Measles - United States, 2011

    Insights

    Despite measles elimination in the U.S., imported cases in 2011 led to a significant rise in measles outbreaks. Vaccination remains crucial for preventing measles transmission among unvaccinated individuals.

    Area of Science:

    • Public Health
    • Epidemiology
    • Infectious Diseases

    Background:

    • The United States achieved measles elimination in 2000, signifying the interruption of endemic transmission.
    • However, ongoing importations of measles pose a persistent risk for outbreaks and sustained transmission.

    Purpose of the Study:

    • To update the understanding of measles cases and outbreaks in the U.S. during 2011.
    • To analyze the sources and characteristics of measles importations and associated outbreaks.

    Main Methods:

    • Analysis of measles surveillance data reported to the Centers for Disease Control and Prevention (CDC) for 2011.
    • Categorization of cases based on association with outbreaks, importations, and virologic evidence.

    Main Results:

    • In 2011, 222 measles cases and 17 outbreaks were reported, a notable increase from the 2001-2010 median.
    • Ninety percent of cases were linked to importations, including U.S. residents returning from abroad and foreign visitors.
    • The majority of patients (86%) were unvaccinated or had unknown vaccination status.

    Conclusions:

    • Increased measles importations and outbreaks in 2011 highlight the continued risk of measles in the U.S.
    • The findings underscore the critical importance of maintaining high measles vaccination coverage to prevent disease resurgence.

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