Elimination of Endemic Measles, Rubella, and Congenital Rubella Syndrome From the Western Hemisphere

Abstract

The external expert panel concluded that the elimination of endemic measles, rubella, and CRS from the United States was sustained through 2011. However, international importation continues, and health care providers should suspect measles or rubella in patients with febrile rash illness, especially when associated with international travel or international visitors, and should report suspected cases to the local health department.

Vaccination of healthcare workers: A review

“…101 The USA has documented the elimination of endemic measles with incidence rates of 1 case per 1,000,000 population reported since 2001. 102 The latest measles outbreak in the USA included 125 cases in California (nD110, 45% non-vaccinated) and neighboring states (nD15) after exposure in a Disney theme park. 103 Other outbreaks in the USA originated mainly from import-associated cases.…”

Assessing Immunity to Rubella Virus: a Plea for Standardization of IgG (Immuno)assays

“…In the following years, serologic assays were developed (4)(5)(6), and in 1969, three rubella vaccines (HPV-77, Cendehill, and RA27/3) were licensed. Selective or universal vaccination programs adopted by some countries led to a tremendous improvement in the control of congenital rubella in the ensuing 50 years, including elimination in the region of the Americas (7). However, elimination has not been achieved elsewhere.…”

Measles Imported to the United States by Children Adopted From China

“…Our experience adds to risks reported by others. 5,[9][10][11] We believe that the United States could reconsider the vaccination exemption policy for internationally adopted children that makes it easier to waive vaccination than to vaccinate. Pediatricians in the United States should be aware that newly adopted children can import measles.…”