The biggest have occurred among insular religious or immigrant groups
declared measles “eliminated”, meaning that the virus was no longer indigenous and any new infections were linked to strains brought in from abroad. In the following decade measles in America remained rare. Now cases are on the rise again. There were 372 in 2018, the second highest number since 1996. Over 200 were reported in the first two months of this year. Though the disease is rarely deadly, it often requires hospitalisation.
Imported cases have arrived from more than 75 countries, sparking outbreaks across America. Rapid action by public-health-like teams keeps the virus from spreading. The teams trace everyone who has been near the measles patient in the eight-day contagious period—and make sure that each contact is quarantined or immunised. Nine in ten people who are not immune would contract measles if exposed to it. The virus can linger in the air for hours.
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