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On August 29, , the U. Evacuees were housed at military bases in the United States while completing immigration resettlement processing. On September 4, , the Fort McCoy, Wisconsin, OAW site reported the first confirmed case of measles in an Afghan evacuee; during the subsequent 10 days, five additional cases were identified across multiple sites 1.
Because of delayed reporting of the exposures and challenges locating evacuees, whose lodgings assignments were not always well documented or might have changed, postexposure prophylaxis was not administered within the recommended time frame.
Although MMR vaccination was already part of the immigration medical exam 3 , the planned rate of exams per day would have been inadequate to mitigate a potential measles outbreak, in light of the large number of evacuees housed at JBMDL. The public health team, in coordination with OAW leadership, recommended an immediate mass MMR vaccination campaign for all evacuees.