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Landmark study finds 1.7 million Australians may be vulnerable to measles as overseas-linked cases rise

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Source : Perth Now news

Australia’s shield against measles is showing cracks, with a landmark study finding about 1.7 million people were vulnerable to the virus and warning the gaps could now be even wider.

The new Australian research, led by the National Centre for Immunisation Research and Surveillance, found 6.7 per cent of the population did not have enough immunity to measles in 2019, meaning almost seven in every 100 people were unlikely to be well protected if exposed.

The study paints a detailed picture of who is most at risk at a time when measles cases linked to overseas travel are climbing sharply.

National measles notifications have jumped from single figures in 2022 to 181 cases in 2025, with 113 cases already recorded so far in 2026, according to recent data from the National Notifiable Diseases Surveillance System.

A landmark study found about 1.7 million Australians were susceptible to measles in 2019. Credit: istock

Lead author Zoe Croker said the findings should be a reminder that Australia’s long-running measles success story shouldn’t be taken for granted.

“Australia remains a measles elimination success story, but our findings show we’re closer to the minimum level of population protection needed to prevent outbreaks than many people might expect,” Ms Croker said.

The study found Australia’s overall measles immunity sat at 93.3 per cent in 2019. That keeps the country within the World Health Organisation target range of 93 to 95 per cent for herd protection but only just, and the protection is not spread evenly.

“While we have maintained our measles elimination status since 2014, protection isn’t shared evenly across the population, and the margin for error is relatively small,” Ms Croker said.

“Importantly, population immunity may now be slightly lower than our 2019 estimate, given that childhood vaccination rates have declined since the Covid-19 pandemic.”

Measles notifications in Australia rose to 181 cases in 2025, with 113 cases recorded so far in 2026.
Measles notifications in Australia rose to 181 cases in 2025, with 113 cases recorded so far in 2026. Credit: News Corp Australia

Researchers found the biggest immunity gaps were among babies too young to complete their full measles vaccination schedule and Australians born from the late 1970s onwards.

Every birth group from 1977 forward was estimated to have at least 5 per cent of people susceptible to measles.

That matters because many people in those age groups are now raising young families and travelling overseas more often, increasing the chances of the virus being brought back into homes and communities.

The study also found people aged 15 to 35 made up half of all measles cases reported in Australia between 2008 and 2022.

Ms Croker said measles was “one of the most contagious diseases known”.

“Even relatively small immunity gaps in communities can create opportunities for the virus to spread when cases are imported from overseas,” she said.

The research is the first of its kind internationally to combine national immunisation register data with multiple serosurveys, which test blood samples to measure immunity across the population, to estimate measles vulnerability across all age groups.

Researchers combined blood sample data with national immunisation records to estimate measles susceptibility across all age groups. Picture:NewsWire/ Monique Harmer
Researchers combined blood sample data with national immunisation records to estimate measles susceptibility across all age groups. Credit: News Corp Australia, NewsWire/ Monique Harmer

Australia has held World Health Organisation-certified measles elimination status since 2014, but researchers warn recent outbreaks overseas show that status can be lost.

Senior author Frank Beard said some parts of the country were likely to have much bigger immunity gaps than the national average.

“There are likely to be communities, regions or groups where immunity gaps are substantially higher than the national average, raising the risk of local outbreaks if measles is introduced,” Professor Beard said.

He said the experience of countries such as Canada, Spain and the UK, which have recently lost measles elimination status, should serve as a warning.

“What’s happened overseas is a reminder that elimination status isn’t guaranteed – it has to be actively maintained. That means keeping our population immunity as high as possible,” Professor Beard said.

Measles can spread quickly through households and communities if protection levels are too low. Picture: iStock
Measles can spread quickly through households and communities if protection levels are too low. iStock Credit: istock

Health experts are now urging Australians born during or since 1966 to check whether they have documented proof of two doses of a measles-containing vaccine or confirmed immunity, especially if they are planning overseas travel.

“Check your records, talk to your GP or other immunisation provider, and get vaccinated if needed,” Professor Beard said.

“If you’re not sure whether you’ve had two doses of a measles-containing vaccine, it’s safe to have one or two doses if needed.”

Professor Beard said staying up to date did more than protect the individual.

“Protecting yourself helps protect your family, vulnerable babies and young children, your community, and Australia’s hard-won measles elimination status,” he said.