France - Measles outbreak 2023-2024

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A measles epidemic declared in an Ardèche college

From Théo Metton-Régimbeau
Saturday September 23, 2023 at 7:09 p.m.
By France Bleu Drôme Ardèche

A measles epidemic affects at least one Ardèche college. The first case was detected at the Charles de Gaulle college in Guilherand-Granges.

It is a very contagious viral infection. A measles epidemic broke out during the week in at least one college in the Ardèche department. According to our information, it was at the Charles de Gaulle college in Guilherand-Granges that the first case was detected.

Still according to information from France Bleu Drôme Ardèche, the heads of public and private establishments (schools, middle schools and high schools) in Saint-Péray, Guilherand-Granges and Tournon-sur-Rhône have been warned of the epidemic. Other students could have been contaminated, checks are underway.

No establishment closure

Families in the establishments concerned were informed on Friday evening. The prefecture invites parents to check the anti-measles vaccination. A new communication will be made more widely at the beginning of next week on the course of action to take. No establishment closures are currently planned.

Investigations are underway in particular by the Regional Health Agency to determine the exact area of contamination.
...

https://www.francebleu.fr/infos/societe/une-epidemie-de-rougeole-declaree-dans-au-moins-un-college-ardechois-6806338

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Prefect of Ardèche🇫🇷 🇪🇺
@Prefet07

Measles An epidemic of Measles broke out this week in a #college in Ardèche and affects children in several classes. The principals of the establishments concerned were notified by the National Education services who directly informed the parents of the students.

We invite all parents to check that their children's measles vaccination is up to date.

Measles is a highly contagious disease caused by a virus that is transmitted through respiratory secretions.

The incubation lasts between 1 and 3 weeks before the first symptoms: generally high fever, cough, runny nose, conjunctivitis, fatigue. The pimples appear on the skin 2-3 days later on the ears, face and then spread over the entire body. There may be severe forms (respiratory, neurological) requiring hospitalization.

💉The best protection against measles or its serious forms is 2-dose vaccination : vaccination has become compulsory for children born since January 1, 2018 (1st injection at 12 months and 2nd injection at 16-18 months) but is recommended for all other people without a history of measles.

9:37 AM · Sep 23, 2023

https://twitter.com/prefet07?lang=en

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Several cases of measles declared in Ardèche (07) - Situation update and vaccination recommendations

Press release
Public health September 25, 2023



The Auvergne-Rhône-Alpes Regional Health Agency has received, to date, reports of 11 cases of measles affecting students at a secondary school in Guilherand–Granges and invites parents to check the vaccination status of their children and their own vaccination if they were born after 1980. Vaccination remains the best protection against measles or its serious forms.

On September 19, 2023, the ARS Auvergne-Rhône-Alpes was informed of the occurrence of a first case of measles (notifiable disease), confirmed in a middle school student attending the Charles de Gaulle college in Guilherand-Granges. In the following days, the ARS was informed of 10 other cases of measles.

At this stage, there are 11 cases of measles declared to the ARS exclusively affecting students at the same school, 8 of which have been confirmed to date, the other 3 are in the process of biological confirmation.

One child had to be hospitalized for a few days.

The affected middle school students are divided into different classes; They also attend several sports clubs in the surrounding Ardèche and Drôme.

The contact tracing set up by the ARS in those around patients aims to identify people not protected by vaccination or without a history of measles and vulnerable people in order to invite them to be vaccinated if their vaccination is not up to date or possibly to benefit from protective treatment for vulnerable people in the patient's close entourage.

National Education has informed parents of students at Drôme and Ardèche colleges of the situation, the recommendations to follow and the actions to take in the event of suggestive symptoms.

The communities frequented by sick children (college, sports clubs) were also informed of the measures to be implemented; the councils of the order of doctors of Ardèche and Drôme as well as doctors in the sector have been made aware of the situation.

Parents are invited to monitor the health of their children and consult their doctor if symptoms appear : generally high fever, cough, runny nose, conjunctivitis, fatigue.

They are also invited to check their child's vaccination in the vaccination card and their own vaccination if they were born after 1980 (the Measles-Mumps-Rubella (MMR) vaccine is administered with 2 doses with the PRIORIX or MM vaccines). RVAXPRO).

In the event of non-vaccination or incomplete vaccination , you should quickly consult a doctor or pharmacist , with your health record, to update your anti-measles vaccination .

Measles is very contagious, in case of suggestive symptoms , it is recommended to wear a mask , if you go to a medical consultation, in a laboratory or at the pharmacy.

Measles is caused by a virus that is transmitted through respiratory secretions. This disease is very contagious; in the absence of preventive measures, one patient can infect up to 20 people. The incubation of measles (silent phase) lasts between 1 and 3 weeks before the first ^symptoms appear: generally high fever, cough, runny nose, conjunctivitis, fatigue. Typically, the appearance of pimples on the skin begins 2-3 days later at the ears and face and then quickly spreads down the entire body.

There may be severe forms (respiratory, neurological) requiring hospitalization. Complications can occur at any age and are all the more common as people are vulnerable : pregnant women who have not had measles or not protected by 2-dose vaccination , children under one year of age (who are not not yet protected by vaccination), people temporarily or permanently immunocompromised due to certain diseases or certain treatments.

The best protection against measles or its serious forms is 2-dose vaccination : vaccination has become compulsory for children born since January 1, 2018 ⁽ 1st ^injection at 12 months and 2nd ^injection at 16-18 months). It is recommended for all other people born after 1980.

Since the measles vaccine existed, the number of measles and epidemics have decreased significantly in France but the disease has not disappeared because the vaccination rate of the population is not yet sufficient to prevent circulation and transmission. of the virus between people.

Vaccination of a high proportion of the population makes it possible to limit the circulation of the measles virus and in the event of an epidemic, it makes it possible to limit its spread.



https://www.auvergne-rhone-alpes.ars...ons-vaccinales

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ARDÈCHE: 14 CASES OF MEASLES DECLARED IN A COLLEGE, A CHILD HOSPITALIZED FOR “A FEW DAYS”

Tom Kerkour
09/26/2023 at 12:43

The Auvergne-Rhône-Alpes Regional Health Agency announced on Monday that it had identified 14 cases of measles “exclusively affecting students from the same school”.

It's the return of measles in France. The Auvergne-Rhône-Alpes Regional Health Agency announced this Monday the presence of several cases of this highly contagious disease in Ardèche within the same establishment.

“At this stage, 14 cases have been declared to the ARS,” the agency explained to BFMTV.com this Tuesday.

The students in question are educated at the Collège Charles de Gaulle in Guilherand-Granges (Ardèche). One of them had to be hospitalized for “a few days” and has since been released from the hospital. The patients attended sports clubs in the Drôme-Ardèche area, and were therefore able to contaminate people throughout the area.

As the contaminations may have gone beyond the college alone, National Education alerted parents in both departments about the situation and the procedure to follow in the event of the appearance of symptoms:

“Parents are invited to monitor the health of their children and consult their doctor if symptoms appear: generally high fever, cough, runny nose, conjunctivitis, fatigue.”

Very contagious disease

Measles is by nature very contagious. A patient can, in the absence of preventive measures, contaminate up to 20 others. The disease first progresses for 1 to 3 weeks without symptoms appearing. Measles can also appear in severe forms requiring hospitalization.

In 2022, Public Health France ( SPF ) noted a “virtually no circulation of the virus”. France, like the majority of European countries, has benefited from a fall in the number of cases of the disease since the peak of the Covid-19 crisis and its preventive measures. Despite the lifting of barrier measures, the circulation of measles remains low.

This prolonged low circulation “can be explained on the one hand by the observed improvement in vaccination coverage” in infants and “by the immunity acquired during the last epidemics”, according to SPF. Since January 1, 2018, vaccination has become compulsory for children.

Since the vaccine became available, the number of measles epidemics has decreased significantly. However, the vaccination rate among the general population is not high enough to completely eradicate the disease.

The High Authority for Health recommends compulsory vaccination against measles for caregivers
In Ardèche and Drôme, the ARS recommends that unvaccinated people or people with incomplete vaccination (one dose out of two) “quickly consult a doctor or pharmacist, with their health record, to update the measles vaccination.

Tom Kerkour

https://www.bfmtv.com/sante/ardeche-11-cas-de-rougeole-declares-dans-un-college-un-enfant-hospitalise-quelques-jours_AV-202309260472.html

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See also:

Measles in France: virtual absence of circulation of the virus maintained in 2022 (Santé publique France, June 16, 2023)

https://flutrackers.com/forum/forum/...e-june-16-2023

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Cases of measles in Ardèche: situation update and recommendations
...
Context

On September 19, 2023, the ARS Auvergne-Rhône-Alpes was informed of the occurrence of a first case of measles in a student attending Charles de Gaulle college in Guilherand-Granges (Ardèche).

As of September 29, 2023, 23 cases of measles have been confirmed - most of them students at Charles de Gaulle College.

One child had to be hospitalized for a few days.

The middle school students concerned are divided into different classes within the same establishment. Some attend several sports clubs in the surrounding Ardèche and Drôme.
...

https://www.auvergne-rhone-alpes.ars.sante.fr/cas-de-rougeole-en-ardeche-point-de-situation-et-recommandations

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Translation Google

Cases of measles in Ardèche: situation update and recommendations
...
Health situation as of October 10, 2023 - 10 a.m.

44 confirmed cases of measles, most of them students at the Charles de Gaulle college in Guilherand-Granges (Ardèche), as well as in 3 primary schools in the area.
...

https://www.auvergne-rhone-alpes.ars.sante.fr/cas-de-rougeole-en-ardeche-point-de-situation-et-recommandations

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Measles epidemic in Ardèche: 54 confirmed cases among students according to Ars

Guilherand-Granges
From Erwan Chassin
Friday October 13, 2023 at 3:38 p.m.
By France Bleu Drôme Ardèche
...
The Auvergne-Rhône-Alpes Regional Health Agency is publishing this Friday, October 13, the status of the measles epidemic which has mainly affected Ardèche students at the Charles de Gaulle college in Guilherand-Granges since September 19. “The secondary school students concerned are divided into different classes within the same establishment. Some attend several sports clubs in the surrounding Ardèche and Drôme.”

Fifty-four cases were noted, including some in three primary schools in the area . As a reminder, measles is a very contagious disease, "in the absence of preventive measures, one patient can infect up to 20 people. Respiratory or neurological complications can occur at any age but are more common in vulnerable people" according to Ars, which advises parents to monitor the health of children and their loved ones. Measles is a notifiable disease.

https://www.francebleu.fr/infos/sante-sciences/epidemie-de-rougeole-en-ardeche-54-cas-confirmes-chez-des-eleves-selon-l-ars-5575655

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Cases of measles in Ardèche: situation update and recommendations

Health alert

October 13, 2023



Since September 19, several cases of measles have been reported in a college in Guilherand-Granges (Ardèche). Find on this page all the information concerning the current situation and the recommendations to follow for prevention or in the event of symptoms.

Health situation as of October 13, 2023 - 8 a.m.

54 confirmed cases of measles, most of them students at the Charles de Gaulle college in Guilherand-Granges (Ardèche), as well as in 3 primary schools in the area.

Measles is caused by a virus that is transmitted by the respiratory tract (coughing, sneezing) or by direct contact (hugs, handshakes).

Measles is very contagious: in the absence of prevention measures, one patient can infect up to 20 people.

Complications (respiratory or neurological) can occur at any age but are more common in vulnerable people:

1. pregnant women who have not had measles or who are not protected by vaccination ,
2. children under one year old: they are not yet protected by vaccination,
3. people who are temporarily or permanently immunocompromised due to certain illnesses or treatments.

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Context

On September 19, 2023, the ARS Auvergne-Rhône-Alpes was informed of the occurrence of a first case of measles in a student attending Charles de Gaulle college in Guilherand-Granges (Ardèche).One child had to be hospitalized for a few days.

The middle school students concerned are divided into different classes within the same establishment. Some attend several sports clubs in the surrounding Ardèche and Drôme.

---

Health monitoring

Contact tracing

Extremely contagious, measles is a notifiable disease . Health professionals must therefore report cases to the ARS so that it can set up contact tracing and thus:

1. identify people who came into contact with college students,
2. make them aware of the recommendations to avoid any contagion (barrier gestures, symptoms to watch out for),
3. ensure that they are protected by vaccination and if this is not the case, invite them to do so as quickly as possible,
4. inform vulnerable people close to the patient that they can benefit from preventive treatment.

Information for different stakeholders

National Education has informed parents of students at Drôme and Ardèche colleges about the current situation and provided recommendations to follow in the event of suggestive symptoms.

The ARS also contacted places frequented by sick children (sports clubs or associations) to warn all families.

Furthermore, the ARS has raised awareness among health professionals in the sector, notably via the URPS and councils of the Order of Ardèche and Drôme.

The regional Public Health France unit supports the ARS in investigating these cases of measles.

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Recommendations to the population

Monitor for symptoms

Parents should first of all monitor the health of children and their loved ones.
The incubation of measles (silent phase) lasts between one and three weeks before the first symptoms appear: high fever, cough, runny nose, conjunctivitis, fatigue.
Usually, 2 or 3 days later, pimples appear on the skin. First located on the ears and face, the spots then spread quickly, going down the entire body.

In case of symptoms:

1. consult a doctor quickly,
2. respect barrier gestures: wearing a mask is essential to avoid any transmission of the virus.

Check vaccination status

Parents are also invited to check:

1. vaccination of their child(ren) in the vaccination record
2. their own vaccination if they were born after 1980

In the event of non-vaccination or incomplete vaccination , you should quickly consult a doctor or pharmacist , with your health record.

As a reminder, the Measles-Mumps-Rubella (MMR) vaccine is administered in 2 doses with the PRIORIX or MM-RVAXPRO vaccines.

This vaccination is compulsory for children born since January 1, 2018 ⁽ 1st ^injection at 12 months and 2nd ^injection at 16-18 months). It is recommended for all other people born after 1980.

...

https://www.auvergne-rhone-alpes.ars...ecommandations

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Translation Google

Cases of measles in Ardèche: situation update and recommendations
...
Health situation as of October 17, 2023 - 8 p.m.

58 confirmed cases of measles, most of them students at the Charles de Gaulle college in Guilherand-Granges (Ardèche), as well as in 3 primary schools in the area.
...

https://www.auvergne-rhone-alpes.ars.sante.fr/cas-de-rougeole-en-ardeche-point-de-situation-et-recommandations

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Measles: an epidemic outbreak in a commune in Ardèche

Nearly 60 cases of the highly contagious virus have been recorded in a college in Guilherand-Granges. Vaccinated people represent 74% of cases, which raises questions for experts.

By Lise Barnéoud
Published yesterday at 4:21 p.m., modified yesterday at 4:37 p.m.

Are we seeing the start of a measles epidemic in France? Between September 19 and October 17, 59 cases were diagnosed in the commune of Guilherand-Granges alone, in Ardèche. Most are middle school students from the Charles-de-Gaulle public establishment, which has 650 students. Three primary schools in the area are also affected, and four adults recently reported the illness. The situation could quickly worsen, experts fear, because measles is extremely contagious: in the absence of prior immunity, a patient infects on average between 15 and 20 people over a period ranging from five days before to five days after the appearance of the characteristic rash.

“Fortunately, the college’s vaccination coverage is very good: 95% of college students have received the two necessary doses. Otherwise, given the contagiousness of this virus, we would already have more than 300 cases ,” reassures the regional health agency (ARS) Auvergne-Rhône-Alpes, which went there at the beginning of October to check the notebooks. vaccination of students. Result: “100% of known unvaccinated people caught measles ,” explains the agency. That is 11 cases, including two children who had to be hospitalized for several days. Among the other infected schoolchildren, 32 received the two doses of vaccine which are supposed to offer effective and lasting protection against the virus.

Vaccinated people thus represent 74% of reported measles cases. A particularly high rate. During the last epidemics (2018-2019 or 2008-2011), 75% to 95% of contagions, on the contrary, occurred in individuals who were not or insufficiently vaccinated. This atypical situation undoubtedly explains the reluctance of the ARS to publicly communicate these figures.
...

https://www.lemonde.fr/planete/article/2023/10/19/rougeole-un-foyer-epidemique-dans-une-commune-d-ardeche_6195439_3244.html

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Measles in Ardèche: among the sick, children vaccinated, but too early

Guilherand-Granges
From Nathalie Rodrigues
Tuesday October 24, 2023 at 3:28 p.m.
By France Bleu Drôme Ardèche

The measles epidemic declared in mid-September in Guilherand-Granges in Ardèche is slowing down. 61 people contracted the disease, the vast majority of them children. In 64% of cases, the child was vaccinated, but received the first dose too early.

The Regional Health Agency provided a new update this Tuesday morning on the measles epidemic declared in mid-September around Guilherand-Granges in Ardèche. It started from an imported case: an unvaccinated person who contracted the virus in Bali and then participated in a rugby camp in Ardèche. Three cases were recorded within the sports club, then measles spread within the Charles de Gaulle college in Guilherand-Granges. 61 cases in total, 56 children and 5 adults. And 64% of patients were indeed vaccinated against measles, but some were undoubtedly vaccinated too young.

First dose before the child is 1 year old ineffective

The ARS and Santé Publique France came to the school to check the students' vaccination records. And for half of the 643 middle school students, they were also able to control the dates of vaccinations. It appears that 100% of unvaccinated children contracted measles. And those who received their first dose of vaccine before their 12th month were also the most affected. In fact, the earlier the vaccine was given, the less effective it was. 17.6% of children who had their first dose before they were 9 months old fell ill; 7.5% for those vaccinated between 9 and 12 months; only 2.2% for those vaccinated after their 12 months.

Vaccination recommendations have not always been the same, underlines Dr Bruno Morel, delegated director for monitoring and health alerts at the ARS Auvergne-Rhône-Alpes: “the first dose of the MMR vaccine is now administered after the "age of 12 months and whatever the type of care. Between 2009 and 2013, there were recommendations for earlier vaccination, before 12 months, particularly for children entering the community."

An epidemic outbreak of measles between 2008 and 2011 can also explain why today's college students were vaccinated earlier as children, argues Dr. Daniel Floret, pediatrician and president of the national commission for verifying the elimination of measles and rubella. : "Ardèche was very affected by this measles epidemic. There was concern and certain health professionals saw fit to vaccinate earlier. Since then, we have learned, we have data which shows very clearly that the risk The risk of vaccination failure is much higher when you receive your first dose of measles vaccine before the age of 1."

A third dose of vaccine for children vaccinated too early

The Regional Health Agency brought together a decision support unit last week, with infectious disease experts, pediatricians, vaccination specialists, and the National Reference Center. “It was at that moment that we had the formal recommendation to vaccinate children who had been vaccinated early with a third dose, ” explains Dr Bruno Morel.

Two vaccination operations were organized. One, this Monday, October 23, only interested a dozen people who came to receive their injection at the Valencia hospital center. The other is organized this Wednesday, October 25 at the Lônes Health Center in Guilherand-Granges from 9 a.m. to 12 p.m. and from 1 p.m. to 4 p.m. Parents of students at Charles de Gaulle college in Guilherand-Granges also received a letter with this recommendation for a third dose. Health professionals were also alerted. The Regional Health Agency is considering other actions to ensure this vaccination catch-up.

Nathalie Rodrigues
France Bleu Drôme Ardèche

https://www.francebleu.fr/infos/sante-sciences/rougeole-en-ardeche-parmi-les-malades-des-enfants-vaccines-mais-trop-tot-3765438

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DGS-URGENT
DATE : 16/11/2023 REFERENCE : DGS-URGENT N°2023_21

TITLE: HEALTH RECOMMENDATIONS IN THE CONTEXT OF THE MEASLES EPIDEMIC
AFFECTING ARDECHE AND DROME SINCE SEPTEMBER 2023
...
Geographical area ☐ National ☒ Territorial (see list below)
Regions
Auvergne Rhône Alpes (ARA)
Departments
Ardèche (07)
Drome (26)

Ladies and gentlemen,

A measles epidemic has broken out since September 19 in and around a college in the town of
Guilherand-Granges in Ardèche. The index case is a teenager from Drôme returning from a trip to Indonesia. Strain
virus identified in this patient is circulating in Indonesia, a country which is currently experiencing active viral circulation. Strain
is covered by vaccines marketed in France.

Vaccination is the best protection against measles, a disease characterized by very high transmissibility and
by the existence of contagiousness beginning several days before the appearance of the rash.

Reminder of the situation:

As of November 8, 2023, 64 cases of measles were recorded, 40% of which were not or incompletely vaccinated and 60%
were vaccinated with 2 doses of MMR. A precise analysis of health records revealed that 73% of
adolescents vaccinated with 2 doses had received their first dose before the age of 12 months.

The majority of cases were born between 2009 and 2011, years during which the recommendations were those of a
vaccination before 12 months for children entering the community but also years of major measles epidemic
in Rhône-Alpes particularly in Ardèche but also in Drôme, having been able to strengthen early vaccination, before the age of 12
month.

The attack rate among vaccinated college students after 12 months was 3% (compared to 10% among vaccinated 1
1st dose before 12 months and compared to 100% among the unvaccinated) confirming the excellent effectiveness of measles vaccination.
The epidemic mainly centered on the college, with nearly 9 out of 10 cases being linked to it, however, was distributed secondarily to
people close to college students (siblings, parents, friends), the vast majority of whom are not up to date with their vaccination
against measles. The situation now seems to be stabilizing with a number of cases much lower than in the weeks
previous and to the week 2023-40 when the epidemic peak was reached.

Setting up a decision support unit:

A decision support unit (CAD) was brought together on October 17, 2023 by the ARS ARA composed of experts in vaccinology,
pediatricians, representatives of National Education, the National Reference Center for measles, rubella and
mumps and epidemiologists from Public Health France.

The CAD confirmed that early vaccination before 12 months could lead to lower long-term immunity and
explain the significant proportion of vaccinated college students who contracted measles. As a result, the cell
expert recommended implementing catch-up vaccination with a 3rd dose of MMR vaccine in adolescents
having received a first dose of measles vaccine before the age of 12 months. The people affected by this
recommendation are all adolescents attending colleges in the departments of Drôme and
Ardèche.

Recommendations in the departments of Drôme and Ardèche:

In accordance with the recommendations of the CAD and the 2023 vaccination schedule, in order to avoid an epidemic resumption
and to limit the spread of the epidemic, we invite you, as soon as possible, to:

1. check the vaccination status of all people born after 1980, ensuring that each person has
received 2 doses of measles vaccine and these 2 doses were administered after the age of 12 months,
with a minimum delay of 1 month between the 2 doses;
2. complete, if necessary, the vaccination schedule by administering:
 a 3rd dose of MMR vaccine if the person has already received two doses but the 1st dose has been administered
before the age of 12 months,
 a 2nd dose if a single dose was administered after the age of 12 months (general recommendation in
people born since 1980),
 two doses with a minimum interval of 1 month between doses if the patient has never been vaccinated, has never
contracted measles, or received only one dose before the age of 12 months.

...

https://sante.gouv.fr/IMG/pdf/dgs-urgent_n02023_21_rougeole_ara.pdf

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Case of measles in Auvergne-Rhône-Alpes: the Regional Health Agency reminds that the only protection against this disease, which can be serious, is vaccination.

Press release
Public health February 15, 2024




In recent months, the Regional Health Agency has recorded 72 cases of measles mainly affecting middle school students in Ardèche and Drôme and more recently in Rhône. If the situation is currently under control, the ARS recommends that parents check the vaccination status of their children and be attentive to the slightest suggestive symptoms.

Measles is a disease that must be reported to the Regional Health Agency. When a case is confirmed, appropriate measures are put in place by the ARS, such as post-exposure vaccination or catch-up vaccination of people who are incompletely or unvaccinated, with the aim of limiting the occurrence of other cases. and the creation of transmission chains.

Indeed, measles is a very contagious disease and in the absence of preventive measures, one patient can infect up to 20 people.

In a context of significant resurgence of measles reported by the WHO and Public Health France, particularly in Europe, the risk of circulation of the virus in France is increased.

Thus, one of the outbreaks observed in the region appeared after the contamination of a first child during a trip.

Measles, a disease to take seriously

Measles is caused by a virus that is transmitted by the respiratory tract (coughing, sneezing) or by direct contact (hugs, handshakes).

This highly contagious disease can affect everyone , but concerns children more.

There can be severe forms (respiratory, neurological) requiring hospitalization. Complications can occur at any age and are all the more common as people are vulnerable: pregnant women who have not had measles or who are not protected by measles. 2-dose vaccination, children under one year of age (who are not yet protected by vaccination), people temporarily or permanently immunocompromised due to certain diseases or certain treatments.

What are the symptoms of measles?

Symptoms usually appear 10 to 14 days after exposure to the virus: high fever (up to 39-40°C), cough, runny nose, red and watery eyes, general fatigue.

A rash with small, very red spots appears a few days after the first symptoms, first on the face (ears, forehead, cheeks) then gradually all over the body. It lasts about a week. The only prevention is vaccination in 2 doses.

Vaccination against measles is done with a vaccine that protects against 3 diseases: Measles, Mumps and Rubella (MMR). This vaccine requires 2 doses to ensure good protection.

It is compulsory for children born since January 1, 2018 (1st injection at 12 months and 2nd injection at 16-18 months). It is recommended for all other people born after 1980*. The ARS invites parents to check their vaccination status as well as that of their child(ren)

While the circulation of measles has been on the rise in France and the region since 2023, parents are strongly invited to:
- check their child's vaccination in the vaccination record and their own vaccination if they were born after 1980*;
- monitor the health of their children and consult their doctor when symptoms appear: generally high fever, cough, runny nose, conjunctivitis, fatigue.

In the event of non-vaccination or incomplete vaccination, you should quickly consult a doctor or pharmacist, with your health record, to update your measles vaccination. In all cases

It is necessary to respect barrier gestures to avoid any contagion: wearing a mask, leaving the nursery or school, stopping work.

* Before 1980, measles was very common in France: people born before this date therefore have a very high probability of having contracted this disease and of being immune.


...

https://www.auvergne-rhone-alpes.ars.sante.fr/cas-de-rougeole-en-auvergne-rhone-alpes-lagence-regionale-de-sante-rappelle-que-la-seule-protection

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INFO BFM LYON. 25 CASES OF MEASLES RECORDED IN THE RHÔNE, THE “BEGINNING OF A LOCALIZED EPIDEMIC” ACCORDING TO THE ARS

Hugo Frances with Eloïse Bartoli
03/11/2024 at 12:54

The department is “at the start of a currently localized epidemic”, the Auvergne-Rhône-Alpes Regional Health Agency (ARS) confirmed this Monday.

The Rhône is at the epidemic threshold for measles , the Auvergne-Rhône-Alpes Regional Health Agency (ARS) confirmed this Monday, March 11, to BFM Lyon.

The department is “at the start of a currently localized epidemic”, specifies the health institution.

25 cases of measles were declared on March 8 in the Rhône. The first patient with this virus was recorded on January 19. Among these cases of measles, several have been recorded in the metropolis, notably in Saint-Priest, Meyzieu, Décines-Charpieu, Bron, Vaulx-en-Velin and Chassieu. A case was also recorded in the third arrondissement of Lyon.

An explosion of cases in Europe

According to our information, most cases were not vaccinated or had their first dose of vaccine before the age of 12 months. According to the current vaccination schedule, a complete vaccination schedule corresponds to two injections administered after the age of 12 months with at least four weeks between the two doses. However, some cases were contaminated despite a complete vaccination schedule.

Since September 2023, 3 outbreaks of measles have been identified in the region (Rhône, Ardèche-Drôme, Drôme), underlines the ARS. Around ten cases elsewhere sporadically have also been reported. In comparison, no case of measles had been reported between September 2022 and February 2023. For these 3 outbreaks discovered, the investigations demonstrated that the original case each time was an unvaccinated person, recently returned from a traveling abroad.

In a situation update published on February 28, the ARS Auvergne-Rhône-Alpes “strongly recommends that all people born after 1980 (children and adults) check their vaccination status and be vigilant in the event of suggestive symptoms. "
At the end of January, the WHO warned of a 45-fold increase in cases of measles in Europe between 2022 and 2023. As the institution indicates , measles is transmitted "by droplets of secretions emitted by an infected person". The duration between contact with a sick person and the appearance of symptoms is rather long, with a delay of 10 to 12 days.

Hugo Frances with Eloïse Bartoli

https://www.bfmtv.com/lyon/info-bfm-lyon-25-cas-de-rougeole-recenses-dans-le-rhone-le-debut-d-une-epidemie-localisee-selon-l-ars_AV-202403110476.html

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Cases of measles in the region: situation update and recommendations

Health alert
February 28, 2024


Since September 2023, the Auvergne-Rhône-Alpes region has experienced an increase in measles cases. Nearly 100 cases have been declared, notably in Ardèche, Haute-Savoie, Drôme and Rhône. In this context, the ARS strongly recommends that all people born after 1980 (children and adults) check their vaccination status and be vigilant in the event of suggestive symptoms.

Context

The increase in the number of measles cases in Auvergne-Rhône-Alpes is part of a context of resurgence in France, Europe and the world (source: World Health Organization ).

Since September 2023, 3 outbreaks of measles have been identified .

Around ten cases elsewhere sporadically have also been reported to the ARS.

In comparison, no cases of measles were reported between September 2022 and February 2023.

For the 3 outbreaks, the investigations demonstrated that the original case (index case) was each time an unvaccinated person, recently returned from a trip abroad.

Cases of measles in Auvergne-Rhône-Alpes since September 2023

Date of first reported case Sector Number of cases Situation as of March 8, 2024

September 19, 2023	Ardèche-Drôme	64 cases of measles	No new cases since November 2023
January 19, 2024	Rhone	25 cases of measles	Last case declared on March 8, 2024
February 15, 2024	Drome	10 cases of measles	Last case reported on February 23, 2024

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https://www.auvergne-rhone-alpes.ars.sante.fr/cas-de-rougeole-dans-la-region-point-de-situation-et-recommandations

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Press point: Case of measles in eastern Lyon

Press release
March 13, 2024



This epidemic concerns a majority of children (22 out of 25 confirmed cases to date) within 4 communities (3 schools and a nursery) with no link found between them but located in 4 neighboring urban communities adjoining the city of Lyon. The cluster case in a nursery concerns 7 unvaccinated children under 11 to 13 months, 5 of whom were hospitalized.

Find the entire press conference recorded at the headquarters of the Auvergne-Rhône-Alpes Regional Health Agency: https://www.youtube.com/watch?v=N-n3Ar9x68Q

Context and Summary

On January 22, 2024, the ARS Auvergne-Rhône-Alpes received a report of a case of measles in an unvaccinated child attending a private school in Décines in the Rhône. This child was back from a trip. Other reports linked to this establishment or members of their family were subsequently received. From mid-February, new cases of measles were reported in the East Lyon area between Décines, Meyzieu, Bron, Saint-Priest, with no link found with the first school.

This situation suggests a probable start of transmission of the measles virus in eastern Lyon for which an epidemiological description is presented below.

Please note at the regional level: another cluster of 11 cases in Drôme in an unvaccinated community is currently being monitored.

Epidemiological situation in the Rhône

Situation as of March 12, 2024 at 10:00 a.m.

1. 25 cases of measles > 22 biologically confirmed and 3 epidemiologically linked cases
2. Date of eruption of the 1st case = January 15, 2024
3. Date of outbreak of last case = March 8, 2024
4. Vaccination status

- 13 unvaccinated including 6 children aged 12 months or less
- 1 vaccinated with a single dose
- 8 vaccinated with 2 doses (including 4 with a first dose before the age of 1 year and 4 after 1 year)
- 3 “not knowing »

1. Median age of 8 years (8 months > 43 years)

- 22 children:
• 7 aged 13 months or less
• 2 aged 3 years old not in school and looked after at home
• 13 in school aged 6 to 17 years old
- 3 adults aged 25 to 43 years old

1. Sex ratio : 1.1 (13 men, 12 women)
2. Hospitalization : seven people were hospitalized, including 5 children under 1 year old, and three with a measles pneumonia-type complication.

Transmission chains

Different transmission chains could be identified. We aknowledge :

1. 12 cases linked to an index case imported from the United Arab Emirates having led to a chain of transmission in a private school group in Décines with 10 cases within the establishment and 2 cases among siblings.
2. 3 cases linked to a public school in Meyzieu with no link found with the first establishment: 1 unvaccinated child, and 2 adults.
3. 2 cases in a private college in Décines with no link found with other establishments.
4. 1 child (isolated case) under 5 years old in Bron with no link found with the other cases.
5. 7 cases in a Saint-Pries daycare center with no link found with other establishments or with other families (6 secondary cases) including 5 hospitalized.

Actions implemented or to come by the ARS

Information for health professionals

1. Doctors and pharmacists via the Order and the regional unions of health professionals (URPS),
2. Emergency services, on-call medical centers, territorial professional health communities (CPTS) in the territory,
3. National Education and maternal and child protection services (PMI).
4. An information meeting is scheduled with biologists
5. A webinar for healthcare professionals in the Metropolis is planned.

Information about cases and their entourage

1. Systematic contact-tracing actions around each case to implement control measures including vaccination.
2. Verification of vaccination records, particularly in a private school (before school holidays).
3. Organization of an on-site vaccination offer in the school with the support of the Departmental Social Hygiene Committee (CDHS). In general, people are invited to be vaccinated by their GP, in a pharmacy >11 years old) or in public vaccination centers.

Information of the communities frequented by the cases and, in a broader manner, the schools of the Rhône

1. Transmission of a letter, in connection with National Education, to all educational establishments (school, middle and high schools), public and private, in the department, for transmission to families.
2. Information from municipal hygiene and health services (SCHS) Lyon, Villeurbanne and Vénissieux.

Information for elected officials and town halls

1. Distribution of a communication kit to the town halls of Décines, Lyon, Meyzieu, Vaulx-en-Velin, Vénissieux and Villeurbanne.

Information for the general population

1. Update of the information page on the ARS website.
2. Creation of an Alert page on the agency's website and regular updating.
3. Dissemination of a press release to the Rhône press, taken up by Le Progrès, France 3, Radioscoop, Lyon Mag, Le bulletin des communes, BFMTV, Ouest France, Lyon Capitale, La Montagne, Dauphiné Libéré, Le Pays.fr and response to an ITV from RCF Drôme.
4. Preparation of an awareness campaign aimed at the population of the entire region.

Reminder and recommendations

Measles is a very contagious disease and in the absence of preventive measures, one patient can infect up to 20 people . In a context of significant resurgence of measles reported by the WHO and Public Health France, particularly in Europe, the risk of circulation of the virus in France is increased. Measles, a disease to take seriously

Measles is caused by a virus that is transmitted by the respiratory tract (coughing, sneezing) or by direct contact (hugs, handshakes). This highly contagious disease can affect anyone, but most affects children.
There may be severe forms (respiratory, neurological) requiring hospitalization.
Complications can occur at any age and are all the more common as people are vulnerable: pregnant women who have not had measles or not protected by 2-dose vaccination, children under one year old (who are not not yet protected by vaccination), people temporarily or permanently immunocompromised due to certain diseases or certain treatments. What are the symptoms of measles?

Symptoms usually appear 10 to 14 days after exposure to the virus: high fever (up to 39-40°C), cough, runny nose, red and watery eyes, general fatigue.
A rash with small, very red spots appears a few days after the first symptoms, first on the face (ears, forehead, cheeks) then gradually all over the body. It lasts about a week. The only prevention is vaccination in 2 doses

Vaccination against measles is done with a vaccine that protects against 3 diseases: Measles, Mumps and Rubella (MMR). This vaccine requires 2 doses to ensure good protection.
It is compulsory for children born since January 1, 2018 (1st injection at 12 months and 2nd injection at 16-18 months). It is recommended for all other people born after 1980*.
The ARS invites parents to check their vaccination status as well as that of their child(ren). It also suggests that doctors check the vaccination of their patients during any consultation and encourage them to catch up on vaccinations.
While the circulation of measles has been on the rise in France and the region since 2023, parents are strongly invited to:

1. check their child's vaccination in the vaccination record and their own vaccination if they were born after 1980*;
2. monitor the health of their children and consult their doctor when symptoms appear: generally high fever, cough, runny nose, conjunctivitis, fatigue.

In the event of non-vaccination or incomplete vaccination , you should quickly consult a doctor or pharmacist, with your health record, to update your measles vaccination.
* Before 1980, measles was very common in France: people born before this date therefore have a very high probability of having contracted this disease and of being immune. How can I check whether or not the person (adult or child) concerned has been vaccinated?

To do this, you must consult the vaccination record.

1. The healthcare professional who carried out the vaccination must have specified on the record: the name of the vaccine + the batch number + the date of vaccination .
2. In France, the vaccines that have been or are used protect either against measles alone; either against measles + rubella; or finally against measles + mumps + rubella.

List of vaccines that you can find on the vaccination card :
o Monovalent measles vaccine: Rouvax®
o Bivalent measles + rubella vaccine: Rudi-Rouvax®
o Trivalent measles + mumps + rubella vaccine (MMR ):
ROR® / Trimovax® / ROR Vax® (no longer marketed)
Priorix® / MMR Vax Pro® (marketed since 2018)



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Translation Google

Cases of measles in the region: situation update and recommendations

Health alert
March 18, 2024

Since September 2023, the Auvergne-Rhône-Alpes region has experienced an increase in measles cases. More than 100 cases have been declared, notably in Ardèche, Haute-Savoie, Drôme and Rhône. In this context, the ARS strongly recommends that all people born after 1980 (children and adults) check their vaccination status and be vigilant in the event of suggestive symptoms.

Context

The increase in the number of measles cases in Auvergne-Rhône-Alpes is part of a context of resurgence in France, Europe and the world (source: World Health Organization ).

Since September 2023, 3 outbreaks of measles have been identified .
Around ten cases elsewhere sporadically have also been reported to the ARS.
In comparison, no cases of measles were reported between September 2022 and February 2023.

For the 3 outbreaks, the investigations demonstrated that the original case (index case) was each time an unvaccinated person, recently returned from a trip abroad.

Cases of measles in Auvergne-Rhône-Alpes since September 2023 - in the main outbreaks

Date of first reported case Sector Number of cases Situation as of March 15, 2024

September 19, 2023 Ardèche-Drôme 64 cases of measles No new cases since November 2023

January 22, 2024 Rhone 34 cases of measles Last case reported on March 14, 2024

February 15, 2024 Drome 11 cases of measles Last case reported on March 5, 2024

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https://www.auvergne-rhone-alpes.ars.sante.fr/cas-de-rougeole-dans-la-region-point-de-situation-et-recommandations

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Location of Gard in France
/https://en.wikipedia.org/wiki/Gard

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Translation Google

ARS Occitanie warns of the resurgence of measles cases in the Nîmes basin


Published on 04/02/2024 at 2:27 p.m.
ADRIEN BOUDET

12 cases of measles are confirmed, indicates the Regional Health Agency at Midi Libre.

This Monday morning, parents of students in Nîmes schools were able to receive this message titled from the Regional Health Agency, already delivered to early childhood staff: “A case of measles has been declared to the health services. ARS on March 19, 2024. Since then, more than ten confirmed cases among unvaccinated or incompletely vaccinated children under 2 years of age are under investigation in the municipality of Nîmes and the surrounding area.

A highly contagious viral disease

According to information collected by Midi Libre from the ARS, the number of confirmed cases stood at 12 in the Nîmes basin at the end of last week. Wishing to avoid the epidemic, the ARS recalls that "in this context of grouped cases of measles in the Gard and in order to protect your loved ones and in particular the most vulnerable who cannot benefit from vaccination protection (infants, immunocompromised people, etc), it is recommended to check if you and/or your child have had measles or if you have been vaccinated (2 doses)".

Before reminding that measles “can cause serious complications. It is a very contagious viral disease which generally manifests itself as a fever with signs of cough, rhinitis and conjunctivitis followed by a rash.”
Contagiousness begins 5 days before the start of the rash and extends until at least 5 days after the start of the rash.

Vaccination is compulsory for infants born since January 1, 2018. The first dose takes place at 12 months, the second between 16 and 18 months.

https://www.midilibre.fr/2024/04/02/lars-occitanie-alerte-sur-la-recrudescence-de-cas-de-rougeole-dans-le-bassin-de-nimes-11864978.php