly Monitoring Report: May 29 to June 4, 2016 (week 22)
Key Points
- In Canada, no new cases of measles or rubella were reported for week 22, 2016.
- A total of 7 cases of measles, and 1 case of rubella have been reported in Canada in 2016.
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Organization:
Epidemiological Summary
During epidemiological week 22, 2016, no new cases of measles or rubella were reported in CanadaFootnote 1.
It has been 3 epidemiological weeks since the last reported measles case (week 19, 2016) and 16 epidemiological weeks since the last reported rubella case (week 06, 2016).
The year-to-date total is 7 cases of measles and 1 case of rubella for 2016 (Figure 1).
FIGURE 1: Number of cases of measles (n=7) and rubella (n=1), by week of rash onset, as reported to the Canadian Measles/ Rubella Surveillance System (CMRSS) and Measles and Rubella Surveillance system (MARS), for the period ending June 4, 2016.
Figure 1 - Text Description
Epidemiological Week of Rash Onset, 2016 | Number of confirmed measles cases reported | Number of confirmed rubella cases reported |
---|---|---|
1 | 1 | 0 |
2 | 0 | 0 |
3 | 1 | 0 |
4 | 0 | 0 |
5 | 0 | 0 |
6 | 0 | 1 |
7 | 0 | 0 |
8 | 0 | 0 |
9 | 2 | 0 |
10 | 0 | 0 |
11 | 2 | 0 |
12 | 0 | 0 |
13 | 0 | 0 |
14 | 0 | 0 |
15 | 0 | 0 |
16 | 0 | 0 |
17 | 0 | 0 |
18 | 0 | 0 |
19 | 1 | 0 |
20 | 0 | 0 |
21 | 0 | 0 |
22 | 0 | 0 |
23 | 0 | 0 |
24 | 0 | 0 |
25 | 0 | 0 |
26 | 0 | 0 |
27 | 0 | 0 |
28 | 0 | 0 |
29 | 0 | 0 |
30 | 0 | 0 |
31 | 0 | 0 |
32 | 0 | 0 |
33 | 0 | 0 |
34 | 0 | 0 |
35 | 0 | 0 |
36 | 0 | 0 |
37 | 0 | 0 |
38 | 0 | 0 |
39 | 0 | 0 |
40 | 0 | 0 |
41 | 0 | 0 |
42 | 0 | 0 |
43 | 0 | 0 |
44 | 0 | 0 |
45 | 0 | 0 |
46 | 0 | 0 |
47 | 0 | 0 |
48 | 0 | 0 |
49 | 0 | 0 |
50 | 0 | 0 |
51 | 0 | 0 |
52 | 0 | 0 |
Missing Rash Onset | 0 | 0 |
Cases (year-to-date) | 7 | 1 |
Geographic Distribution
There are currently no reported activeFigure 2 - Footnote * cases of measles or rubella in Canada (Figure 2).
To date in 2016, measles cases have been reported in three Canadian provinces (British Columbia, Alberta, and Ontario), and a rubella case has been reported in one province (British Columbia).
Figure 2: Distribution of activeFigure 2 - Footnote *, confirmed measles cases by health region.
- Figure 2 - Footnote *
-
Active cases or outbreaks are those in which the onset date of the most recent case/outbreak-associated case falls within 32 days of the issue date of this reportFootnote 2.
Figure 2 - Text Description
Health Region | Measles Cases | Rubella Cases |
---|---|---|
Eastern Regional Integrated Health Authority | 0 | 0 |
Central Regional Integrated Health Authority | 0 | 0 |
Western Regional Integrated Health Authority | 0 | 0 |
Labrador-Grenfell Regional Integrated Health Authority | 0 | 0 |
Prince Edward Island | 0 | 0 |
South Shore District Health Authority | 0 | 0 |
South West Nova District Health Authority | 0 | 0 |
Annapolis Valley District Health Authority | 0 | 0 |
Colchester East Hants Health Authority | 0 | 0 |
Cumberland Health Authority | 0 | 0 |
Pictou County Health Authority | 0 | 0 |
Guysborough Antigonish Strait Health Authority | 0 | 0 |
Cape Breton District Health Authority | 0 | 0 |
Capital District Health Authority | 0 | 0 |
Zone 1 (NB) | 0 | 0 |
Zone 2 (NB) | 0 | 0 |
Zone 3 (NB) | 0 | 0 |
Zone 4 (NB) | 0 | 0 |
Zone 5 (NB) | 0 | 0 |
Zone 6 (NB) | 0 | 0 |
Zone 7 (NB) | 0 | 0 |
Québec and Chaudières-Appalaches | 0 | 0 |
Centre-du-Québec | 0 | 0 |
Montréal and Laval | 0 | 0 |
Ouest-du-Québec | 0 | 0 |
Montérégie | 0 | 0 |
Nord-Est | 0 | 0 |
Ontario Central East | 0 | 0 |
Ontario Central West | 0 | 0 |
Ontario Eastern | 0 | 0 |
Ontario North East | 0 | 0 |
Ontario North West | 0 | 0 |
Ontario South West | 0 | 0 |
City of Toronto Health Unit | 0 | 0 |
Winnipeg Regional Health Authority | 0 | 0 |
Prairie Mountain Health | 0 | 0 |
Interlake-Eastern Regional Health Authority | 0 | 0 |
Northern Regional Health Authority | 0 | 0 |
Southern Health | 0 | 0 |
Saskatchewan South | 0 | 0 |
Saskatchewan Central | 0 | 0 |
Saskatchewan North | 0 | 0 |
South Zone | 0 | 0 |
Calgary Zone | 0 | 0 |
Central Zone | 0 | 0 |
Edmonton Zone | 0 | 0 |
North Zone | 0 | 0 |
British Columbia Interior | 0 | 0 |
British Columbia Fraser | 0 | 0 |
British Columbia Vancouver Coastal | 0 | 0 |
British Columbia Vancouver Island | 0 | 0 |
British Columbia Northern | 0 | 0 |
Yukon | 0 | 0 |
Northwest Territories | 0 | 0 |
Nunavut | 0 | 0 |
|
Laboratory Summary
Measles
To date in 2016, 7 measles cases have been genotyped and the genotypes were B3 (n=4) and D8 (n=3) (Figure 3).
Figure 3: Distribution of measles genotypes detected in 2016 (n=7) by weekFigure 3 - Footnote † of rash onset (if available, n=7) or specimen collection (n=0).
- Figure 3 - Footnote †
-
Epidemiological weeks for laboratory specimens are assigned in accordance with WHO guidelines (WHO.WER.2012;9(87):73) with week 1 beginning on the first Monday of the year.
- Figure 3 - Footnote *
-
Genotype B3 sequences identical to sequence variant / named strain MVi/Harare.ZWE/38.09 (GenBank accession number JF973033)
Figure 3 - Text Description
Epi week | B3 | B3 - HarareFigure 3 Table - Footnote * | D4 | D8 | D8 - Taunton | D9 | H1 | Total |
---|---|---|---|---|---|---|---|---|
1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
3 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 |
4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
7 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
8 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
9 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 2 |
10 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
11 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 |
12 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
13 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
14 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
15 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
16 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
17 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
18 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
19 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 |
20 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
21 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
22 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
23 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
24 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
25 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
26 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
27 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
28 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
29 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
30 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
31 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
32 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
33 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
34 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
35 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
36 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
37 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
38 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
39 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
40 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
41 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
42 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
43 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
44 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
45 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
46 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
47 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
48 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
49 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
50 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
51 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
52 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Total | 2 | 2 | 0 | 3 | 0 | 0 | 0 | 7 |
|
The current global distribution of measles genotypes can be found on the WHO Measles Surveillance website.
For information regarding the interpretation and use of measles genotyping (including a discussion of genotypes and sequence variants), refer to Hiebert J and Severini A. Canada Communicable Disease Report. 2014; 40-12: 257- 260.
Rubella
No genotype information is available for the rubella case reported in 2016.
Footnotes
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