Challenges in managing a school-based measles outbreak in Melbourne, Australia, 2014

Abstract

Objective: To identify barriers to control of a Victorian primary school-based measles outbreak. Methods: Confirmed measles cases notified in Victoria in 2014 were reviewed. Surveillance data, correspondence, and investigation notes for the school-based outbreak were assessed regarding timeliness of diagnosis and notification, and adequacy of school-based immunisation records. Results: Twenty-three (31%) of the 75 measles cases notified in 2014 were school-aged (5–18 years); three had documentation of measles vaccination, 17 were unvaccinated, and three had unknown vaccination history. Eight measles outbreaks were identified, including a primary school-based outbreak with ten cases. Of the s..