Update: measles among children adopted from China

    Insights

    Ten measles cases linked to adoptees from China in March 2004 have been resolved. No new cases occurred after April 18, and all patients recovered. The Centers for Disease Control and Prevention (CDC) now advises resuming adoptions.

    Area of Science:

    • Public Health
    • Infectious Disease Epidemiology
    • International Adoption Health

    Background:

    • Measles outbreaks can occur in populations with low vaccination rates.
    • International travel poses a risk for the importation and spread of infectious diseases.
    • Adoptees traveling internationally may present unique public health considerations.

    Purpose of the Study:

    • To report on a measles outbreak associated with international adoptees.
    • To assess the duration and resolution of the measles cases.
    • To inform public health recommendations regarding international adoptions.

    Main Methods:

    • Case identification and surveillance of measles cases.
    • Contact tracing and epidemiological investigation.
    • Monitoring of case recovery and disease transmission.

    Main Results:

    • Ten confirmed measles cases were identified in adoptees traveling from China.
    • The last reported case occurred before April 18, 2004.
    • All affected individuals recovered fully without complications.

    Conclusions:

    • The measles transmission linked to this group of adoptees has ceased.
    • Standard adoption procedures can resume for the affected orphanage.
    • Effective public health surveillance managed the outbreak without long-term impact.

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