Measles outbreak in Dublin, 2000

Pediatr Infect Dis J. 2003 Jul;22(7):580-4. doi: 10.1097/01.inf.0000073059.57867.36.


Background: An outbreak of measles occurred in Ireland between December 1999 and July 2000. The majority of cases were in north Dublin, the catchment area of The Children's University Hospital (TCUH).

Methods: Details of all of the 111 children attending the hospital with a diagnosis of measles between December 1999 and July 2000 were prospectively entered into a database. Charts were subsequently reviewed to extract epidemiologic and clinical details. National figures were obtained from the National Disease Surveillance Centre.

Results: In the study period 355 attended TCUH with a serologic or clinical diagnosis of measles, and 111 were admitted (47% female, 53% male). The main indications for admission were dehydration in 79%, pneumonia or pneumonitis in 47% and tracheitis in 32%. Thirteen children (11.7% of those admitted) required treatment in the intensive care unit, and in 7 of these mechanical ventilation was necessary. There were 3 deaths as a result of measles. Public health measures to curb spread of the disease included promotion of immunization for susceptible children nationally and recommending administration of measles-mumps-rubella vaccine (MMR) from the age of 6 months, in North Dublin.

Conclusion: This outbreak of measles posed a major challenge to the hospital and the community for the first half of 2000. The national MMR immunization rate before the outbreak was gravely suboptimal at 79%, whereas the rate in North Dublin, the catchment area of TCUH, was <70%. Three children died as a result of a vaccine-preventable illness.

MeSH terms

  • Age Distribution
  • Child
  • Child, Preschool
  • Communicable Disease Control / organization & administration*
  • Disease Notification*
  • Disease Outbreaks*
  • Female
  • Humans
  • Incidence
  • Infant
  • Ireland / epidemiology
  • Male
  • Measles / epidemiology*
  • Measles / prevention & control
  • Measles Vaccine / administration & dosage
  • Prospective Studies
  • Risk Assessment
  • Sex Distribution
  • Survival Rate
  • Urban Population
  • Vaccination / standards
  • Vaccination / trends


  • Measles Vaccine