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Containing a measles outbreak in Minnesota, 2017: methods and challenges

Abstract:
Aims: We report on a measles outbreak largely occurring in Minnesota’s under-vaccinated Somali community in the spring of 2017. The outbreak was already into its third generation when the first two cases were confirmed, and rapid public health actions were needed. The aim of our response was to quickly end transmission and contain the outbreak. Methods: The state public health department performed laboratory testing on suspect cases and activated an Incident Command staffed by subject matter experts that was operational within 2\u2009h of case confirmation. Epidemiologic interviews identified exposures in settings where risk of transmission was high, that is, healthcare, childcare, and school settings. Vaccination status of exposed persons was assessed, and postexposure prophylaxis (PEP) was offered, if applicable. Exposed persons who did not receive PEP were excluded from childcare centers or schools for 21\u2009days. An accelerated statewide measles, mumps, and rubella (MMR) recommendation was made for Somali Minnesota children and children in affected outbreak counties. Partnerships with the Somali Minnesota community were deepened, building off outreach work done with the community since 2008. Results: Public health identified 75 measles cases from 30 March to 25 August 2017: 43% were female, 81% Somali Minnesotan, 91% unvaccinated, and 28% hospitalized. The median age of cases was 2\u2009years (range: 3\u2009months–57\u2009years). Most transmission (78%) occurred in childcare centers and households. A secondary attack rate of 91% was calculated for unvaccinated household contacts. Over 51,000 doses of MMR were administered during the outbreak above expected baseline. At least 8490 individuals were exposed to measles; 155 individuals received PEP; and over 500 persons were excluded from childcare and school. State and key public health partners spent an estimated $2.3 million on response. Conclusion: This outbreak demonstrates the necessity of immediate, targeted disease control actions and strong public health, healthcare, and community partnerships to end a measles outbreak.
Author Listing: E Banerjee;J Griffith;C Kenyon;B Christianson;A Strain;K Martin;M McMahon;E Bagstad;E Laine;K Hardy;G Grilli;J Walters;D Dunn;M Roddy;K Ehresmann
Volume: 140
Pages: 162 - 171
DOI: 10.1177/1757913919871072
Language: English
Journal: Perspectives in Public Health

Perspectives in Public Health

PERSPECT PUBLIC HEAL

影响因子:2.6
是否综述期刊:否
是否OA:否
是否预警:不在预警名单内
发行时间:-
ISSN:1757-9139
发刊频率:-
收录数据库:Scopus收录
出版国家/地区:-
出版社:SAGE

期刊介绍

年发文量 44
国人发稿量 -
国人发文占比 0%
自引率 3.8%
平均录取率 -
平均审稿周期 -
版面费 US$3500
偏重研究方向 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
期刊官网 -
投稿链接 -

质量指标占比

研究类文章占比 OA被引用占比 撤稿占比 出版后修正文章占比
88.64% 49.55% 0.00% 0.00%

相关指数

影响因子
影响因子
年发文量
自引率
Cite Score

预警情况

时间 预警情况
2025年03月发布的2025版 不在预警名单中
2024年02月发布的2024版 不在预警名单中
2023年01月发布的2023版 不在预警名单中
2021年12月发布的2021版 不在预警名单中
2020年12月发布的2020版 不在预警名单中

JCR分区 WOS分区等级:Q2区

版本 按学科 分区
WOS期刊SCI分区
(2021-2022年最新版)
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q3

中科院分区

版本 大类学科 小类学科 Top期刊 综述期刊
医学
4区
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
公共卫生、环境卫生与职业卫生
4区
2021年12月
升级版
医学
3区
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
公共卫生、环境卫生与职业卫生
3区
2020年12月
旧的升级版
医学
3区
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
公共卫生、环境卫生与职业卫生
3区
2022年12月
最新升级版
医学
4区
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
公共卫生、环境卫生与职业卫生
4区