Notes from the Field: Measles Outbreaks from Imported Cases in Orthodox Jewish Communities — New York and New Jersey, 2018–2019
Open accessAbstract
On October 1, 2018, the Rockland County (New York) Department of Health (RCDOH) alerted the New York State Department of Health (NYSDOH) of an unvaccinated teenaged traveler with diagnosed measles.During the next 17 days, RCDOH learned of an additional six unvaccinated travelers with measles.On October 24, 2018, the Ocean County (New Jersey) Health Department alerted the New Jersey Department of Health (NJDOH) of a case of measles in an international traveler, with rash onset October 17.The unvaccinated travelers reported recent travel in Israel, where an outbreak of approximately 3,150 cases of measles is ongoing (1).Investigations during October 1, 2018-April 30, 2019, identified 242 laboratory-confirmed and epidemiologically linked measles cases in New York, excluding New York City, and during October 17, 2018-November 30, 2018, identified 33 in New Jersey (Figure).The cases of measles were primarily in members of orthodox Jewish communities.
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Measles vaccination coverage in schools in the affected area was only 77%, far below the 93%-95% coverage needed to sustain measles herd immunity.
“Measles vaccination coverage in schools in the affected area was only 77%, far below the 93%–95% coverage needed to sustain measles herd immunity (9,10).”
From Impact of the COVID-19 Pandemic on Administration of Selected Routine Childhood and Adolescent Vaccinations — 10 U.S. Jurisdictions, March–September 2020 (2021) · cites this paper as [9]
The New York section reports 77% documented measles vaccination coverage in schools in the outbreak area. The New Jersey section recommends ≥95% coverage to ensure herd immunity, but the paper does not give the claimed 93%–95% range or support 93% as sufficient. (LLM, conf=0.87)
Experimental — accuracy not yet measuredDuring 2018-2019, a measles outbreak occurred in Rockland County, New York and nearby counties.
“During 2018–2019, a measles outbreak occurred in Rockland County, New York and nearby counties.”
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Cites
McLean, H. Q., Fiebelkorn, A. P., Temte, J. L., & Wallace, G. S. (2013) · PubMed · Cited by 607 · see citing works
A Measles Outbreak in an Underimmunized Amish Community in Ohio
Gastañaduy, P. A., Budd, J., Fisher, N., et al. (2016) · New England Journal of Medicine · doi:10.1056/nejmoa1602295 · Cited by 122 · see citing works
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Patel Murthy, B., Zell, E., Kirtland, K., Jones-Jack, N., Harris, L., Sprague, C., Schultz, J., Le, Q., Bramer, C. A., Kuramoto, S., et al. (2021) · MMWR. Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm7023a2 · Cited by 192 · see citing works
Parental Vaccine Hesitancy and Childhood Influenza Vaccination
Santibanez, T. A., Nguyen, K. H., Greby, S. M., Fisher, A., Scanlon, P., Bhatt, A., Srivastav, A., & Singleton, J. A. (2020) · Pediatrics · doi:10.1542/peds.2020-007609 · Cited by 158 · see citing works
- Authors
- McDonald, R., Ruppert, P. S., Souto, M., Johns, D. E., McKay, K., Bessette, N., McNulty, L. X., Crawford, J. E., Bryant, P., Mosquera, M. C., Frontin, S., Deluna-Evans, T., Regenye, D. E., Zaremski, E. F., Landis, V. J., Sullivan, B., Rumpf, B. E., Doherty, J., Sen, K., Adler, E., DiFedele, L., Ostrowski, S., Compton, C., Rausch-Phung, E., Gelman, I., Montana, B., Blog, D., Hutton, B. J., & Zucker, H. A.
- Affiliations
- New York State Department of Health (US)
- Corresponding author
- McDonald, Robert
- Venue
- MMWR Morbidity and Mortality Weekly Report
- Published
- 2019-05-17
- Volume
- 68
- Issue
- 19
- Pages
- 444-445
- ISSN
- 0149-2195 (ISSN-L)
- 1545-861X
- PMC
- PMC6522080
- OpenAlex
- W2945211162
- Cited by
- 60
- References
- 2
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 6 · 2023: 7 · 2022: 8 · 2021: 16 · 2020: 12 · 2019: 5
- FWCI
- 7.80
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- MMWR Morbidity and Mortality Weekly Report (publishedVersion)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention
- Topics
- Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Travel-related health issues
- Keywords
- measles outbreak, imported infections, Orthodox Jewish community, international travel, Rockland County, New York, Ocean County, New Jersey, measles vaccination, epidemiological investigation
- MeSH terms
- Travel-Related Illness, Adolescent, Adult, Child, Child, Preschool, Disease Outbreaks, Humans, Infant, Infant, Newborn, Jews, Measles, Middle Aged, New Jersey, New York, Measles-Mumps-Rubella Vaccine, Young Adult
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