Intelligence Analysis
Ongoing Measles Activity Reported in Canada - Annual Case Count Highest in 20 Years
10 NOV 2025
/
2 min read
Author
Intelligence Analyst, Health

Key Takeaways:
- Health officials continue to report measles activity in multiple areas in Canada in early November.
- The 2025 outbreak marks the highest annual case count since the achievement of measles elimination in 1998.
- Most cases (88 percent) occurred in unvaccinated individuals.
Canadian health authorities continue to report measles activity in multiple provinces, with 5,138 cases (4,777 confirmed, 361 probable) reported from Jan 1-Nov. 3. Cases have been reported in all ten provinces, with current transmission localized to Ontario (2,392 cases), Alberta (1,944 cases), British Columbia (324 cases), and Manitoba (253 cases). These four provinces account for 97 percent of national cases.
Measles (Rubeola) is caused by a virus and is very easily passed from person to person. Generally, infections run their course in one to two weeks, but more serious infections may develop into pneumonia or even inflammation of the brain, resulting in permanent damage or death.
Measles disease activity has been steadily decreasing, after peaking in April 27-May 3, when 401 cases were reported that week. The decline in weekly cases and disease activity has prompted multiple provinces to declare their outbreaks over.
Measles Elimination Status Lost
Canada has lost its measles elimination status as of Nov. 10, as nearly all cases are epidemiologically linked. The sustained local transmission for over 12 consecutive months meets the criteria set by the WHO for reclassification from elimination to endemic status. The ongoing transmission mirrors multi-state activity in the US and persistent clusters in Mexico, highlighting the need for coordinated regional vaccination efforts, enhanced genomic surveillance, and unified cross-border outbreak verification across North America.
Despite Canada’s strong diagnostic capacity and active surveillance, gaps in immunization coverage have compromised the containment of the outbreak. This collective regional resurgence has not been seen since the early 2000s. This represents the most complete data available as of Nov. 10.
Vaccination and Immunity
Most cases (88 percent) occurred in unvaccinated individuals. The most affected age group is children aged 5-17 years, who made up 45 percent of all cases, followed by adults aged 18-24 years.
All travelers should ensure they are up to date on their childhood immunizations, including measles, prior to travel. Measles vaccine contains live, weakened measles virus. It is available as a single preparation or as a combination vaccine for measles, mumps, and rubella (MMR).
In general, persons can be considered immune to measles if they have documentation of physician-diagnosed measles, laboratory evidence of measles immunity, or proof of two doses of live measles vaccine on or after their first birthday. Most people born before 1957 are likely to have had the disease, and generally are not to be considered susceptible.
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