title: Control of a measles outbreak by prohibiting non-vaccinated susceptible students from attending school in Akita Prefecture, Japan.
abstract: In 2007-2008, a measles outbreak occurred among children above the age of 10 years in Akita Prefecture, northeastern Japan (population, approximately 1,120,000 at the time). Our group controlled the outbreak by (i) implementing a publically financed urgent vaccination program and (ii) prohibiting non-vaccinated and non-infected students from attending school as per regulations of the school public health law. We encouraged high-risk students to undergo a vaccination program, which resulted in the successful containment of the outbreak without the development of any severe cases. After the outbreak, the Akita Prefectural Government began an annual"Akita measles elimination month" every April, and no measles case found in Akita Prefecture during 2009-2010 subsequently. Our outbreak response initiative can be applied nationally for the complete elimination of measles throughout Japan.
authors.affiliation: Department of Health and Welfare, Akita Prefectural Government, Akita 010-8570, Japan. takimoto-noriaki@pref.akita.lg.jp
authors.forename: Noriaki
authors.initials: N
authors.lastname: Takimoto
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Takahashi
authors.forename: Akira
authors.initials: A
authors.lastname: Ishiyama
authors.forename: Kaoru
authors.initials: K
authors.lastname: Kishimoto
authors.forename: Renji
authors.initials: R
authors.lastname: Iwama
authors.forename: Megumi
authors.initials: M
authors.lastname: Nakano
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks / Q000191:economics / Q000517:prevention & control* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D017589:Immunization Programs / Q000191:economics / Q000458:organization & administration*; D007223:Infant; D007564:Japan / Q000453:epidemiology; D008297:Male; D008457:Measles / Q000453:epidemiology / Q000517:prevention & control*; D008458:Measles Vaccine / Q000008:administration & dosage* / Q000191:economics; D008875:Middle Aged; D015980:Public Health Practice / Q000331:legislation & jurisprudence; D012574:Schools; D013334:Students; D014611:Vaccination; D055815:Young Adult
chemical_list: D008458:Measles Vaccine