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The outbreak of measles grows in the Northwest Pacific



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By Associated Press

VANCOUVER, Wash. – The number of confirmed cases of measles near Portland increases to 31

on Friday – an outbreak stimulated by lower than normal public health vaccination in southwest Washington, just across the Columbia River from Portland, Oregon, say people can have been exposed to dangerous disease in more than three dozen locations including Portland International Airport, Portland Trail Blazers, Amazon Locker location, and stores such as Costco and Ikea.

Twenty-six of the confirmed patients were not vaccinated against measles, and the vaccination status of four others who were infected is unknown. One child is hospitalized. Authorities say nine more cases are suspected.

One case was also confirmed in the King County, which is home to Seattle, and one confirmed on Friday night in the county of Malta, where Portland lives. children under the age of 10 years, says a Clark County Public Health Department statement. An adult is infected, and the rest are teenagers. Officials in Oregon have not specified the age of the infected adult.

Sign prohibiting all children under the age of 12 and unvaccinated adults is at the entrance to the Medical Center for Peace in Healthcare in Vancouver, Washington, Friday, January 25, 2019. Washington Governor Jay Insela declared emergency state health emergency information on Friday after confirming cases of measles up to 30, with nine more suspects. AP Photo / Jillian Flach

Washington. urgency for his condition on Friday. Authorities in neighboring Oregon and Idaho issued warnings.

Inslee said the number of cases "creates an exceptional risk to public health that can spread rapidly to other countries."

The measles vaccine is part of routine pictures of childhood for decades. and measles are declared to be eliminated in the US in 2000

But measles are still a major problem in other parts of the world. Passengers infected abroad can bring the virus into the country and spread it, causing recurrent outbreaks.

Last year there were 17 outbreaks and about 350 cases of measles in the United States. started. The first known patient sought medical attention on December 31, but it is not known whether other people had previously had illness and had not sought treatment. Public health officials are now focused on preventing more exposures.

It may take weeks or even months before the "delicately contagious" virus is in Washington, said Dr. Alan Melnik, a Clark County Health Officer. 19659007] People who decide not to vaccinate their children underestimate the dangers of the disease, says Melnik, who himself had measles as a child before the vaccine was routine. Every year, 50,000 people are hospitalized and 4,000 people develop brain edema that can cause deafness, he said. Between one and three cases out of every 1000 are fatal, he said.

"This is one of the most contagious viruses we have, there may be really serious complications … and it is completely preventable with an incredibly cheap and safe vaccine,"

Clark County has already spent more than $ 100,000 , trying to stop the outbreak, and staff were pulled from other duties, including restaurant inspections, he said. "These are all hands on the deck. will cost hundreds of thousands of dollars and I will not be surprised if we were in the seven figures until we are here, "he said. "These costs could be prevented if we were all vaccinated." County Clark, which includes Portland's bedroom in Vancouver, Washington, has a 78% vaccine vaccination rate, well below 92-94 percent, needed for so-called "herd immunity," said Marissa Armstrong, a spokeswoman for the department. The immunity of the flock occurs when unvaccinated individuals are protected from infection because almost all of them are vaccinated and immune to disease.

The rate of vaccination against measles for 2-year-olds in County of Malta, home to Portland, is 87% 2017, according to state data. The measles vaccine consists of two shots, one of which is given at age 2, and the second is usually between 4 and 6 years old.

The Portland vaccination rates for both cases were not immediately available.

Two doses of the vaccine in childhood are 97% effective and provide immunity for life. One dose is about 93% effective.

Both Washington and Oregon allow vaccine release for personal and philosophical reasons. Vaccine release rates in Clark County for non-medical reasons are high – 7.5%, Armstrong said. in society three weeks prior to becoming ill. Patients remain infected for four days after developing a rash

The virus, spread by coughing or sneezing, can remain in the air for up to two hours in an isolated space. Ninety percent of people who have been exposed to measles who have not been vaccinated will receive it, say public health officials.

Earlier this week, the authorities managed to identify several people who were exposed but are not yet ill. These people stayed home and later became ill, Armstrong said.

Those who may have been exposed should watch for early symptoms of fever and malaise, then a rash beginning on the head and moving on the body. In some cases, serious complications such as pneumonia and brain infections can occur.


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