A majority of the patients (93.4%) were part of the Orthodox Jewish community, and 473 of the patients (72.9%) resided in the Williamsburg area of Brooklyn, New York. ResultsĪ total of 649 cases of measles were confirmed, with onsets of rash occurring between September 30, 2018, and July 15, 2019. The total direct cost to the New York City Department of Health and Mental Hygiene was calculated. Measles–mumps–rubella (MMR) vaccine (given as either MMR or measles–mumps–rubella–varicella vaccine and collectively referred to as MMR vaccine) uptake was monitored with the use of the Citywide Immunization Registry. We investigated suspected cases of measles by conducting interviews, reviewing medical and immunization records, identifying exposed persons, and performing diagnostic testing. An outbreak of measles in New York City began when one unvaccinated child returned home from Israel with measles onset of rash occurred on September 30, 2018, 9 days after the child returned home. Measles was declared eliminated in the United States in 2000, but the risk of outbreaks owing to international importations remains. The most trusted, influential source of new medical knowledge and clinical best practices in the world.
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