Table 5.
Characteristics of measles outbreaks in primary schools
| School Location [outbreak year] – Type | NO. Students | No Vac. Record | 1-Dose Vaccination | 2-Dose Vaccination | ARU | ARI-1- Dose | ARI-2- Dose | ARI-General | Susceptible Students | NO. First Gen. Cases | Total NO. Cases |
|---|---|---|---|---|---|---|---|---|---|---|---|
| New York, US [1945–46] ES I [44] | 367 | 100.0% | 0.0% | 0.0% | 77.6% | N/A | N/A | N/A | 170 | 26 | 132 |
| New York, US [1945–46] ES II [44] | 530 | 100.0% | 0.0% | 0.0% | 83.9% | N/A | N/A | N/A | 249 | 64 | 209 |
| New York, US [1945–46] ES III [44] | 492 | 100.0% | 0.0% | 0.0% | 69.4% | N/A | N/A | N/A | 193 | 123 | 134 |
| Kansas, US [1970] ES [102] | 690 | 14.2% | NR | NR | 30.3% | NR | NR | 2.6% | 122 | 3 | 35 |
| New York, US [1974] ES [33] | 868 | 3.3% | NR | NR | 20.7% | NR | NR | 6.4% | 113 | 28 | 60 |
| Texas, US [1985] JHS I [103] | 1141 | 0.6% | 87.6% | 11.9% | 10.0% | 4.5% | 1.4%a | 4.1% | 107 | 10 | 21 |
| Texas, US [1985] JHS II [103] | 1122 | 1% | NR | NR | NR | NR | NR | NR | 122 | NR | 34 |
| East Sussex, UK [1992–93] E-M-HS [104] | 1673 | 31.5% | NR | NR | 17.8% | NR | NR | 1.52% | 528 | 41 | 66 |
| Alaska, US [1996] MS [61, 105] | 687 | < 1% | 45% | 44% | NR | NR | NR | < 2.18% | 41 | 4 | 15 |
| Alaska, US [1996] ES [61, 105] | 525 | < 1% | 45% | 44% | NR | NR | NR | < 1.33% | 31 | 4 | 7 |
| Reuler, Luxembourg [1996] PS [106] | 363 | 22.8% | NR | NR | 54.7% | NR | NR | 4.6% | 102 | 28 | 45 |
| Wincrage, Luxembourg [1996] PS [106] | 343 | 28.0% | NR | NR | 51.9% | NR | NR | 1.0% | 110 | 15 | 43 |
| Disburg City Germany [2006] E-M-HS [107] | 1250 | 3.8% | 24.5% | 58.4% | 52.8% | 1.0% | 0.4% | 0.5% | 81 | NR | 53 |
| California, US [2008] ES [108] | 377 | 10.9% | NR (< 50%) | NR (> 50%) | 9.8% | 0.0% | 0.0% | 0.0% | 62 | 2 | 4 |
| Beijing, China [2014] ES [109] | 1245 | 0.5% | 1.7% | 97.8% | 0.0% | 0.0% | 0.9% | 0.9% | 20 | 3 | 11 |
PS Primary School; ES Elementary School; MS Middle School; JHS Junior High School; E-M-HS Elementary, Middle, and High School combined; N/A Not applicable; NR Not Reported.
a Only reported outbreak where ARI-2-Dose was larger than assumed measles susceptibility rate of students less than 14 years old with 2-dose of vaccination (i.e. 1%)