Kate Dixon, Health Care Policy Intern
Recently, following a large spike in measles
infections in New York City, Mayor de Blasio declared a public health emergency
requiring all unvaccinated individuals in Brooklyn to receive the measles
vaccine. The NYC outbreak (with “outbreak” defined as 3 or more linked
cases in an area) is one of six currently ongoing in
2019 (with a seventh, in Texas, no longer listed as ongoing on CDC’s website).
As of April 11, the country has seen 555 cases just this year, already more
cases than any other year since 2000 with the exception of 2014. Between
2009-2014, the median number of cases per outbreak
was 5, while in 2015 (excluding the Disneyland outbreak
accounting for 78 percent of 2015 cases) the average number of cases per
outbreak was 9. Historically, the number of total cases has been highly
correlated with the number of outbreaks. This year, however, fewer
outbreaks are accounting for a greater number of cases, indicating greater
difficulty at containment of the disease: 5 of the 7 outbreaks this year
have been associated with more than 10 cases each.
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