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Wastewater surveillance to track a generational scale outbreak of measles in Ontario, Canada, February - November, 2025
2026-01-13
public and global health
Title + abstract only
View on medRxiv
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The Province of Ontario (Canada) experienced a generational scale outbreak of measles in 2025. We applied wastewater surveillance concurrently with clinical-based surveillance to track measles incidence in southwestern Ontario adjacent to the United States. Measles virus (MeV) signal in wastewater was positively associated with clinical cases but did not provide early alert of changes in measles incidence when resolved by epidemiological week. Assessment of virus partitioning showed MeV RNA was ...
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