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AVIAN INFLUENZA A(H5)LOW
DENGUELOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW
AVIAN INFLUENZA A(H5)LOW
DENGUELOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW
AVIAN INFLUENZA A(H5)LOW
DENGUELOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW
AVIAN INFLUENZA A(H5)LOW
DENGUELOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW
AVIAN INFLUENZA A(H5)LOW
DENGUELOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW
AVIAN INFLUENZA A(H5)LOW
DENGUELOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW
AVIAN INFLUENZA A(H5)LOW
DENGUELOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW
AVIAN INFLUENZA A(H5)LOW
DENGUELOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW

Measles Resources

Evidence-based strategies and lessons learned from successful measles outbreak responses.

Measles Information

Comprehensive measles surveillance and response resources

Health Department Outbreak Response Templates

Case Investigation Templates
REDCap Template Request Form
CORI
This survey provides REDCap templates for measles case investigation and contact monitoring
Isolation Letter
CORI
Inform individuals diagnosed with measles about isolation requirements
Quarantine Letter
CORI
Notify individuals who have been exposed to measles of the need to quarantine
Symptom Monitoring Letter
CORI
Notify individuals who may have been exposed to measles and have adequate protection on how to monitor symptoms

Health Department Outbreak Response Templates

Communication Templates
School Exposure Notification Letter
CORI
Notify families about a confirmed or potential measles exposure within the school environment
Clinician Alert Letter
CORI
Inform healthcare providers of a measles outbreak and provide guidance on clinical practices, reporting, and precautions

Health Department Outbreak Response Templates

Operational Workflows
Measles Workflow 1
Public Health- Seattle & King County
General steps and teams involved in a measles response after being notified by a healthcare provider that a patient presents with symptoms of measles and requires testing
Measles Workflow 2
Public Health- Seattle & King County
This workflow describes the general steps and teams involved in a measles response after a positive laboratory result and have a confirmed case.
Measles Workflow 3
Public Health- Seattle & King County
This workflow covers the general steps and teams involved in holding a mass vaccination event as part of the measles response.
Measles Workflow 4
Public Health- Seattle & King County
This workflow covers the general steps and teams involved in providing IG for passive immunization during measles response.
Measles Workflow 5
 Public Health - Seattle & King County
This workflow describes the general steps and teams involved in a measles response to assess immunity of persons exposed to measles. Immunity can be determined through vaccination records, documentation of illness, or serology-based titer results.

Health Department Outbreak Response Toolkits

Measles Case Investigation Form with Script

Guide health department staff in conducting and documenting investigations of measles cases

Measles Monitoring Form with Script

Guide health department staff in monitoring and documenting the health status of individuals exposed to measles

Measles Case Line List

Provide a structured tool for recording and managing details of measles cases and contacts

Outpatient Infection Control Guide

Provide clinic administrators with guidance regarding infection control

Clinical Provider Flowsheet

Guide providers in evaluating a patient presenting with rash and fever

Toolkits for Local Health Departments

Measles Toolkit for Local Health Departments

General steps and teams involved in a measles response after being notified by a healthcare provider that a patient presents with symptoms of measles and requires testing

Measles Communication Toolkit

General steps and teams involved in a measles response after a positive laboratory result and confirmed case

Measles Local Health Department Protocol

General steps and teams involved in holding a mass vaccination event as part of the measles response

Toolkit for School Nurses

For Administration: Principal to Parent Notification Letter Sample

One-page flyer to promote information about a walk-in vaccine clinic.

For Health Departments: Health department notification letter to principals of a measles case in the county

One-page letter to schools from a health department regarding recommend actions to prevent measles.

For Nurses: Measles FAQ

Clinically-focused three-page FAQ document

For Nurses: Example Confidential Reporting Form 

Example reporting form for reportable diseases.

For Nurses: Example ABCs Guide to Reporting

Two-page printout for nurses regarding which disease are reportable and by class.

For Nurses: Infectious Disease Reporting Guidelines for Healthcare Providers

Two-page summary of who should report what, by when, why, and how.

Measles Guidance for Schools 2024

Three-page overview of actions that can be taken by schools to prevent, prepare for, and respond to measles.

Table of Contents: School Nurse Toolkit

Table of contents to orient users to the toolkit.

Templates for Public Health Preparedness Offices

Measles Tabletop Exercise Facilitator Guide 

Template Measles Tabletop Exercise (TTX) facilitator guide used by Jefferson County to facilitate a TTX in 2024. This template can be used and adapted by health departments to prepare a potential measles outbreak in their jurisdiction.

Measles Tabletop Exercise Situation Manual

Template Measles Tabletop Exercise (TTX) situation manual used by Jefferson County to facilitate a TTX in 2024. This template can be used and adapted by health departments to prepare a potential measles outbreak in their jurisdiction.

PHEOC Event Log Template

Sample Public Health Emergency Operations Coordination (PHEOC) event log that has been tested and used in a real-world response. This template can be used and adapted by health departments to response to measles in their jurisdiction.

Measles Exposure Investigation Flow Chart 

Sample measles exposure investigation flow chart that has been tested and used in a real-world response. This template can be used and adapted by health departments to response to measles in their jurisdiction

Measles Tabletop Exercise Evaluator Guide

Template Measles Tabletop Exercise (TTX) evaluator guide used by Jefferson County to evaluate a TTX in 2024. This template can be used and adapted by health departments to prepare a potential measles outbreak in their jurisdiction.

Measles Tabletop Exercise Power Point Presentation

Template Measles Tabletop Exercise (TTX) power point used by Jefferson County to facilitate a TTX in 2024. This template can be used and adapted by health departments to prepare a potential measles outbreak in their jurisdiction.

Measles Tabletop Exercise After Action Report/Improvement Plan

Template Measles Tabletop Exercise used by Jefferson County in 2024 to prepare for a potential measles outbreak. This template can be used and adapted by health departments to prepare a potential measles outbreak in their jurisdiction.

COOP- Continuity of Operations

Template Continuity of Operations Plan to provide health departments updating or reorganizing their plan with a starting point that has already been developed and tested.

Clinical Guidance and Educational Materials

Outpatient Infection Control Guide

Provide clinic administrators with guidance regarding infection control

Clinical Provider Flowsheet

Guide providers in evaluating a patient presenting with rash and fever

Measles: Skin Assessment Guidance

This survey provides REDCap templates for measles case investigation and contact monitoring

Measles Assessment Checklist for Providers

Inform individuals diagnosed with measles about isolation requirements

Example Measles Provider Algorithm

Notify individuals who have been exposed to measles of the need to quarantine

Example Provider Algorithm: “Should I Test for Measles?”

Visual diagram to guide providers on when to test for measles

Example Protocol for Measles Specimen Routing

Protocol to support clinical staff in properly routing specimens to the public health lab

Measles Healthcare Exposure Investigation Quicksheet

Support providers and healthcare administrators in triaging, evaluating measles, implementing infection control, and assessing immunity of contacts

Measles Modeling and Analytics Tools

epiENGAGE Measles Outbreak Simulator (2025)

The tool simulates the spread of measles in a single school given information about the number of students, the vaccination rate in the school, and the number of cases. Public health officials can use it to communicate outbreak risks to schools and government leaders, highlighting how even small decreases in vaccination coverage can significantly increase the likelihood of an outbreak.

University of Utah – Measles in Schools (2025)

The tool compares measles cases and hospitalizations in schools with and without quarantine measures, allowing users to input school enrollment and vaccination rates. Public health officials can use it to demonstrate the effectiveness of quarantine policies and help schools understand how isolation measures can reduce outbreak severity.
  • Enrollment-based modeling
  • Policy comparison
  • Quarantine effectiveness

CDC Measles Outbreak Simulator (2025)

The tool estimates measles cases and hospitalizations at the county level or smaller areas while testing various mitigation strategies including vaccination campaigns, isolation, and quarantine. Public health officials can use it during early outbreak responses to evaluate different intervention options and make evidence-based decisions about resource allocation.
  • County-level analysis
  • Intervention comparison
  • Resource planning

Modeling Measles Outbreaks in Canada (2024)

The tool calculates outbreak size over time based on how quickly exposed people are contacted, isolation compliance rates, and post-exposure treatment acceptance. Researchers and public health officials can use this educational tool to understand how different response strategies affect outbreak outcomes.
  • Compliance analysis
  • Contact tracing modeling
  • Educational focus

FRED Measles Epidemic Simulator (2015)

The tool maps the geographic spread of measles cases over time across U.S. metropolitan areas at different vaccination coverage levels. Public health officials can use it to visualize how measles spreads through communities and demonstrate the importance of maintaining high vaccination rates to prevent outbreaks.
  • Coverage visualization
  • Geographic modeling
  • Metropolitan focus

Further Reading

Scientific Literature

Analysis

Measles Outbreak Associated with a Migrant Shelter — Chicago, Illinois, February–May 2024

K Gressick • 2024
Analysis

Containing a Measles Outbreak in Minnesota 2017 Methods and Challenges

E Banerjee • 2020
Analysis

Public Health Response During Measles Outbreaks in Elimination Settings

PA Gastañaduy • 2018

Key Information for the General Public

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