US inches closer to measles record, with more than 600 cases reported

There have been 626 cases of measles reported in the United States this year, according to the Centers for Disease Control and Prevention. That's 71 more tha...

Posted: Apr 22, 2019 4:25 PM

There have been 626 cases of measles reported in the United States this year, according to the Centers for Disease Control and Prevention. That's 71 more than the agency reported last week in its weekly update.

Just four months into the year, the number of cases is only 42 away from surpassing the record of 667 cases in 2014, the highest number since the illness was declared eliminated in the United States in 2000.

"In the coming weeks, 2019 confirmed case numbers will likely surpass 2014 levels," the agency said on its website Monday.

Iowa and Tennessee reported cases for the first time this week, bringing the total number of states reporting measles this year to 22. The other states are Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Jersey, New York, Oregon, Tennessee, Texas and Washington.

New York is the state with the highest number of cases this year; health officials there are trying to contain what has become the longest ongoing outbreak in the country since 2000. The outbreak in ultra-Orthodox Jewish neighborhoods began in October when, according to officials, an unvaccinated child became infected while visiting Israel.

"Since then, there have been additional people from Brooklyn and Queens who were unvaccinated and acquired measles while in Israel. People who did not travel were also infected in Brooklyn and Rockland County," the New York City Department of Health and Mental Hygiene says.

There have been nearly 4,000 cases of measles in Israel since March 2018, according to Dr. Itamar Grotto, associate director general of Israel's Ministry of Health.

Last week, the New York City health department said two people contracted the illness from the UK and one from Ukraine. According to the World Health Organization, Ukraine has reported 72,000 cases of measles in the past 12 months, the highest of any country.

A person from New York visited Michigan last month and began an outbreak there that has now infected 41 people.

Washington state has also reported a large number of cases this year; an outbreak that began in February has infected more than 70 people.

Measles is characterized by a rash of flat red spots. Other symptoms may include fever, cough, runny nose and watery eyes.

Complications, which are more likely in patients younger than 5 and older than 20, can include ear infections with permanent hearing loss, diarrhea, pneumonia and swelling of the brain. Pregnant women who get measles are at risk of premature delivery and having a low-birth-weight baby.

One or two out of every 1,000 people who get measles will die from the disease, according to the CDC, although there has not been a death from the illness in the United States since 2015.

A person can spread the illness four days before and four days after developing the rash and therefore may unknowingly spread it. The virus can be airborne and spreads when an infected person coughs or sneezes.

"Measles is so contagious that if one person has it, up to 90% of the people close to that person who are not immune will also become infected," according to the CDC.

A person who has had measles or has been inoculated is immune. Two doses of the measles, mumps and rubella or MMR vaccine are recommended. The CDC advises that the first dose be given to children when they are between 12 and 15 months old and the second when they are between 4 and 6 years old, though it can be given as early as 28 days after the first dose.

One dose is 93% effective at preventing the illness, and two doses are 97% effective.

New York City declared a public health emergency last month requiring vaccination, proof of immunity or proof of exemption as part of the effort to contain the outbreak there.

For people who live in the ZIP codes affected by the outbreak, babies 6 months to 11 months old should get an early dose of the MMR vaccine, to be followed by the two-dose recommendation. Children younger than 4 should be given a second dose without waiting until they turn 4.

"Anyone born after January 1, 1957, who has not received two doses of a measles-containing vaccine, or who does not have a blood test proving that they are already immune to measles, should receive two doses of the MMR vaccine," officials noted.

Health officials have said that a proliferation of anti-vaccine rhetoric has, in part, fueled an increase in the number of measles and other vaccine-preventable diseases in the United States.

A source familiar with the measles situation in the US told CNN that of the 626 cases of measles in 2019, 72% are unvaccinated, and 18% have an unknown vaccination status. Among those who are unvaccinated, it may be because of personal beliefs and medical reasons. The other 10% were vaccinated with either one or two doses.

Of the 626 cases, 487 are in people 19 and younger.

Measles is endemic in many countries other than the United States. It is brought into the country when people who are unvaccinated or undervaccinated visit from a place where the virus is circulating or when people living in the United States visit such a place and return with an infection.

Indiana Coronavirus Cases

Data is updated nightly.

Cases: 1462456

Reported Deaths: 20308
CountyCasesDeaths
Marion2005922494
Lake992001456
Allen903391005
Hamilton70705539
St. Joseph63078746
Elkhart48098622
Vanderburgh46217523
Tippecanoe42115330
Johnson37119516
Hendricks35078455
Porter33900460
Madison28036530
Clark25186321
Vigo24768341
LaPorte22894307
Monroe22201243
Howard21344372
Delaware20937363
Hancock18289217
Kosciusko17513199
Bartholomew17399212
Warrick16060212
Wayne15757296
Floyd15399252
Grant14898293
Morgan13934230
Boone13172136
Noble11421140
Dearborn11355112
Henry11312201
Shelby11231150
Marshall11041166
Dubois10782152
Jackson10174104
DeKalb9944128
Cass9942142
Lawrence9914219
Huntington9823139
Gibson9131125
Montgomery9005140
Knox8762124
Harrison8718111
Whitley844771
Steuben8340102
Jasper8069113
Putnam795197
Clinton792994
Miami7914133
Wabash7598138
Jefferson7551124
Ripley6993111
Adams6508101
Scott629086
Daviess6266127
White602379
Greene5913111
Clay587173
Wells5814120
Decatur5754118
Jennings572276
Fayette5657121
Posey529146
LaGrange512996
Randolph4925128
Washington482067
Owen480398
Fountain463579
Spencer438156
Starke434086
Sullivan432164
Fulton426790
Orange412682
Jay403964
Rush395736
Carroll371349
Franklin369850
Perry362155
Vermillion345062
Pike308945
Tipton307974
Parke305038
Pulaski266973
Blackford266755
Newton228359
Brown222654
Benton213321
Crawford211231
Switzerland189414
Martin181921
Warren169520
Union163619
Ohio119516
Unassigned0742

Ohio Coronavirus Cases

Data is updated nightly.

Cases: 2403645

Reported Deaths: 30922
CountyCasesDeaths
Franklin2596932036
Cuyahoga2572672998
Hamilton1666711699
Montgomery1103831586
Summit1066861382
Lucas895171149
Butler78647924
Stark747301383
Lorain62885783
Warren49934468
Mahoning49735909
Lake46850586
Clermont43541428
Delaware38876210
Trumbull38576748
Medina37611416
Licking36901401
Fairfield33848331
Greene32124416
Portage31381356
Clark30277440
Richland28251420
Wood27660289
Allen24372392
Miami22806389
Muskingum22298244
Columbiana22095399
Wayne21275354
Tuscarawas18847423
Erie18041221
Ashtabula17932338
Marion17503231
Scioto16553203
Ross16163249
Pickaway15536173
Hancock15251227
Geauga15244221
Lawrence13847186
Huron13399182
Union1329683
Belmont13255247
Jefferson12864257
Sandusky12770197
Athens11949106
Knox11511195
Seneca11454200
Ashland10795174
Darke10673196
Washington10564168
Auglaize10152141
Crawford9854175
Shelby9699155
Brown9400140
Fulton9235148
Guernsey9109115
Defiance9057134
Highland9035143
Logan8955141
Clinton8719121
Mercer8640111
Madison8568104
Preble8002160
Williams7848135
Putnam7731135
Ottawa7629120
Champaign7556112
Jackson7383114
Perry714598
Coshocton7043136
Morrow694580
Fayette662287
Hardin6219125
Pike617086
Gallia594989
Adams5779124
Van Wert5779120
Henry565592
Hocking5521103
Carroll4828100
Wyandot482289
Holmes4747161
Paulding401163
Meigs375071
Monroe299368
Noble279851
Harrison279461
Morgan276848
Vinton239845
Unassigned08
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