9th case of measles confirmed in Saint John area as outbreak grows

New Brunswick's chief medical officer of healthis investigating another confirmed case of measles in the Saint John area, which brings the outbreak total to nine.

The latest case, confirmed late Monday, is linked to a previously confirmed case at Kennebecasis Valley High School in Quispamsis, Dr. Jennifer Russell said in a statement Tuesday.

It comes on the heels of three new cases of thehighly contagious respiratory disease announced on Monday.

"I want to emphasize that, if these symptoms are present, it is important that you contact your health-care provider, Public Health or Tele-Care 811 by telephone prior to going to a clinic, physician's office or emergency room so that necessary measures can be put into place to prevent the spread to others," she said.

Measles is transmitted through the air or by direct contact with an infected individual.

400 people warned of possible exposure

The Department of Health sent a letter to Kennebecasis Valley High School familieson Monday, advisingthat anyone who attended the academic awards ceremony at the school the evening of May 23 may have been exposed to an infected individual while they were contagious but before they were diagnosed over the weekend.

About 400 people attended the event, according toJessica Hanlon, director of communications for the Anglophone South School District.

"As this is outside the 72-hours window in which an administered dose of MMR[measles, mumps, rubella] vaccine could be protective for that exposure, those individuals in attendance Thursday evening are asked to watch for symptoms of the measles virus," the letter from Dr. Cristin Muecke, the deputy chief medical of officer says.

Symptoms as a result of this exposure would develop between May 30 and June 10, Muecke said.

They may include fever, cough, runny nose, red or sore eyes, sleepiness, irritability and tiny white spots in the mouth.

Within three to seven days, thetelltale red blotchy rash usually develops on the face and then spreads to the rest of the body.

Anyone who was in the emergency department of the Saint John Regional Hospital at the following times was potentially exposedto the measles and should watch for symptoms:

• May 19, 10:45 p.m. to 1:35 a.m.
• May 22, 8 p.m. to 11:05 p.m.
• May 24, 9:45 a.m. to 12:30 p.m.
• May 25, 3 p.m. to 7:30 p.m.

People who believethey are exhibiting symptoms and decideto seek medical attention should call ahead before visiting their doctor's office, a clinic or emergency room,so proper measures can be put into place to prevent the possible spread to others, officials said.

No KVHS activities cancelled

Eight of the nine cases are linked to Kennebecasis Valley High School.

As of Monday, about 30 students and four staff at KVHS have been told to stay home because of lack of immunity or missing proof of immunization.

Classes and most activities are continuing as scheduled, including track and field, rugby and theatre workshops,said Hanlon.

No activities have been cancelled because of the outbreak, she said.

An athletics award ceremony slated for May 24 was moved to this week because an immunization clinic was being held at the school that day, said Hanlon.

According to the school's online calendar, some of the other events held since the first case at the school was confirmed on May 13 have included a Night of the Arts andCasino Night.

Provincial innovation event cancelled

As a precaution, the Department of Education has cancelled a Brilliant Labsevent that would have seen more than 300 students and teachers from across the province and members of the public gather atMillidgeville North School in Saint John onWednesday.

"As you are aware, we are collaborating with Public Health and [the Anglophone South School District] to ensure no one else contracts measles," says a notice sent to Brilliant Labs on Tuesday morning.

"Taking into account the current situation, it was decided that the Maker Faire activity that was to take place tomorrow May 29th in the Saint-John region be [cancelled]."

The truly unfortunate situation that this creates is that over 300 students from across our innovative province will not get to share their story tomorrow.- Jacob Lingley, Brilliant Labs

The third annualevent is billed as "a celebration of student invention, creativity and resourcefulness in STEAM (Science, Technology, Engineering, Arts, Math) related disciplines."

It includesproject demonstrations, as well asinteractive stations for the public about topics such as 3D design and printing, how to build rockets and drone racing.

"The truly unfortunate situation that this creates is that over 300 students from across our innovative province will not get to share their story tomorrow," program director Jacob Lingley said in an online post.

The event was also scheduled to includethe first Lego League robotics competition, with 22 teams registered,and the Innovation in Education Awards Gala, said Brilliant Labs' executive director Jeff Willson.

"We will be working with our partners to figure out over the next couple of days what we can do" about rescheduling, said Willson.

The Lego competition might be relocated to a venue in another citybefore the end of the school year, he said, but the Maker Faire might have to be postponed until the fall.

2 Quebec trips cancelled

Two other schools in the Kennebecasis Valley Harry Miller Middle School and Rothesay Park School have both cancelled their Grade8 trips to Quebec this weekbecause of measles, said Hanlon.

"In light of the long incubation period of the measles virus, and the understanding that more cases of measles could possibly be confirmed in the coming days, it was decided not to take an unnecessary risk," she said.

"While we understand that our families and students are disappointed, families have been largely co-operative, and many parents have already reached out to the schools to offer suggestions and help in arranging alternate activities for the students."

About 150 Grade 8 students are affected. Hanlon could not immediately say whether they will receive a full refund. The tour provider is still cancelling venues, accommodations and transportation, she said. The deposit for each student was "under $150."

Can be severe

Most people are protected from measles with two doses of the MMRvaccine.

Measles can be more severe in adults and infants. Complications can include ear infections, pneumonia, blindness and swelling of the brain, which can cause seizures, deafness, brain damage or death.

If contracted during pregnancy, it can cause miscarriage, premature labour, and low birth weight.

People born before 1970 are considered immune.

The first confirmed caseof measlesin the region, announced on April 26, was an individual who had recently travelled to Europe and visited the Saint John Regional Hospital's emergency department, as well as the Halifax Infirmary's ER.

The first KVHS case came into contact with that individual at the Saint John ER.