USA TODAY International Edition

This year’s measles cases pass 1,000 mark

Officials worry summer travel will spread illness

- Elizabeth Lawrence

Reported measles cases exceeded 1,000 in the first six months of 2019 – the highest number in 27 years, according to the Centers for Disease Control and Prevention. The total in the USA has grown to 1,022, the CDC reported. That’s the highest since 1992, when there were 2,200 cases nationwide. Cases have been reported in 28 states, and outbreaks are ongoing in seven communitie­s, according to the CDC. Factors that may prompt outbreaks: a greater number of travelers who contract the disease abroad and

more cases spreading in communitie­s with groups of unvaccinat­ed people.

Officials in the New York City suburb of Rockland County barred minors not vaccinated for measles from public places for 30 days, and Gov. Jay Inslee declared a state of emergency in Washington.

Thomas Clark, deputy director of the CDC’s Division of Viral Diseases, said measles isn’t widespread. He said about 94% of kindergart­ners in the USA received the recommende­d two doses of the measles vaccine.

The CDC’s concerns about measles’ spread will focus more on camps and travel while schools are out for the summer, Clark said. “We can’t rely on the summer months to stop and slow down the spread of measles,” Clark said. “We’re worried about summer camps and summer travel.”

Clark advised people traveling abroad to check out their vaccinatio­n status. “I hope people continue to be confident in vaccinatio­n,” he said.

Ogbonnaya Omenka, an associate professor and public health specialist at Butler University, echoed Clark’s concerns about summer travel and noted the risk that comes with increased social interactio­n in public spaces.

“Travel has played a significant role in the current outbreak. The summer holiday comes with more local and internatio­nal travel, which may result in exposure to measles,” Omenka wrote to USA TODAY. “Also, social interactio­ns are more likely during the summer, such as attendance at parks and recreation destinatio­ns, and neighborho­od gatherings.”

Omenka spoke on the importance of understand­ing the social and behavioral factors affecting the outbreak. He said a consequenc­e of media and public health officials focusing on “antivaxxer­s” could be a distrust of medical institutio­ns. “Concentrat­ing on, or making scapegoats of, certain groups may result in unintended outcomes, such as increased distrust or anti-establishm­ent sentiments and insularity,” he wrote.

Jennifer Margulis, science writer and co-author of “The Vaccine-Friendly Plan,” said officials’ focus on measles is disproport­ionate compared with the number of children afflicted with chronic conditions, about 32 million.

“I wonder why we’re focusing on measles and not on chronic disease,” Margulis said. “We aren’t focusing on what’s really happening with our children.”

Stuart Fischbein, an obstetrici­an based in Southern California, takes issue with jurisdicti­ons passing legislatio­n ordering vaccinatio­n.

“When you start mandating, then you’re basically destroying medicine,” Fischbein said. “You’re making doctors agents of the state.”

David Lo, professor of biomedical sciences at the University of California-Riverside, said low rates of vaccinatio­n in the USA have “been like a bomb waiting to go off.”

“Vaccines remain our only significant defense, and investment in new vaccine developmen­t is as low as it has ever been,” Lo said.

“The summer holiday comes with more local and internatio­nal travel, which may result in exposure to measles.”

Ogbonnaya Omenka Butler University

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