J Korean Med Sci.  2017 Nov;32(11):1876-1878. 10.3346/jkms.2017.32.11.1876.

An Outbreak of Measles in a University in Korea, 2014

  • 1Seoul Center for Infectious Disease Control, Seoul, Korea. docmohw@snu.ac.kr
  • 2Department of Epidemiology, Graduate School of Public Health, Seoul National University, Seoul, Korea.
  • 3Division of VPD Control and NIP, Korea Centers for Disease Control and Prevention, Cheongju, Korea.
  • 4Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
  • 5Department of Family Medicine, Seoul National University College of Medicine, Seoul, Korea.
  • 6JW Lee Center for Global Medicine, Seoul National University College of Medicine, Seoul, Korea.


Measles has been declared eliminated from the Korea since 2006. In April 2014, a measles outbreak occurred at a University in Seoul. A total of 85 measles cases were identified. In order to estimate vaccine effectiveness of measles vaccine, we reviewed the vaccination records of the university students. The vaccine effectiveness of two doses of measles containing vaccine was 60.0% (95% CI, 38.2-74.1; P < 0.05). Transmission was interrupted after the introduction of outbreak-response immunization. The outbreak shows that pockets of under-immunity among college students may have facilitated the disease transmission despite the high 2-dose vaccination coverage in the community.


Measles; MMR; Outbreak; College; University; Korea

MeSH Terms

Measles Vaccine
Measles Vaccine


  • Fig. 1 Outbreak of measles on a university campus in Seoul, Korea, 2014. The different colors of the bars represent the places where the patients were exposed to measles virus.

Cited by  2 articles

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Infect Chemother. 2019;51(3):305-309.    doi: 10.3947/ic.2019.51.3.305.

Seroprevalence of Measles in Healthcare Workers in South Korea
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1. Centers for Disease Control and Prevention (CDC). Elimination of measles--South Korea, 2001–2006. MMWR Morb Mortal Wkly Rep. 2007; 56:304–307.
2. Choe YJ, Jee Y, Oh MD, Lee JK. Measles elimination activities in the Western Pacific region: experience from the Republic of Korea. J Korean Med Sci. 2015; 30:Suppl 2. S115–S121.
3. Choe YJ, Bae GR. Current status of measles in the Republic of Korea: an overview of case-based and seroepidemiological surveillance scheme. Korean J Pediatr. 2012; 55:455–461.
4. Yang TU, Kim JW, Eom HE, Oh HK, Kim ES, Kang HJ, Nam JG, Kim KS, Kim SS, Lee CK, et al. Resurgence of measles in a country of elimination: interim assessment and current control measures in the Republic of Korea in early 2014. Int J Infect Dis. 2015; 33:12–14.
5. Gibney KB, Brahmi A, O'Hara M, Morey R, Franklin L. Challenges in managing a school-based measles outbreak in Melbourne, Australia, 2014. Aust N Z J Public Health. 2017; 41:80–84.
6. Ma R, Lu L, Suo L, Li X, Yang F, Zhou T, Zhai L, Bai H, Pang X. An expensive adult measles outbreak and response in office buildings during the era of accelerated measles elimination, Beijing, China. Vaccine. 2017; 35:1117–1123.
7. Choe YJ, Hu JK, Song KM, Cho H, Yoon HS, Kim ST, Lee HJ, Kim K, Bae GR, Lee JK. Evaluation of an expanded case definition for vaccine-modified measles in a school outbreak in South Korea in 2010. Jpn J Infect Dis. 2012; 65:371–375.
8. Park YJ, Eom HS, Kim ES, Choe YJ, Bae GR, Lee DH. Reemergence of measles in South Korea: implications for immunization and surveillance programs. Jpn J Infect Dis. 2013; 66:6–10.
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