Notes from the field: Measles outbreaks from imported cases in Orthodox Jewish communities — New York and New Jersey, 2018–2019

McDonald, Robert; Ruppert, Patricia Schnabel; Souto, Maria Júlia Silveira; Johns, Dylan; McKay, Kevin; Bessette, Noelle; McNulty, Lissette; Crawford, Jennifer; Bryant, Patrick; Mosquera, Maria Cecilia; Frontin, Sonya; Deluna‐Evans, Tatiana; Regenye, Daniel E.; Zaremski, Elizabeth F.; Landis, Vanessa; Sullivan, Bonnie; Rumpf, Brian E.; Doherty, Judi; Sen, Kathryn; Adler, Eric; DiFedele, Lisa; Ostrowski, Stephanie; Compton, Christine; Rausch‐Phung, Elizabeth; Gelman, Irina; Montana, Barbara; Blog, Debra; Hutton, Bradley J.; Zucker, Howard A.

doi:10.1111/ajt.15478

Cited by 9 publications

(14 citation statements)

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“…Real-time application of this model demonstrates enormous potential for identifying and responding to emerging risk (Figure 7). In October 2018, eight imported cases from Israel were identified in New York and New Jersey, resulting in outbreaks totaling at least 275 cases largely concentrated among the orthodox Jewish community 38 . Historically, Israel has presented a minimal importation risk to the United States, with only 5 total importations reported from 2006-2015 (we estimated 7).…”

Section: Discussionmentioning

confidence: 99%

Epidemics, Air Travel, and Elimination in a Globalized World: The Case of Measles

Truelove

Mier-y-Terán-Romero

Gastañaduy³

et al. 2020

Preprint

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Although the United States (U.S.) declared measles eliminated in 2000, so long as measles circulates globally, continued importations will trigger sporadic U.S. outbreaks. The United States is highly connected to the rest of the world, and importations occur largely as a result of air travel by U.S. residents and international visitors. We developed a model to assess the risk of measles virus importation from Europe, Asia, and Africa through air travel. We projected 308 (95% prediction interval, 151-518) total measles cases imported from 66 countries during 2006-2015; 290 importations were reported. The model projected a spike in importation risk from Israel during October 2018, coincident with large, importationtriggered outbreaks in New York and New Jersey. Our model shows U.S. importation risk primarily originates from European and Asian countries. Models such as this inform preemptive actions to mitigate infectious disease threats, but only if we prioritize global surveillance and data sharing. Abstract word count: 150Manuscript word count: 4,802

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Section: Discussionmentioning

confidence: 99%

Epidemics, Air Travel, and Elimination in a Globalized World: The Case of Measles

Truelove

Mier-y-Terán-Romero

Gastañaduy³

et al. 2020

Preprint

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“…39 Among the 17 outbreaks, 3 were seen in the states of New York and New Jersey; these were associated with unvaccinated travelers returning from Israel, which is experiencing an ongoing outbreak. 40 This is the largest number of imported cases since 2000 when measles was at its lowest rate in the United States. 13…”

Section: Discussionmentioning

confidence: 99%

Measles Outbreak in Unvaccinated and Partially Vaccinated Children and Adults in the United States and Canada (2018-2019): A Narrative Review of Cases

Sanyaolu

Okorie

Marinkovic³

et al. 2019

INQUIRY

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Since 2018 and currently in 2019, the United States and Canada experienced a rapidly spreading measles virus outbreak. The developing outbreak may be due to a lack of vaccination, an inadequate dosage of measles (MMR) vaccine, clusters of intentionally under-vaccinated children, imported measles from global travel, and from those who are immunocompromised or have other life-threatening diseases. The infection originated mainly from travelers who acquired measles abroad and has thus led to a major outbreak and health concern not only in the United States and Canada but also in other parts of the world. According to World Health Organization, from January 2019 through September 2019, 1234 cases of measles have been reported in the United States and 91 reported cases in Canada, while in 2018, 372 and 28 cases were reported in the United States and Canada, respectively. A potential driving factor to the increased cases maybe because fewer children have been vaccinated over the last number of years in both countries. This article is a narrative review of cases discussing the measles outbreak among partially vaccinated and unvaccinated children and adults in the United States and Canada in 2018 and 2019.

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“…The most recent measles epidemic in the United States occurred in close‐knit Orthodox Jewish communities in New York City and nearby Rockland County. The epidemic in New York lasted from October 2018 until September 2019 and appears to have been imported from Israel, where more than 3150 cases of measles were reported in 2018 9 9 .…”

Section: Epidemiology Of Measles In the United Statesmentioning

confidence: 99%

Measles (Rubeola): A Case Of Vaccine Hesitancy And Pregnancy

Kraus

Condon²

2021

J Midwife Womens Health

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Measles (rubeola) is a highly contagious virus. Vaccination has nearly eradicated measles in the United States, yet sporadic outbreaks persist. Although the live‐attenuated measles, mumps, rubella vaccine has not been found to cause fetal harm, pregnancy is considered a contraindication for the vaccine and contracting measles during pregnancy can have serious sequelae. Furthermore, lifelong immunity conferred by childhood vaccination is questionable as the vaccine's protection may wane during the childbearing years. Reluctance to vaccinate, or vaccine hesitancy, may leave a proportion of people of childbearing age unprotected. It is unlikely that many clinicians providing preconception, primary, and perinatal care have had occasion to diagnose measles. Susceptibility to infection combined with clinician inexperience may contribute to missed opportunities to halt the spread of this highly contagious, preventable illness. A case of parents’ religion‐based vaccine hesitancy complicating the pregnancy of their adult daughter is presented. Guidelines for screening for immunity, identifying measles in the clinical setting, and protocols for mitigating spread are reviewed.

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Notes from the field: Measles outbreaks from imported cases in Orthodox Jewish communities — New York and New Jersey, 2018–2019

Cited by 9 publications

References 1 publication

Epidemics, Air Travel, and Elimination in a Globalized World: The Case of Measles

Epidemics, Air Travel, and Elimination in a Globalized World: The Case of Measles

Measles Outbreak in Unvaccinated and Partially Vaccinated Children and Adults in the United States and Canada (2018-2019): A Narrative Review of Cases

Measles (Rubeola): A Case Of Vaccine Hesitancy And Pregnancy

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