News on the Latest Measles Outbreaks of 2019

Breaking News – new cases in Maine and Washington (see below).

2019 hasn’t even reached the half-way point yet, but we already have reports of measles cases and exposures in at least 914 people in 27 states, including Alabama (1), Arizona (1), California (45), Colorado (1), Connecticut (3), Florida (1), Georgia (3), Hawaii (2), Illinois (7), Indiana (1), Iowa (2), Kentucky (2), Maine (1), Maryland (4), Massachusetts (1), Michigan (44), Mississippi (1), Missouri (1), Nevada (1), New Hampshire (2), New Jersey (13), New York (633), Oklahoma (1), Oregon (11), Pennsylvania (5), Tennessee (3), Texas (14), and Washington (78).

And large, ongoing outbreaks in New York (Brooklyn and Rockland County) and the Pacific Northwest.

Measles is still spreading in New York.

There are also many reports of measles outbreaks in Europe.

2019 Measles Outbreaks

Since there were so many ongoing measles outbreaks in 2018, it shouldn’t be surprising that we are getting off to a quick start in 2019.

Recent cases and exposures, which can be prevented with two doses of the MMR vaccine, include:

  • someone in Oregon who exposed other people in Portland (Jan 2), The Dalles (Dec 29 and 31, 2018), and Hood River (Dec 30, 2018)
  • an unvaccinated toddler in Monroe County, New York who had recently traveled to Ukraine
  • 9 new cases in Rockland County, New York (105 total)
  • 3 new cases in the Borough Park and Williamsburg sections of Brooklyn (55 total)
  • 3 new cases in Rockland County, New York (108 total)
  • a new outbreak in Clark County, Washington involving two unvaccinated children who exposed others on Jan 6 and 7 and an additional 11 suspected cases
  • 6 new cases in Rockland County, New York (114 total)
  • as expected, 12 more cases in Clark County, Washington (14 total) – all children, all unvaccinated (one unverified), with multiple exposures in Vancouver, including 5 different schools, 2 churches, and 6 health care facilities
  • 3 new cases in the Borough Park section of Brooklyn (58 total)
  • an adult in Denver, Colorado who became sick while traveling internationally and exposed others in Denver from Jan 10-14
  • 2 more cases in Clark County, Washington (16 total), with 5 more suspected cases remaining and exposures in Battle Ground (Jan 8 and 14) and Vancouver (Jan 14 and 15)
  • 2 kids from the Washington outbreak had traveled to Hawaii while contagious (January 4 to 13)
  • 2 residents of the metro Atlanta area, with exposures between Jan 7 to 14, although there is some speculation that these cases were also travelers from the Washington outbreak
Are these cases part of the Washington outbreak?
After 19 cases and an exposure at the Portland Trail Blazers game, Clark County has declared the measles outbreak to be a public health emergency.
After 19 cases and an exposure at the Portland Trail Blazers game, Clark County has declared the measles outbreak to be a public health emergency.
  • 3 more cases in Clark County, Washington (19 total), with 7 more suspected cases remaining and exposures in Camas (Jan 10- 15), Portland (Jan 11 and 14), and Vancouver (Jan 11 to 16), leading the Clark County Council Chair Eileen Quiring to declare a public health emergency.
  • 2 new cases in Clark County, Washington (21 total), with 4 more suspected cases remaining and exposures in Vancouver (Jan 7 to 11)
  • 4 new cases in the Borough Park and Williamsburg sections of Brooklyn (62 total)
  • 2 new cases in Rockland County, New York (118 total)
  • 2 new cases in Clark County, Washington (23 total), with 2 more suspected cases remaining and exposures in Vancouver (Jan 15 and 19) and Portland (Jan 15-16), including at the Portland International Airport (where did they go?)
  • 4 new cases in Rockland County, New York (122 total)
  • a case in the Champaign-Urbana Public Health District in Illinois with multiple exposures (Jan 12 to 19) including the University of Illinois in Urbana and Champaign
  • 2 new cases in Clark County, Washington (25 total), with 12 more suspected cases!
  • a case in King County, Washington that is linked to the outbreak in Clark County
  • 5 new cases in Clark County, Washington (30 total), with 9 more suspected cases!
  • a case in Multnomah County, Oregon that is linked to the outbreak in Clark County and with exposures (Jan 20 to 23) in Gresham, Wood Village, and Troutdale
Hopefully, no kids with immune system problems were exposed to these kids with measles.
Hopefully, no kids with immune system problems were exposed to these kids with measles.
Almost all of the measles cases in Rockland County are unvaccinated.
There are now 147 measles cases in Rockland County.
Rockland county executive Ed Day declared a local state of emergency over the ongoing measles outbreaks in the area on March 26.
As of March 28, the CDC is reporting 387 measles cases in 2019, the third highest number of cases in a year since 1994.
  • a new case in Boston, Massachusetts, with exposures in Plymouth, Waltham, Framingham, Hyannis, and Braintree (March 26 to 31)
  • 8 new cases in Oakland and Wayne counties in Michigan (30 total)
  • 1 new case in Rockland County (158 total)
  • 3 new cases in Rockland County (161 total)
  • 45 new cases in the Borough Park, Crown Heights, Williamsburg, and Flushing sections of Brooklyn (259 total)
  • 5 new cases in Rockland County (166 total)
  • 4 new cases in Oakland and Wayne counties in Michigan (34 total)
  • a new case in Dallas County, Texas that is linked to a previous case in Tarrant County
  • another case in Kentucky, a sibling of an unvaccinated child who developed measles last month
  • 5 new cases in Oakland and Wayne counties in Michigan (39 total)
Williamsburg press conference on April 9.
  • 26 new cases in the Williamsburg section of Brooklyn (285 total), as Commissioner of Health declares a public health emergency and orders unvaccinated people in the 11205, 11206, 11221 and/or 11237 zip codes to be vaccinated within 48 hours
  • 2 new cases in Rockland County (168 total), as they discuss a plan to keep unvaccinated people at home
  • 2 new cases in Oakland, Washtenaw and Wayne counties in Michigan (41 39 total)
  • a new case in the Bronx, New York, with exposures at Montefiore Medical Center (April 9).
  • 8 unvaccinated kids (the youngest only 6 months old) in Northern Westchester, New York and who were exposed in Brooklyn and Rockland
  • 5 new cases in Rockland County (173 total), as they discuss a plan to keep unvaccinated people at home
  • 7 new cases in Rockland County (180 total), as they discuss a plan to keep unvaccinated people at home
  • 4 new cases in Rockland County (184 total), as they discuss a plan to keep unvaccinated people at home
  • 4 new cases in California, including Santa Clara and Butte, Calaveras, Shasta, Tehama Counties
  • a new case in Washtenaw County, Michigan that is unrelated to the an ongoing outbreak in the area, with exposures at 18 sites, including the University of Michigan, Walgreens, CVS, Whole Foods, and DTW Airport McNamara Terminal (April 4 to 6)
  • a new case in New Haven County, Connecticut, linked to travel to Brooklyn
  • 2 new cases in Rockland County (186 total), as they discuss a plan to keep unvaccinated people at home
  • 44 new cases in the Borough Park, Midwood/Marine Park, Far Rockaway, and Williamsburg sections of Brooklyn (329 total)
  • 4 new cases in Rockland County (190 total), as they impose new orders for the quarantine of anyone diagnosed or exposed to someone with measles
  • 2 new cases in Oakland County and the City of Detroit, Michigan, with exposures in Oak Park, Lansing, Grand Rapids, and Ypsilanti (April 10 to 13)
  • a new case in Iowa, unvaccinated contact of the first case in the state
  • 3 new cases in Rockland County (193 total)
  • a case in Tennessee, with exposures in Chattanooga and Clinton (April 11-12) and who traveled through Alabama (April 11)
  • 30 new cases in the Borough Park and Williamsburg sections of Brooklyn (359 total)
  • 20 cases in Orange County, New York, including a mother and her baby who were hospitalized
  • 6 new cases in Rockland County (199 total)
  • a case in Mississippi, with exposures in Hattiesburg (April 9-10)
  • 31 new cases in the Brighton Beach, Williamsburg, and Hunts Point, Longwood and Melrose sections of Brooklyn (390 total)
  • 1 new case in Rockland County (200 total), as County Executive Ed Day issued a second declaration of a local State of Emergency, renewing the original declaration until 11:59 pm, Saturday, May 25, 2019.
  • 15 new cases have been reported in California, with new cases in Los Angeles, Sacramento, Butte, and Shasta counties and quarantines at UCLA and Cal State after exposures at those schools
704 is a new 25 year record
  • 43 new cases in the Borough Park, Crown Heights, Sunset Park, and Williamsburg sections of Brooklyn (423 total)
  • 10 new cases in Rockland County (225 total)
  • 32 new cases in the Borough Park, Brighton Beach, Flushing, Sunset Park, Flatbush, Jamaica, and Williamsburg sections of Brooklyn (498 total)
  • 6 new cases in Rockland County (231 total)
  • a case in Okmulgee County, Oklahoma
  • four new measles cases in Washington, with exposures in Seattle & King County
  • a new case in Michigan, with exposures in Macomb County (May 11-12)
  • a child in New Hampshire who exposed others in Keene, including at a church and Montessori school (May 12 and 16)
  • a case in Chicago, with exposures on public transportation from O’Hare International Airport to University of Illinois Chicago (UIC) campus, and the Chicago Loop, in Millennium Park and in retail establishments on State Street between Monroe and Randolph Streets and on South Canal Street (May 16) and at the UIC Student Center East (May 17)
  • 23 new cases in the Bensonhurst, Borough Park, Sunset Park, Jamaica, and Williamsburg sections of Brooklyn (498 total)
  • 2 new cases in Rockland County (233 total)
  • a child in Maine who exposed others in Somerset County at Madison Junior High School, Madison Area Memorial High School, a pediatrician’s office, and an ER (April 30 to May 6)
  • another case in King County, Washington, the Puget Sound Outbreak (7 total), with exposures in Renton

What kind of measles year will 2019 turn out to be? It is going to be a record year

These outbreaks are a great reminder to review the special vaccine travel requirements, including that adults who “plan to travel internationally should receive 2 doses of MMR at least 28 days apart,” that infants traveling abroad can get their first dose of MMR as early as age 6 to 11 months, with a repeat dose at age 12 months, and that “children aged who are greater than or equal to 12 months need 2 doses of MMR vaccine before traveling overseas,” even if they aren’t four to six years old yet.

For More Information On Measles Outbreaks:

Updated on May 22, 2019

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