In a follow-up to the measles case recently reported in Melbourne,  and second measles case has been confirmed with the infection likely to have been acquired overseas.

Public domain Image/Richard Russell, Dominic Dwyer
Public domain Image/Richard Russell, Dominic Dwyer

The latest case was infectious on AirAsia flight D7241 from Kuala Lumpur to Melbourne and at Tullamarine Airport on Wednesday March 7 from 9:30am until midday.

The cases attended a number of locations in and around Melbourne whilst infectious including:

  • Saturday 3 March – Flinders Backpackers (Elizabeth Street, Melbourne), Flinders Street Railway Station,  tram routes 16 and 96 to and from St. Kilda beach, St Kilda beach
  • Sunday 4 March – Flinders Backpackers, Coles Central (Flinders and Elizabeth St), McDonalds (Elizabeth St)
  • Monday 5 March – Flinders Backpackers, Phillip Island: Nobbies Visitor Centre Café
  • Tuesday 6 March – Flinders Backpackers, Westpac bank (Elizabeth Street), Medicare office (Galleria Shopping Centre, Bourke Street)
  • Wednesday 7 March – Flinders Backpackers, multiple sites along the Great Ocean Road between Geelong and Warrnambool.
  • Wednesday 7 March – AirAsia flight D7241 from Kuala Lumpur to Melbourne and at Tullamarine Airport from 9:30am til midday.

As measles is highly infectious through airborne transmission, other secondary cases may occur in susceptible people. Measles has an incubation period of between seven and 18 days (average 14 days from exposure to rash) so should be considered in any susceptible person who presents with a compatible illness, with an onset date between 10 March and 25 March 2018.

Who is at risk?

Children or adults born during or since 1966 who do not have documented evidence of receiving two doses of a measles-containing vaccine or do not have documented evidence of immunity are considered to be susceptible to measles. People who are immunocompromised are also at risk.