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Canada Loses Measles Elimination Status, Forcing Loss of the Americas’ Designation

PAHO confirmed yearlong transmission in under‑vaccinated pockets, prompting PHAC to intensify vaccination and surveillance to regain status.

Overview

  • Canada’s outbreak that began in October 2024 has generated more than 5,100 cases across nine provinces and one territory, with two infant deaths following in‑utero infection.
  • Ontario declared its provincial outbreak over on October 6, yet Alberta nears 2,000 cases and continues to report sporadic transmission.
  • Sustained spread has centered in communities with very low MMR coverage, including interlinked Mennonite groups with limited engagement with health services.
  • Because one country’s loss revokes the regional label, the Americas also lost measles‑free status as PAHO tallied nearly 12,600 cases across 10 countries in 2025, about 95% in Canada, Mexico, and the United States.
  • Canada can restore its status by extinguishing the current chain and documenting 12 months without circulation while boosting vaccination coverage, strengthening surveillance, and improving data sharing.