1. Route and chains of transmission of an imported measles case
Traveled to Puerto Iguazu, Argentina: March
Traveled to Montevideo, Uruguay:17 March. Returned to Buenos Aires on the same day. ❶ ❷
Secondary cases
36 year-old Argentinian male, who was on the same flight as the tourist.
Date of Rash Onset: 2 April 2019
44 year-old unvaccinated Uruguayan female, who was on the same ferry as the Russian tourist.
51 year-old Uruguayan male, who may be a potential contact of the Russian tourist. He had one dose of the MMR vaccine.
Date of Rash Onset: 6 April 2019
Genotype D8, lineage MVs/Gir Somnath.IND/42.16 was identified among the index case and 36 year-old Argentinean male; this strain has widespread distribution in Asia and Europe. Outbreak control measures in Argentina and Uruguay are ongoing.
39 year-old unvaccinated Russian tourist from Russia, who arrived to Argentina on 9 March
Date of Rash Onset:
17 March
Index case
Route of the case during communicable period: March
Source: Dirección Nacional de Epidemiologia y Análisis de Situación de Salud, Dirección de Control de
Enfermedades Inmunoprevenibles, Ministerio de Salud y Desarollo Social, Argentina.