1. MEASLES OUTBREAK IN BATH April - May 2008 Dr Jo Williams SpT Public Health Avon, Gloucestershire and Wiltshire Health Protection Unit

3. Descriptive epidemiology: time BCBC DA Notification received EF

4. Descriptive epidemiology: person Age and MMR status –3 cases aged <13 months too young to have received MMR –2 preschool age 1 case with possible vaccine 1 no vaccine Relationships –All part of the same social group –Two confirmed cases were siblings (B & D)

5. Descriptive epidemiology: place E played with B & D A, B, C & D at cafe BCBC DAEF A’s birthday party

6. Control of outbreak Exclusion of cases Vulnerable contacts identified –Unvaccinated communities –Immunocompromised –Pregnant women –Babies under vaccination age Vaccination of contacts 4 children given earlier MMR who attended the café on 17 th April

7. Communication Outbreak control meeting (19 th May) External communication –Aims Early identification of cases Identify vulnerable contacts Increase MMR uptake –Press release and press work –Letter to all GPs and primary care staff –Information to groups attended by cases Outbreak control meeting (23 rd May) –outbreak declared over unless more cases

8. MMR uptake in Bath BANES PCTGP1 (5 cases) MMR 1 st dose (2006-7) 87.9%84.9% MMR 1 st dose (2007-8) 90.3%81.9% MMR 2 nd dose (2006-7) 89.1%83.5% MMR 2 nd dose (2007-8) 89.6%83.1%