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Measles: A Global Public Health Emergency!
Diane Fuller Switzer1, Samantha Ewing
1Author Affiliation: Affiliate Faculty in Initiative in Ethics and Transformative Technologies, Seattle University College of Nursing and Health Sciences, Seattle, Washington (Fuller Switzer); and APP Partner, Mt Rainier Emergency Physicians, Puyallup, Washington (Ewing).
Abstract:
Measles is a highly contagious vaccine-preventable disease that was once controlled with measles, mumps, and rubella vaccinations but has reemerged in the United States and globally as a public health emergency. Despite availability of a safe and effective vaccine, declining vaccination rates driven by vaccine hesitancy, access issues, and clustering of unvaccinated individuals have led to measles outbreaks. Since January 2026 in the United States, both the International Vaccine Access Center (IVAC; 1,654 cases) and the Centers for Disease Control (CDC; 1,671 cases) have reported a high number of cases (IVAC, March 27, 2026; CDC, April 3, 2026) that will exceed the reported cases (2,286) in 2025 (CDC, April 3, 2026). The Pan American Health Organization (PAHO) reported an epidemiological alert on measles in the Americas Region (PAHO, February 3, 2026). Emergency Nurse Practitioners must identify, manage, and initiate control measures. This review covers clinical manifestations, vaccination guidelines, management, and complications of measles.
Insights
Measles is resurging globally due to declining vaccination rates, posing a public health emergency. This review details measles
Area of Science:
- Public Health
- Infectious Diseases
- Vaccinology
Background:
- Measles, a highly contagious vaccine-preventable illness, is reemerging as a global public health emergency.
- Declining vaccination rates, attributed to vaccine hesitancy and access issues, are driving measles outbreaks.
- Recent data indicates a significant increase in measles cases in the United States and the Americas Region.
Purpose of the Study:
- To provide a comprehensive review of measles, focusing on clinical manifestations, vaccination guidelines, management, and complications.
- To equip Emergency Nurse Practitioners with essential knowledge for identifying, managing, and controlling measles outbreaks.
Main Methods:
- This is a review article, synthesizing existing literature and data on measles.
- Information was gathered from reputable sources including the International Vaccine Access Center (IVAC), Centers for Disease Control (CDC), and Pan American Health Organization (PAHO).
Main Results:
- The United States has reported a high number of measles cases in early 2026, exceeding 2025 figures.
- The Pan American Health Organization issued an epidemiological alert for measles in the Americas Region in February 2026.
- Measles outbreaks are linked to decreased vaccination coverage and clustering of unvaccinated individuals.
Conclusions:
- Measles poses a significant and growing public health threat requiring urgent attention.
- Effective identification, management, and control measures are crucial for healthcare professionals, particularly Emergency Nurse Practitioners.
- Maintaining and improving vaccination rates is essential to control the resurgence of measles.
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