PMID- 22647743
OWN - NLM
STAT- MEDLINE
DCOM- 20120724
LR  - 20121009
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 61
IP  - 21
DP  - 2012 Jun 1
TI  - Measles outbreak associated with an arriving refugee - Los Angeles County, 
      California, August-September 2011.
PG  - 385-9
AB  - Measles is a highly communicable, acute viral illness with potential for severe 
      complications, including death. Although endemic measles was eliminated in the 
      United States in 2000 as a result of widespread vaccination, sporadic measles 
      outbreaks still occur, largely associated with international travel from 
      measles-endemic countries and pockets of unvaccinated persons. On August 26, 
      2011, the Los Angeles County Department of Public Health (LACDPH) was notified of 
      suspected measles in a refugee from Burma who had arrived in Los Angeles, 
      California, on August 24, after a flight from Kuala Lumpur, Malaysia. Passengers 
      on the flight included 31 other refugees who then traveled to seven other states, 
      widening the measles investigation and response activities. In California alone, 
      50 staff members from LACDPH and the California Department of Public Health 
      (CDPH) interviewed and reinterviewed 298 contacts. Measles was diagnosed in three 
      contacts of the index patient (patient A). The three contacts with measles were 
      two passengers on the same flight as patient A and a customs worker; no secondary 
      cases were identified. Delayed diagnosis of measles in patient A and delayed 
      notification of health officials precluded use of measles-mumps-rubella (MMR) 
      vaccine as an outbreak intervention. This outbreak emphasizes the importance of 
      maintaining a high level of vaccination coverage and continued high vigilance for 
      measles in the United States, particularly among incoming international 
      travelers; clinicians should immediately isolate persons with suspected measles 
      and promptly report them to health authorities.
CN  - Centers for Disease Control and Prevention (CDC)
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
RN  - 0 (Measles-Mumps-Rubella Vaccine)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - *Aircraft
MH  - *Contact Tracing
MH  - *Disease Outbreaks
MH  - Female
MH  - Humans
MH  - Infant
MH  - Los Angeles/epidemiology
MH  - Malaysia
MH  - Male
MH  - Mandatory Reporting
MH  - Measles/*epidemiology/prevention & control/transmission
MH  - Measles-Mumps-Rubella Vaccine/administration & dosage
MH  - Morbillivirus/isolation & purification
MH  - Myanmar
MH  - *Refugees
MH  - Time Factors
MH  - Travel
EDAT- 2012/06/01 06:00
MHDA- 2012/07/25 06:00
CRDT- 2012/06/01 06:00
PHST- 2012/06/01 06:00 [entrez]
PHST- 2012/06/01 06:00 [pubmed]
PHST- 2012/07/25 06:00 [medline]
AID - mm6121a1 [pii]
PST - ppublish
SO  - MMWR Morb Mortal Wkly Rep. 2012 Jun 1;61(21):385-9.