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Published on: June 9, 2011
International importation of measles virus--United States, 1993-2001
Natalia Vukshich Oster1, Rafael Harpaz, Susan B Redd
1Emory Center on Health Outcomes and Quality, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA. noster@sph.emory.edu.
Abstract:
To determine trends in international importations of measles, data from the National Notifiable Diseases Surveillance System were analyzed. Of the 2632 measles cases reported between 1993 and 2001, 449 cases (17%) were internationally imported. An additional 186 cases (7%) resulted from spread of measles virus from these imported cases, and 388 cases (15%) had virological evidence of importation. The number of imported cases averaged 50 per year (range, 26-79 cases). The proportion of cases imported increased from an average of 14% in 1993-1996 to an average of 35% in 1997-2001. Imported measles cases were acquired in 63 countries, with 6 countries (Japan, Germany, China, the Philippines, Italy, and the United Kingdom) accounting for 44% of all imported cases. Further reduction of measles in the United States requires international cooperation and improved global surveillance and control of measles.
Insights
International importations of measles significantly increased in the U.S. between 1993 and 2001, highlighting the need for global cooperation to control this infectious disease.
Area of Science:
- Epidemiology
- Infectious Disease Surveillance
Background:
- Measles remains a significant public health concern globally.
- International travel facilitates the spread of infectious diseases across borders.
Purpose of the Study:
- To analyze trends in international measles importations into the United States from 1993 to 2001.
- To identify the proportion and origin of imported measles cases.
Main Methods:
- Analysis of measles case data from the National Notifiable Diseases Surveillance System (NNDSS).
- Categorization of cases based on importation status (international, secondary spread, virological evidence).
Main Results:
- 17% of 2632 measles cases were internationally imported between 1993-2001.
- The proportion of imported cases rose from 14% (1993-1996) to 35% (1997-2001).
- Imported cases originated from 63 countries, with Japan, Germany, China, the Philippines, Italy, and the UK being primary sources.
Conclusions:
- International measles importations represent a substantial proportion of U.S. cases.
- Effective measles reduction in the U.S. necessitates enhanced global surveillance and control measures.
- International cooperation is crucial for preventing measles re-establishment.
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