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Canada Reaches 12 Months of Measles Transmission, Faces Loss of Elimination Status

Regional health authorities will review Canada’s status next week, with a corrective vaccination and surveillance plan expected if certification is revoked.

Overview

  • More than 5,000 cases have been confirmed since October 2024, including two infant deaths following in‑utero infection.
  • The outbreak began in New Brunswick and spread across multiple provinces, with Alberta reporting the highest per‑capita burden and roughly 2,000 cases since March.
  • Ontario has reported 2,375 cases and declared its provincial outbreak over on Oct. 6, yet national transmission continues in undervaccinated pockets, including some Mennonite communities.
  • Experts cite declining MMR coverage since 2019, pandemic‑related disruptions and misinformation as key drivers, with herd immunity requiring about 95% vaccination.
  • PAHO’s commission meets in early November to assess Canada’s status, with a decision expected in December, while the U.S. remains under scrutiny as ongoing state outbreaks could trigger a review if spread continues into January.