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Published on: April 30, 2019
Abstract:
In 2000, the United States achieved measles elimination (defined as interruption of year-round endemic measles transmission). However, importations of measles into the United States continue to occur, posing risks for measles outbreaks and sustained measles transmission. During 2011, a total of 222 measles cases (incidence rate: 0.7 per 1 million population) and 17 measles outbreaks (defined as three or more cases linked in time or place) were reported to CDC, compared with a median of 60 (range: 37-140) cases and four (range: 2-10) outbreaks reported annually during 2001-2010. This report updates an earlier report on measles in the United States during the first 5 months of 2011. Of the 222 cases, 112 (50%) were associated with 17 outbreaks, and 200 (90%) were associated with importations from other countries, including 52 (26%) cases in U.S. residents returning from abroad and 20 (10%) cases in foreign visitors. Other cases associated with importations included 67 (34%) linked epidemiologically to importations, 39 (20%) with virologic evidence suggesting recent importation, and 22 (11%) linked to cases with virologic evidence of recent importation. Most patients (86%) were unvaccinated or had unknown vaccination status. The increased numbers of outbreaks and measles importations into the United States underscore the ongoing risk for measles among unvaccinated persons and the importance of vaccination against measles.
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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