The 2019–2020 New Zealand measles outbreak was an epidemic that affected New Zealand, primarily the Auckland region.[8] The outbreak was the worst epidemic in New Zealand since an influenza epidemic in 1999, and is the worst measles epidemic since 1938.[9][10]
2019–2020 New Zealand measles outbreak
Map of confirmed measles cases in New Zealand during the 2019–2020 outbreak by district health board (DHB)
The D8 strain was confirmed to be the main strain of the epidemic,[11][12] but the B3 strain has also been identified[13] and the epidemic has spread to several other countries. In Samoa more than 72 people have died.[14] Cases in Tonga and Fiji have also been recorded, and an outbreak in Perth began in October 2019 after a New Zealander visited while infectious.[15] In New Zealand, two unborn fetuses in second trimester have died as a result of the outbreak.[16]
The New Zealand Government has been criticised for its response to the epidemic, particularly due to shortages in the supply of vaccines.[17][18] Scientists have also criticised the Ministry of Health for not acting on previous recommendations to conduct national 'catch-up' campaigns with the MMR vaccine prior to the outbreak.[19]
In 2017 the New Zealand Health Ministry produced documents that showed an urgent need to increase measles immunisation among young people and that a "systematic, programmatic approach" was needed to address an immunity gap. [20] Dr Nikki Turner, Chair of the National Measles Verification Committee, met in 2018 to discuss the immunisation gap. It was noted damage was historical and immunisation rates had improved but by 2019 the gap had not been fully addressed. Many young people did not know if they had been vaccinated which indicated that poor record keeping contributed to ineffective delivery.[21] David Haymen and Turner concluded that the best way to close the immunity gap was to undertake a formal catch-up programme.[22]
Research into the 2019 epidemic traced its history and showed it was young infants who were most at risk, followed by teenagers and adults under the age of 30.[21] Analysis by the Immunisation Advisory Centre found that a generation born between 1982 and 2007 had low immunization rates, and vaccination records are incomplete for that period as the National Immunisation Register was introduced in 2005.[23] Research also suggested management strategies such as a national campaign targeting the at-risk age groups; establishment of systems to ensure adequate supplies of vaccines; provision of support for their delivery at the practice level; and creative use of community facilities to improve accessibility.[citation needed]
During the COVID-19 pandemic in New Zealand, it became apparent that in the drive to obtain a vaccine for that outbreak, there was a stall in getting measles vaccination programmes rolled out effectively. Turner warned that because of this, it was possible that there would be "bigger problems with children dying from measles, and the damage from measles, than Covid."[24]
Although New Zealand has had a high demand for the MMR vaccine, resulting in a shortage, there has also been an increase in the number of people who have declined the vaccine since 2017.[25]
Casesedit
As of 24 February 2020, there had been 2,194 cases of measles reported throughout New Zealand since 1 January 2019.[1] Auckland had been the worst-hit region, with 1,736 cases alone.[1] The New Zealand government activated the National Health Coordination Center in August 2019 to respond to the outbreak.[26]
Confirmed cases by District Health Board (24 February 2020)[1]
^"Vaccines mean opening our borders to Covid". 9 February 2021. Retrieved 4 March 2021.
^Iannelli, Vincent; MD (13 May 2017). "Measles Vaccines vs Measles Strains". Vaxopedia. Retrieved 4 February 2021.
^"National Measles Response and Recovery Appeal, 6 December 2019 - Samoa". ReliefWeb. Retrieved 5 February 2021.
^"2019 Canterbury Measles Outbreak – A summary of cases" (PDF). New Zealand Community and Public Health. (PDF) from the original on 16 February 2020. Retrieved 5 February 2021.
^"WHO/UNICEF Secretariat Supporting Measles Outbreak Preparedness and Response in the Pacific" (PDF). WHO. Retrieved 16 December 2019.
^Bell, Frances (2 October 2019). "Fears over growing and 'unprecedented' Perth measles outbreak linked to much bigger NZ one". ABC News. Retrieved 4 March 2021.
^. TVNZ. Archived from the original on 29 June 2021. Retrieved 2 October 2019.
^Fitzgerald, Katie. "Simon Bridges hits out at Government over measles outbreak handling". Newshub. Retrieved 2 October 2019.
^Laird, Lindy (20 September 2019). "47 measles cases in North, MP says not enough action". Northern Advocate. ISSN 1170-0777. Retrieved 2 October 2019.
^"Measles outbreak: Call for national approach". www.scoop.co.nz. 18 July 2019. Retrieved 5 February 2021.
^ ab. www.nzma.org.nz. Archived from the original on 19 February 2020. Retrieved 5 February 2021.
^"Joining the dots: What's really causing New Zealand's measles epidemics". RNZ. 25 May 2019. Retrieved 5 February 2021.
^Newton, Kate (25 May 2019). "Joining the dots: What's really causing New Zealand's measles epidemics". RNZ. Retrieved 27 March 2021.
^"Nikki Turner: Let's keep our eyes on the ball - The University of Auckland". www.auckland.ac.nz. Retrieved 5 February 2021.
^Patel, Manisha; Lee, Adria D.; Clemmons, Nakia S.; Redd, Susan B.; Poser, Sarah; Blog, Debra; Zucker, Jane R.; Leung, Jessica; Link-Gelles, Ruth; Pham, Huong; Arciuolo, Robert J. (11 October 2019). "National Update on Measles Cases and Outbreaks — United States, January 1 – October 1, 2019". Morbidity and Mortality Weekly Report. 68 (40): 893–896. doi:10.15585/mmwr.mm6840e2. ISSN 0149-2195. PMC6788396. PMID 31600181.
^Small, Zane; Lynch, Jenna. "'This is serious': National Health Coordination Centre activated over measles outbreak". Newshub.
December 14, 2023
2019, 2020, zealand, measles, outbreak, epidemic, that, affected, zealand, primarily, auckland, region, outbreak, worst, epidemic, zealand, since, influenza, epidemic, 1999, worst, measles, epidemic, since, 1938, confirmed, measles, cases, zealand, during, 201. The 2019 2020 New Zealand measles outbreak was an epidemic that affected New Zealand primarily the Auckland region 8 The outbreak was the worst epidemic in New Zealand since an influenza epidemic in 1999 and is the worst measles epidemic since 1938 9 10 2019 2020 New Zealand measles outbreakMap of confirmed measles cases in New Zealand during the 2019 2020 outbreak by district health board DHB Date1 August 2019 21 February 2020 1 Christchurch16 February 16 May 2019 2 Auckland 28 February 2019 7 February 2020 3 CasualtiesCountryCases conf DeathsLast updateNew Zealand2 1942 1 Australia740 4 5 6 Fiji240 7 Total2 093 see note 1 2 As of 24 February 2020 update The D8 strain was confirmed to be the main strain of the epidemic 11 12 but the B3 strain has also been identified 13 and the epidemic has spread to several other countries In Samoa more than 72 people have died 14 Cases in Tonga and Fiji have also been recorded and an outbreak in Perth began in October 2019 after a New Zealander visited while infectious 15 In New Zealand two unborn fetuses in second trimester have died as a result of the outbreak 16 Contents 1 Policy Response 2 Cases 3 See also 4 ReferencesPolicy Response editThe New Zealand Government has been criticised for its response to the epidemic particularly due to shortages in the supply of vaccines 17 18 Scientists have also criticised the Ministry of Health for not acting on previous recommendations to conduct national catch up campaigns with the MMR vaccine prior to the outbreak 19 In 2017 the New Zealand Health Ministry produced documents that showed an urgent need to increase measles immunisation among young people and that a systematic programmatic approach was needed to address an immunity gap 20 Dr Nikki Turner Chair of the National Measles Verification Committee met in 2018 to discuss the immunisation gap It was noted damage was historical and immunisation rates had improved but by 2019 the gap had not been fully addressed Many young people did not know if they had been vaccinated which indicated that poor record keeping contributed to ineffective delivery 21 David Haymen and Turner concluded that the best way to close the immunity gap was to undertake a formal catch up programme 22 Research into the 2019 epidemic traced its history and showed it was young infants who were most at risk followed by teenagers and adults under the age of 30 21 Analysis by the Immunisation Advisory Centre found that a generation born between 1982 and 2007 had low immunization rates and vaccination records are incomplete for that period as the National Immunisation Register was introduced in 2005 23 Research also suggested management strategies such as a national campaign targeting the at risk age groups establishment of systems to ensure adequate supplies of vaccines provision of support for their delivery at the practice level and creative use of community facilities to improve accessibility citation needed During the COVID 19 pandemic in New Zealand it became apparent that in the drive to obtain a vaccine for that outbreak there was a stall in getting measles vaccination programmes rolled out effectively Turner warned that because of this it was possible that there would be bigger problems with children dying from measles and the damage from measles than Covid 24 Although New Zealand has had a high demand for the MMR vaccine resulting in a shortage there has also been an increase in the number of people who have declined the vaccine since 2017 25 Cases editAs of 24 February 2020 there had been 2 194 cases of measles reported throughout New Zealand since 1 January 2019 1 Auckland had been the worst hit region with 1 736 cases alone 1 The New Zealand government activated the National Health Coordination Center in August 2019 to respond to the outbreak 26 Confirmed cases by District Health Board 24 February 2020 1 Region Cases HospitalisedNorthland 133 23Waitemata 306 129Auckland 274 108Counties Manukau 1 157 435Waikato 51 12Lakes 30 6Bay of Plenty 45 19Tairawhiti 0 0Taranaki 8 3Hawke s Bay 26 8Whanganui 0 0MidCentral 10 0Hutt Valley 9 1Capital and Coast 24 7Wairarapa 1 0Nelson Marlborough 1 0West Coast 0 0Canterbury 44 17South Canterbury 2 0Southern 73 6Total nationwide 2 194 774See also editTaylor Winterstein Samoan anti vaccination campaigner 2019 Samoa measles outbreak 2019 Tonga measles outbreak 2019 Philippines measles outbreak Chemophobia Measles resurgence in the United States Vaccination Vaccine hesitancyReferences edit a b c d e Measles weekly report PDF Public Health Surveillance 24 February 2020 Archived from the original PDF on 19 February 2020 Retrieved 4 March 2021 Canterbury measles outbreak declared officially over TVNZ Retrieved 4 March 2021 Measles weekly report PDF Public Health Surveillance 10 February 2020 Archived from the original PDF on 19 February 2020 Retrieved 4 March 2021 Three cases of Measles in Australia Nine News 4 September 2019 Retrieved 6 September 2019 2019 measles outbreak WA Information WA Health 18 October 2019 Retrieved 8 November 2019 Measles outbreak hits Queensland Seven News 5 November 2019 Retrieved 8 November 2019 Measles Outbreak declared in Fiji Fiji Sun 7 November 2019 Retrieved 8 November 2019 2019 measles outbreak information Ministry of Health NZ Archived from the original on 2 October 2019 Retrieved 2 October 2019 A timeline of epidemics in New Zealand PDF Vaccines mean opening our borders to Covid 9 February 2021 Retrieved 4 March 2021 Iannelli Vincent MD 13 May 2017 Measles Vaccines vs Measles Strains Vaxopedia Retrieved 4 February 2021 National Measles Response and Recovery Appeal 6 December 2019 Samoa ReliefWeb Retrieved 5 February 2021 2019 Canterbury Measles Outbreak A summary of cases PDF New Zealand Community and Public Health Archived PDF from the original on 16 February 2020 Retrieved 5 February 2021 WHO UNICEF Secretariat Supporting Measles Outbreak Preparedness and Response in the Pacific PDF WHO Retrieved 16 December 2019 Bell Frances 2 October 2019 Fears over growing and unprecedented Perth measles outbreak linked to much bigger NZ one ABC News Retrieved 4 March 2021 Amid Auckland s measles outbreak two second trimester unborn babies die TVNZ Archived from the original on 29 June 2021 Retrieved 2 October 2019 Fitzgerald Katie Simon Bridges hits out at Government over measles outbreak handling Newshub Retrieved 2 October 2019 Laird Lindy 20 September 2019 47 measles cases in North MP says not enough action Northern Advocate ISSN 1170 0777 Retrieved 2 October 2019 Hancock Farah Shameful measles outbreak predicted Stuff Retrieved 2 October 2019 Measles outbreak Call for national approach www scoop co nz 18 July 2019 Retrieved 5 February 2021 a b A measles epidemic in New Zealand Why did this occur and how can we prevent it occurring again www nzma org nz Archived from the original on 19 February 2020 Retrieved 5 February 2021 Joining the dots What s really causing New Zealand s measles epidemics RNZ 25 May 2019 Retrieved 5 February 2021 Newton Kate 25 May 2019 Joining the dots What s really causing New Zealand s measles epidemics RNZ Retrieved 27 March 2021 Nikki Turner Let s keep our eyes on the ball The University of Auckland www auckland ac nz Retrieved 5 February 2021 Patel Manisha Lee Adria D Clemmons Nakia S Redd Susan B Poser Sarah Blog Debra Zucker Jane R Leung Jessica Link Gelles Ruth Pham Huong Arciuolo Robert J 11 October 2019 National Update on Measles Cases and Outbreaks United States January 1 October 1 2019 Morbidity and Mortality Weekly Report 68 40 893 896 doi 10 15585 mmwr mm6840e2 ISSN 0149 2195 PMC 6788396 PMID 31600181 Small Zane Lynch Jenna This is serious National Health Coordination Centre activated over measles outbreak Newshub Retrieved from https en wikipedia org w index php title 2019 2020 New Zealand measles outbreak amp oldid 1179755206, wikipedia, wiki, book, books, library,
