No Costa Rican has contracted the measles since 2006. An unvaccinated tourist unknowingly traveled while contagious and is now in quarantine.

The CDC lists 10 US states as reporting active measles infections and suggests children be vaccinated.

Newser:

A French family arrived in Costa Rica last Monday and put an end to Costa Rica's measles-free status: No citizen there has contracted the disease since 2006, and the last time a foreigner brought it to the country was in 2014. The Independent reports that a 5-year-old boy was taken to a doctor due to a rash; it turns out children at his school have been diagnosed with measles and that he hadn't been vaccinated against it. The Costa Rica Star reports he tested positive for measles and is currently being quarantined at a hospital in Puntarenas. Officials are working to determine who may have been in contact with the child during his flight and as the family traveled in San Jose and Santa Teresa; an infected person is generally contagious for about eight days.

Costa Rica had been measles-free for five years, until Feb 18, when visiting French tourists took their unvaccinated five-year-old son to a doctor to investigate a "rash" that turned out to be measles -- the boy's mother was also unvaccinated. Read the rest

I am hoping this is medical and not government surveillance.

NBC:

The World Health Organization says that an epidemic of measles in Madagascar has caused more than 900 deaths.

According to WHO figures, there have been more than 68,000 cases of the disease, in which 553 deaths were confirmed and 373 suspected from measles since the outbreak began in September.

Madagascar has launched a nationwide campaign to try to bring the outbreak under control, through mass vaccination campaigns and surveillance.

Failure to vaccinate can cause death. Maybe not killing your own child, tho it is not unlikely, the awful decision to not vaccinate puts at risk all the people who for good reasons can not get the shot.

Snohomish County rocks.

MyNorthWest:

“It’s like taking a pail of gasoline and throwing a lighted match into it. I have some concerns that this is going to get worse before it gets better,” said Clark County Public Health Director Alan Melnick.

Melnick said there are now 25 confirmed measles cases and 12 suspected cases in Clark County. The majority are kids younger than 10.

At least 21 people with the disease never got the MMR vaccine. The other four cases are unverified.

“What people don’t realize about measles is how contagious it is,” said Lawrence Neville, PeaceHealth Southwest Chief Medical Officer. “It’s spread by airborne droplets and that’s why the very air can be infectious for up to two hours later after someone infected with measles is in that vicinity.”

Miranda Smith said she’s frustrated by the outbreak. She has three young kids.

“It’s their lives on the line, honestly. If they’re not vaccinated and something like this happens, then what am I going to do to save them?” she said.

Washington State Department of Health statistics show Clark County has the sixth lowest immunization rate in the state.

“I’d hardly be surprised if we see more cases that are outside of Clark County,” Melnick

said.

The CDC’s immunization recommendation is 90 percent.

Anti-vaccine shenanigans have lowered Europe's average vaccination rate below the threshold to adequately provide for herd immunity. Following the decade's lowest year of measles cases in 2016, the rate of measles cases in Europe in 2018 is already headed for the stars. Read the rest

A measles outbreak in Kansas continues to spread. Health officials warn folks who are potentially contagious to call ahead and find locations where they can safely be treated.

Vaccinate your kids.

Via the Kansas City Star:

With two doses, the measles-mumps-rubella, or MMR vaccine, is about 97 percent effective at preventing measles.

But the illness is highly contagious and can be spread several days before the telltale red rash that follows the other, more ambiguous symptoms.

That has made it difficult to keep it out of hospitals and doctors' offices during the two outbreaks that have hit the Kansas City metro area in the last two months.

In addition to St. Joseph Medical Center, the University of Kansas Hospital, Children's Mercy Hospital in Overland Park and Olathe Health clinics in La Cygne and Mound City have also been potential exposure sites.

Robyn Livingston, a Children's Mercy doctor who specializes in infectious disease, said it's particularly concerning when measles shows up in medical settings unannounced, because hospitals often serve patients who can't be vaccinated for medical reasons.

“If you think your child has measles, don’t just show up to one of our locations," Livingston said. "Which has happened.”

Livingston said it's imperative that people who suspect measles call ahead, so doctors and hospitals can arrange to segregate them from others.

Though most people who get measles fully recover, it can cause potentially fatal complications like pneumonia and, more rarely, encephalitis.

Public Health officials in Shelby County, Tennessee today confirmed six cases of measles in the county, up from two last Friday. Victims of the measles outbreak are "widely diverse" in terms of age, gender and where they live, authorities said. Read the rest

Unvaccinated people are being officially warned by California epidemiologists to avoid Disneyland in the wake of a measles outbreak. In some counties in California, more than 1 in 5 kindergartners are unvaccinated due to "personal belief exemptions." Read the rest