Abstract
The number of children susceptible to measles in Aotearoa New Zealand (NZ) is growing. We are close to the number that triggered previous measles epidemics here. Alongside improving infant immunisation coverage, we urge three immediate actions to prevent another epidemic. First, catch-up MMR immunisation for those aged 15 months to 9 years without documented receipt of two doses of MMR vaccine. Priority should be given to existing immunisation requirements for primary schools and pre-schools to reach a 95% plus coverage target. It is these institutions that particularly drive spread in the community. Second, improved communication to travellers about measles risk. For residents even more than visitors, as those returning home are more likely to import the virus. Third, to rethink our response to new measles cases arising in the community to have a stronger immunisation component.