Notes from the Field: Measles Outbreak at a United States Immigration and Customs Enforcement Facility – Arizona, May-June 2016

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Venkat, Heather ; Kassem, Ahmed M. ; Su, Chia-ping ; Hill, Clancey ; Timme, Evan ; Briggs, Graham ; Komatsu, Kenneth ; Robinson, Susan ; Sunenshine, Rebecca ; Patel, Manisha ; Elson, Diana ; Gastañaduy, Paul ; Brady, Shane ; Rigler, Jessica ; Christ, Cara ; Livar, Eugene ; Villarroel, Lisa ; Lira, Rosa ; Tarango, Corey ; Jue, Teresa ; Johnston, Sara Imholte ; Herrington, Don ; Lewis, Karen ; Duport, Harmony ; Kelly, Peter ; Anheluk, Krista ; Ruberto, Irene ; Pistole, Jennifer ; Herrick, Kristen ; Franco, Jabette ; Packard, Samuel ; Reimus, Christopher ; Salinas, Marcela ; Sylvester, Tammy ; Klein, Ron ; Rose, Karen ; Zabel, Karen ; Adair, Jennifer ; Castle, Marcus ; England, Bob ; Lederman, Edith ; Tagliaferri, Geri ; Freiman, Jennifer ; Padilla, Bessie ; Auhl, Herman ; Rota, Paul ; Hickman, Carole ; Leung, Jessica ; Sowers, Sun Bae ; Mercader, Sara ; Slanta, William ; Fitzpatrick, Kathryn ; Escobar, Jessica
• Corporate Authors:
  Centers for Disease Control and Prevention (U.S.) ; Measles Investigation Team
• Description:
  On May 25, 2016, a detainee at a U.S. Immigration and Customs Enforcement (ICE) detention center in Arizona who had been hospitalized with fever and a generalized maculopapular rash was confirmed to have measles by real-time polymerase chain reaction (rPCR). A second case of measles in a staff member was confirmed by rPCR the next day. The privately operated, city-contracted facility housed 1,425 detainees, and employed 510 staff members, including 95 federal ICE staff and 415 contract staff of four distinct employers. Outbreak control measures consisted of administration of measlesmumps- rubella (MMR) vaccine to 1,424 detainees housed at the facility during May 29-31 and isolation of the detainee patient and any additional detainee patients identified during their remaining infectious period (until 4 days after rash onset). Recommendations were made by federal, state, and local public health partners to exclude staff members with measles-compatible symptoms as well as exposed staff members without presumptive evidence of immunity to measles. Recommendations for implementing measles control policies for detention and correctional facilities, similar to those recommended in health care facilities, could be considered. If permissible, contractual and interagency agreements could include similar provisions, such as requiring MMR vaccination for staff members who work in detention facilities and do not have documented evidence of immunity. [Description provided by NIOSH]
• Subjects:
  Communicable Diseases Epidemiology Immune System Occupational Exposure Occupational Health Public Health Safety Viral Diseases
• Keywords:
  Infectious diseases; Infection control; Epidemiology; Public health; Disease control; Disease transmission; Surveillance-programs; Humans; Medical treatment; Employee exposure; Vaccines; Isolation; Viral diseases; Viral infections; Skin infections; Policy; Controlled environment; Immune system
• Source:
  MMWR: Morbidity and Mortality Weekly Report 2017; v. 66, no. 20
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• DOI:
  https://doi.org/10.15585/mmwr.mm6620a5
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  28542125
• Pubmed Central ID:
  PMC5657873
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Arizona ; Georgia ; Idaho ; Ohio ; OSHA Region 10 ; OSHA Region 4 ; OSHA Region 5 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  p. 543-544
• Volume:
  66
• Issue:
  20
• NIOSHTIC Number:
  nn:20049819
• Citation:
  MMWR 2017 May; 66(20):543-544
• Email:
  hvenkat@cdc.gov
• Federal Fiscal Year:
  2017
• Peer Reviewed:
  False
• Collection(s):
  National Institute for Occupational Safety and Health Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:f3ce85564d984f868923d7665e6243cf68cf334c97520774da8452ea5a6551f97147d13d9890561dc0d13201b6a277a69ec5fd24cf571f23f6da5362ab866dcc
• Download URL:
  https://stacks.cdc.gov/view/cdc/54501/cdc_54501_DS1.pdf
• File Type:
  [PDF - 102.12 KB ]