Measles outbreak tops 830 cases across the country

measles

he number of measles cases in the U.S. has reached 839 across 23 states, according to the Centers for Disease Control and Prevention (CDC), as outbreaks across the country show no sign of slowing.

There have been 75 new cases reported in the past week, and the total number of cases is inching closer to the record 963 cases reported in 1994. The current outbreak is still the largest since the disease was declared eliminated in 2000.

No new states reported outbreaks in the past week, but the number of cases in New York — home of the largest outbreak in the country — continued to climb.

There have been 225 reported cases in Rockland County, New York, as of May 10, and the state reported 466 cases in Brooklyn and Queens since September. Most of these cases have involved members of the Orthodox Jewish community.

The outbreak began when an unvaccinated child traveled to Israel, and returned home infected with measles. The child infected others, most of whom were also unvaccinated. Nine out of 10 unvaccinated children will catch the highly contagious disease if exposed to it, according to the CDC.

New York Mayor Bill de Blasio (D) has imposed an emergency order that will fine people in four ZIP codes in Brooklyn $1,000 if they are not vaccinated.

As of May 6, New York officials said 22,833 doses of the measles, mumps and rubella (MMR) vaccine have been administered to people who are under 19 years old in Brooklyn since October.

Some states have begun taking steps to limit exemptions for parents who don’t want to vaccinate their children.

Washington Gov. Jay Inslee (D), who is also running for president, signed a bill Friday that eliminated personal or philosophical exemptions from the MMR vaccine.

“We should be listening to science and medicine, not social media,” Inslee said during a press conference. “It is science and truth that will keep us healthy, rather than fear.”

The Maine legislature is debating a bill that would remove “philosophical” objections to vaccinations but keep in place religious ones.

Only three states have outlawed any nonmedical exemptions for vaccinations: California, Mississippi and West Virginia.

Lyme and other tick-borne diseases expected to increase in Ohio

Your odds of getting bit by a tick and contracting a disease are getting higher each year in Ohio.

In the past four years, the number of cases of Lyme disease nearly doubled, with 293 cases reported in 2018, according to Ohio Department of Public Health data.

Massillon City Health Commissioner Terri Argent said the growing tick population is a cause for concern.

Last year, four cases of Lyme Disease were reported in the city. So far, this year there are no cases, but Argent expects that could change as summer approaches.

The greatest risks grow during the summer months when more people will be outside, she said.

As of Monday, there already were 27 cases statewide this year.

“The incidence of Lyme disease locally has increased every year and is projected to continue to increase every year,” said Dr. Timothy McDermott, a veterinarian and Ohio State University extension educator in Franklin County. “We worry about new tick species that are on the radar.”

McDermott, who travels all over the state to teach Ohioans about ticks, said he has met people who have contracted Lyme disease, Rocky Mountain spotted fever and mammalian meat allergy from bites. Health records show there were 38 Rocky Mountain spotted fever cases last year across the state.

Tick-borne diseases can be caused by viruses, bacteria or parasites and can be “tremendously impactful, depending on your lifestyle,” he said. “There can be extremely serious health risks with profound and lasting consequences.”

In the past decade, there have been no deaths reported in Ohio as a result of Lyme disease, but there’s still reason for concern, according to experts.

With more ticks, “the disease percentages we’re seeing is correspondingly increasing,” McDermott said.

The most common ticks in Ohio include the American dog tick that likes open grass habitats; the deer tick that prefers wooded areas; and the Gulf Coast tick. Deer ticks have been documented in 66 out of 88 of Ohio’s counties, said Richard Gary, an entomologist with the Ohio Department of Public Health.

If you notice a tick, experts say to remove it immediately using tweezers, by grasping the tick as close as possible to the skin’s surface and pulling it away from your skin with steady pressure. If you’re worried about illness, you can place the tick in alcohol and send it off to get tested through the University of Massachusetts.

The incubation period for Rocky Mountain spotted fever takes five to 10 days from infection. Lyme disease can take between three and 30 days to show symptoms, Gary said.

Ticks, which are not insects but eight-legged arachnids, use two pairs of their legs to hold on to grass or bushes, and then another pair of legs to latch on to their prey as it goes by.

They have piercing sucking mouths called hypostomes. (“Picture a harpoon or a shovel that has serrations in it,” McDermott said.) Diseases, if they carry them, are stored in their gut.

The increase in ticks has been linked to the destruction of natural habitats and a warming climate.

With more encroaching development, less hunting and fewer natural predators, tick-carrying deer are living closer to humans, leading to more interaction.

Climate change is expected to help more ticks flourish. As long as it’s above freezing, ticks can feed year-round.

While Lyme disease and Rocky Mountain spotted fever are more common, a bite from an infected Lone Star tick can mean you’ll become allergic to red meat. The state does not keep data on how many Ohioans have developed the allergy.

“Yeah, bacon cheeseburgers would be a thing of the past,” McDermott said, but emphasized that “it has not been diagnosed for a very long time.”

 

Cameron County Reports First Cases Of Mumps

As additional cases of mumps continue to show up in Hidalgo County, Cameron County health officials are confirming their first cases of the disease.

County Health Administrator Esmeralda Guajardo says 25 cases have been confirmed. She would only say that 21 are travel-related and four are not. Guajardo says some of the mumps cases have shown up in immigrant detention centers among immigrants who had not been vaccinated. Guajardo says, along with the 25 cases that have been confirmed, a number of other people have been tested after showing symptoms of the highly-contagious disease, and the county is waiting for those results.

In Hidalgo County, health officials have confirmed 39 cases of mumps and say it’s likely there will be more.

More than 700 cases of mumps in the US this year, CDC says

(CNN)There have been 736 cases of mumps reported in the United States this year as of April 26, according to the US Centers for Disease Control and Prevention.

That’s an increase of 310 cases of the illness in the last month. Previously, the CDC reported 426 cases of mumps as of the end of March.
The cases have been reported in 41 states and the District of Columbia.
Mumps is a vaccine-preventable disease that is caused by a virus. It is spread through saliva or mucus by coughing, sneezing or talking and by sharing eating utensils or cups, according to the CDC.
It can also spread when an infected person touches items or surfaces that are then touched by someone else who picks up the virus.
Outbreaks usually occur among people who have close contact, such as on college campuses and among sports teams.
Symptoms can appear 12 to 25 days after a person is infected and can include fever, headache, muscle aches, being tired and loss of appetite. The hallmark, though, is swollen glands under the ears that are tender. But not everyone has symptoms, especially if they are experiencing a mild case of the illness.
The best way to prevent mumps is with a vaccine. According to the CDC, the MMR (measles, mumps and rubella) vaccine is 88% effective when two doses are given.
“Before the US mumps vaccination program started in 1967, about 186,000 cases were reported each year, but the actual number of cases was likely much higher due to underreporting,” the CDC website says. “Since the two-MMR dose vaccination program was introduced in 1989, US mumps cases decreased more than 99%, with only a few hundred cases reported most years. However, since 2006, there have been several increases in cases and outbreaks about every 5 years.”
There were more than 2,000 cases of mumps reported in the United States in all of 2018.

Second reported case of measles being investigated in Florida

The Florida Department of Health are investigating after a second case of measles was reported in Florida.

Officials in Pinellas County announced Wednesday that a 72-year-old man was showing symptoms after he recently took a trip to Asia.

There has been an uptick in measles outbreaks across the country in the past few months.

New York City health officials on Wednesday reported 61 new cases since late last week, pushing this year’s nationwide tally passt he 667 cases reported cases for all of 2014

That would make 2019 the worst year for measles since 1994.

Health officials in Florida reported the first case in the state last month involving a man from Broward County.

The number of cases is likely to rise. Measles is highly contagious and can spread through the air when someone coughs or sneezes. And in recent days, Jewish families have been gathering for Passover meals. It can take 10 to 12 days for symptoms to develop.

The CDC recommends the vaccine for every American over a year old.

Measles clinic held in Pittsburgh after five cases surface

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(Pittsburgh) — The Allegheny County Health Department administered 44 doses of the measles vaccine at a free clinic held Wednesday at the Homewood-Brushton YMCA.

This comes after the health department announced last week there have been five recent cases of measles, all of which were related to international travel.

Measles can be fatal or result in permanent brain damage. Symptoms may not appear for up to two weeks after exposure. They may include a runny nose, sore throat, inflamed eyes and skin rash.

The virus is highly contagious and can remain airborne for two hours after an infected person leaves an area. There have been several exposure sites connected to the recent cases, including the Pittsburgh International Airport, the National Aviary and Aldi on Baum Boulevard.

Caleb Avry, who is visiting Pittsburgh for work, said he wasn’t vaccinated as a child. He decided to get immunized now in light of the recent events.

“I think it’s a very important thing to do, especially if you work around people,” said Avry.

One dose of the vaccine is 93 percent effective; two doses are 97 percent effective. Some of the people who came to the clinic had already been vaccinated, including Marc Leonard of Wilkinsburg.

“I just decided, you know, why not just get it again so I ain’t gotta worry,” said Leonard.

Adults born before 1957 are considered immune to the disease. It’s recommended that international travelers have at least two doses of the vaccine.

The vaccine not recommend for children under 12 months, unless they will be traveling to an area where there have been outbreaks. Pregnant women should not receive the vaccine.

A measles outbreak where you live? Study ranks US places at highest risk

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(CNN)A new study ranks the US counties at highest risk of a measles outbreak, with the areas surrounding Chicago, Los Angeles and Miami topping the list.

The authors say places like these should be kept under close surveillance because they “could serve as the fulcrum of continuous importation of the measles virus into the USA.” Their paper was published Thursday in the journal The Lancet Infectious Diseases.
“What we’re trying to do is identify what are the areas that are most likely to be affected by this [anti-vaccination] movement that’s happening,” said study co-author Lauren Gardner, an associate professor in the Department of Civil Engineering at Johns Hopkins University.
In order to rank the counties at greatest risk, the authors didn’t even have to consider the locations of actual measles cases in the United States. Instead, they looked at factors including nonmedical vaccine exemptions, international air travel and the incidence of measles in countries people are traveling from.
“These outbreaks can only happen if someone brings measles into the country and there’s a low vaccination rate in a population,” Gardner explained.
Kindergartners who were unvaccinated for nonmedical reasons during the 2017-18 school year
The new paper isn’t the first that has tried to predict outbreak risks in the United States, but previous efforts did not include international travel, Gardner said.
“What’s going to happen as we move into the summer months, with all that back-and-forth travel between Europe and the US … there’s opportunities to introduce a lot more measles into this country,” said Dr. Peter Hotez, dean of the National School of Tropical Medicine at the Baylor College of Medicine.
“Europe is a disaster right now, even worse than North America, in terms of measles,” added Hotez, who is also co-director of the Texas Children’s Hospital Center for Vaccine Development.
This week, the World Health Organization announced that there had been more than 34,000 cases in its European region during the first two months of 2019. That’s triple what it reported during the same time last year.
Last year, Hotez published an analysis in the journal PLOS Medicine, analyzing a subset of states that allow nonmedical exemptions for philosophical or personal beliefs, as opposed to religious ones. Nearly half of the top 15 hot spots identified in his paper have been stricken with measles this year, Hotez said.
“That’s an all-star batting average in Major League Baseball,” said Hotez, who was not involved in the new paper but whose previous study was one of its data sources.
The latest paper — “version 2.0,” he called it — looks at the entire country and picks up hot spots that his analysis missed.
“The one we missed totally was the New York epidemic,” Hotez said. “It wasn’t even on our radar because it’s not a state that has personal belief exemptions. And there, what seems to have happened is the anti-vaccine lobby … identified the Orthodox Jewish community as a vulnerable group to target. And they flooded them with phony pamphlets and misinformation.
“That’s something we could never have predicted.”
In the new model, Queens — which is adjacent to Brooklyn, one of the focal points of the ongoing New York measles outbreak — is ranked fourth.
A total of 47 states allow nonmedical vaccine exemptions: all but West Virginia, Mississippi and California. Some allow only religious exemptions, while others allow exemptions based on personal or philosophical beliefs.
Hotez said that these maps can help target public health vaccination efforts where they’re needed most. But he said the maps shouldn’t just be coming from academics like himself; he believes they should be generated every year by public health agencies like the CDC.
Hotez, who was criticized this week by a Texas lawmaker who called his vaccine work “sorcery,” said that “the anti-vaccine movement has become mainstream. It is now fully integrated into public life of this country.
“It’s the consequence of allowing the anti-vaccine movement to run unopposed for so many years.”

Control measures in place to combat Hepatitis A outbreak in Pima County, AZ

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TUCSON – A surge of Hepatitis A has been hitting Tucson and the rest of southern Arizona, health officials say.

With more than 150 confirmed cases since November in Pima County alone, Pima County Health Department has implemented several exposure control and prevention measures throughout the area.

According to officials, the liver infection can be prevented through receiving a vaccine. Despite the vaccine routinely given to children, many adults have not been vaccinated for Hepatitis A, resulting in 173 confirmed cases of the viral disease since November and 161 related cases to this recent outbreak.

Health department officials say there have been 121 people have been hospitalized for Hepatitis A.

To help stop the outbreak in Pima County, the health department has set up 106 vaccination clinics across the county as of April 19.

They said through this, they have encountered 3,468 people with outbreak risk factors. Of those, 1,712 people received the vaccine. Officials say 1,159 people declined the vaccine and 597 were previously immunized.

Health officials say people who are most at risk are:

  • People who are experiencing homelessness
  • People who use injection and non-injection illicit drugs
  • People who are traveling to countries where Hepatitis A is common
  • Men who have sex with men
  • People who have been recently incarcerated
  • People who live with, or have sex with, someone who has Hepatitis A
  • People with chronic liver disease, such as cirrhosis, alcoholic liver disease, Hepatitis B or Hepatitis C

Maine CDC Says Hepatitis Continues to Rise in the State

Public health authorities in Maine say the state’s sharp rise in hepatitis cases is continuing.

The Maine Center for Disease Control and Prevention says the increase in cases of hepatitis B and C in the Pine Tree State can be attributed to its ongoing opioid crisis. The agency says acute hepatitis B rates increased nearly 400 percent and acute hepatitis C rates went up more than 300 percent from 2013 to 2018.

The agency says the overall case counts of the diseases are in the double digits.

Hepatitis B and C can start as short-term infections, and the virus can remain in the body and result in chronic infection, leading to problems such as liver damage.

May is National Hepatitis Awareness Month, and May 19 is National Hepatitis Testing Day.