According to WHO and the Philippines' Department of Health, more than 11,600 confirmed cases of measles (a significant increase over average incidence) were reported from January through July 2018 throughout the country, including in Metro Manila. More than 75% of cases were reported from Mindanao Island (including Davao City) and the National Capital Region. According to media reports, Department of Health officials indicate ongoing outbreaks are occurring in Central and Western Visayas and Bicol regions. Recommendations: All individuals ≥ 12 months of age born in 1957 or later (1970 or later in Canada and the U.K.; 1966 or later in Australia) without history of disease or of 2 countable doses of live vaccine at any time during their lives should complete a lifetime total of 2 doses of MMR vaccine (spaced by at least 28 days). All infants aged 6-11 months should receive 1 dose of MMR vaccine. All those born before 1970 (in Canada) without evidence of immunity or previous vaccination with 1 countable dose of measles-containing vaccine need 1 dose of MMR vaccine.
