Measles — United States, January 1–May 23, 2014 – Morbidity and Mortality Weekly Report (MMWR) Early Release May 29, 2014 / 63(Early Release);1-4

“Two hundred and eighty-eight cases of measles were reported to the Centers for Disease Control and Prevention (CDC) in the United States between Jan. 1 and May 23, 2014. This is the largest number of measles cases in the United States reported in the first five months of a year since 1994.  Nearly all of the measles cases this year have been associated with international travel by unvaccinated people. “The current increase in measles cases is being driven by unvaccinated people, primarily U.S. residents, who got measles in other countries, brought the virus back to the United States and spread to others in communities where many people are not vaccinated,” said Dr. Anne Schuchat, assistant surgeon general and director of CDC’s National Center for Immunizations and Respiratory Diseases.  “Many of the clusters in the U.S. began following travel to the Philippines where a large outbreak has been occurring since October 2013.” Of the 288 cases, 280 (97 percent) were associated with importations from at least 18 countries.  More than one in seven cases has led to hospitalization.  Ninety percent of all measles cases in the United States were in people who were not vaccinated or whose vaccination status was unknown.  Among the U.S. residents who were not vaccinated, 85 percent were religious, philosophical or personal reasons.  The large number of measles cases this year stresses the importance of vaccination. Healthcare providers should use every patient encounter to ensure that all their patients are up to date on vaccinations; especially, before international travel.”