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Share sensitive information only on official, secure websites. Adria D. Masters, PhD 1 ; Thomas D. Rota, PhD 1 ; David E. Sugerman, MD 1 View author affiliations. Although endemic U. Prolonged outbreaks during threatened the U. During January 1, —March 28, , a total of U. As of the end of , U. Risk for widespread U. Enhanced efforts are needed to increase routine U.
Measles is a highly infectious febrile rash illness and was declared eliminated in the United States in However, measles importations continue to occur, and U. To assess U. During —, the longest transmission chain lasted 63 days. As of the end of , because of the absence of sustained measles virus transmission for 12 consecutive months in the presence of a well-performing surveillance system, U.
However, because of the increase in cases during the first quarter of , additional activities are needed to increase U. These activities include encouraging vaccination before international travel and rapidly investigating suspected measles cases.
High national 2-dose coverage with the measles, mumps, and rubella MMR vaccine led to the declaration of U. Measles cases are classified by the Council of State and Territorial Epidemiologists as import-associated if they were internationally imported, epidemiologically linked to an imported case, or had viral genetic evidence of an imported measles genotype 1 ; cases with no epidemiologic or virologic link to an imported case are classified as having an unknown source 1.
