ON SEPTEMBER 7, 1991, the Indiana State Department of Health (ISDH) was notified of three suspected measles cases among athletes from New Zealand (NZ) participating in an international gymnastics competition September 6-15 in Indianapolis (Marion County). Among those potentially at risk for measles were approximately 700 athletes and 1200 coaches, trainers, and managers from 51 countries; an estimated 2500 volunteers and staff; international media, families, and employees; and approximately 60 000 spectators attending the competition. This report summarizes the epidemiologic investigation of these cases.
Sixteen NZ delegation members arrived August 29 and stayed on one floor of a hotel. Throughout the following week, they practiced in a curtaindivided area shared with three other teams and visited nearby shopping and eating establishments. On August 30, two 15-year-old female athletes (patients 1 and 2) developed cough, coryza, and conjunctivitis, followed by onset of rash on September 4. Patient 2's symptoms were mild and
Epidemiologic Notes and Reports: Measles at an International Gymnastics Competition—Indiana, 1991. Arch Dermatol. 1992;128(5):605-606. doi:10.1001/archderm.1992.01680150027001