Impact of a measles outbreak on a UK children's emergency department and the public health response: a retrospective observational study

The outbreak led to significant pressure on the children's hospital ED in terms of case burden and contact tracing, with the potential for nosocomial spread. Future outbreak response should focus on prompt implementation of infection prevention and control measures; clear and timely messaging around symptoms for both families and clinicians; streamlined notifications; accelerated development of measles point-of-care testing; access to pop-up vaccination in the community; and better integrated working between public health teams and frontline clinicians.