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.

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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