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May 1992

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

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

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