Measles, among the most contagious viruses globally, appears to be quietly spreading in certain parts of Canada as health authorities brace for potential imported cases during the March Break travel period.
The country has already reported at least nine confirmed measles infections in 2024, a figure that nearly matches the dozen cases documented nationwide throughout 2023, according to a CBC News analysis.
Recent cases in Quebec and Ontario have raised concerns as they were not linked to travel or known contacts with measles patients, suggesting possible community transmission. In Quebec, health officials reported one case in Laval, where the infected individual had visited various public places while contagious, including a school and medical facilities.
Quebec's public health director, Dr. Luc Boileau, expressed concerns about the beginning of community transmission, as additional suspected cases remain under investigation. Similarly, a case in York Region, Ontario, involving a man in his 30s, was not linked to travel or known exposure sites, indicating possible local transmission.
While the vaccinated man experienced a mild illness, the source of his infection remains unknown. Health authorities are monitoring potential exposure locations across the Greater Toronto Area.
Experts believe that while measles transmission within Canada may occur, widespread outbreaks are unlikely due to high vaccination rates. However, they caution that pockets of low vaccination coverage could fuel localized outbreaks.
Despite this, overall vaccination rates have declined in recent years, with around 79 percent of children receiving two doses of the measles, mumps, and rubella (MMR) vaccine by age seven in 2021, down from 83 percent in 2019. Additionally, a recent survey by the Angus Reid Institute revealed growing parental skepticism toward routine childhood vaccinations, a trend that concerns health experts.
Measles is highly contagious, spreading easily through the air and posing a risk before symptoms appear. It has a lengthy incubation period and can lead to severe complications, including pneumonia and brain swelling. However, the two-dose measles vaccine is over 95 percent effective at preventing infection, underscoring its importance in preventing serious illness.
Dr. Theresa Tam, Canada's chief public health officer, emphasized the importance of checking vaccination records and ensuring up-to-date immunization against measles, especially before travel. While she remains optimistic about Canada's vaccination coverage, she acknowledges the potential for outbreaks in under-immunized communities.
In summary, while measles transmission is a concern, maintaining high vaccination rates remains crucial in preventing widespread outbreaks and safeguarding public health.