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NY: 2019 Measles - Case in Putnam Co.; New case in Rockland Co.

Source: https://www1.nyc.gov/site/doh/health/health-topics/measles.page
[h=2]Recent Outbreak in Brooklyn and Queens[/h] As of May 24, 2019, there have been 535 confirmed cases of measles in Brooklyn and Queens since September. Most of these cases have involved members of the Orthodox Jewish community.
[h=3]Vaccination Requirement in Brooklyn[/h] On April 9, the Health Commissioner ordered every adult and child who lives, works or resides in the following ZIP codes and has not received the measles, mumps and rubella (MMR) vaccine to be vaccinated:
  • 11205
  • 11206
  • 11211
  • 11249
On April 17, the Board of Health voted unanimously to adopt a resolution supporting the Commissioner's order and the vaccination requirement.
As of May 24, 25,510 doses of the MMR vaccine have been administered to people who are under 19 years old in Williamsburg and Borough Park since October.
People who demonstrate they are immune from measles or have a medical condition that prevents them from receiving the vaccine will not need to get vaccinated.
If the Health Department identifies a person with measles or an unvaccinated child exposed to measles in one of the above ZIP codes, that individual or their parent or guardian could be fined $1,000.
You can get vaccinated at a Federally Qualified Health Center near you, or at our immunization clinic in Fort Greene.

*********************************************************************************

Source: https://www.health.ny.gov/publications/2170/
Some areas of New York State are currently experiencing a measles outbreak, including the lower Hudson Valley and parts of New York City.
Measles spreads easily and can be dangerous to anyone who is not vaccinated. If you have questions about measles or the measles vaccine, call the New York State Measles Hotline at 888-364-4837.

As of May 24, 2019, there are 305 confirmed cases of measles in New York State outside of New York City (250 in Rockland County, 36 in Orange County, 17 in Westchester County, 2 in Sullivan County, 1 in Suffolk County and 1 in Greene County.)

[h=2][/h]
 
Source: https://www.lohud.com/story/news/lo...sites-nanuet-monsey-spring-valley/1223243001/

Measles: More Rockland exposure sites in Nanuet, Monsey, Spring Valley
Robert Brum, Rockland/Westchester Journal News Published 2:29 p.m. ET May 24, 2019 | Updated 2:36 p.m. ET May 24, 2019

...Exposure Locations

Anyone who visited the following locations or used the following taxis at these times may have been exposed to measles:

Costco, 50 Overlook Blvd., Nanuet, on Thursday, May 16, from 7 p.m. until 9:00 p.m., with a risk of exposure until 11 p.m.
Maple Medex Pharmacy inside Evergreen Kosher Market, 59 Route 59, Monsey, on Thursday, May 16, from 12:40 p.m. to 3 p.m. with a risk of exposure until 5 p.m.
Satmar of Monsey, 1 Monsey Boulevard, Monsey, from Monday, May 6 through Tuesday, May 14, with an ongoing risk of exposure.
Congregation Yetev Lev of Satmar, 13 Monsey Blvd., Monsey, from Monday, May 6 through Tuesday, May 14 with an ongoing risk of exposure.
Rockland Kosher Supermarket in the Shoppers Haven Mall, 27 Orchard St., Monsey, on Monday, May 13, from 4 p.m. to 7 p.m., with a risk of exposure until 9 p.m.
Congregation Khal Torath Chaim Viznitz, 25 Phyllis Terrace, Monsey, from Sunday, May 12, until Sunday, May 19, with an ongoing risk of exposure.
Bais Medrash Ohr Chaim, 20 Forshay Road, Monsey, on Wednesday, May 15, from 1 p.m. to 5 p.m., with a risk of exposure until 7 p.m.
Bais Medrash Ohr Chaim, 20 Forshay Road, Monsey, on Thursday, May 16, from 1 p.m. to 5 p.m. with a risk of exposure until 7 p.m.
Synagogue Yeshiva Chovetz Chaim, 51 Kiryas Radin Drive, Spring Valley, on Wednesday, May 15, from 9:45 a.m. to 1 p.m., with a risk of exposure until 3 p.m.
Synagogue Yeshiva Chovetz Chaim, 51 Kiryas Radin Drive, Spring Valley, on Thursday, May 16, from 9:45 a.m. to 1 p.m. with a risk of exposure until 3 p.m.

Taxis

La Familia Taxi on Monday, May 13, roundtrip to Rockland Kosher Supermarket, from 3:30 p.m. to 4 p.m. with a risk of exposure until 6 p.m. and from 7 p.m. to 7:30 p.m. with a risk of exposure until 9:30 p.m.
La Familia Taxi on Sunday, May 19, to Refuah Health Center at 728 N. Main St., Spring Valley, from 4:30 p.m. to 5 p.m.,with a risk of exposure until 7 p.m.

Precautions

These times reflect the period that the infected individuals were in these areas and a two-hour period after they left, because the virus remains in the air and on surfaces for up to two hours.

Anyone who was at these locations during these times, especially if they are in any of the following high-risk groups, is urged to contact their health care provider by phone right away (call before going for care):

Pregnant
A child under 6 months of age
Immunocompromised or immunosuppressed (when your body can't fight disease)
Have not been vaccinated against the measles
Were born before 1957 and are immunosuppressed..
 
Source: https://www.kingscountypolitics.com...ntified-in-sunset-park-outbreak-rises-to-535/

... There have now been 12 confirmed cases in Sunset Park in total, which is an increase of four since the last public update on May 20. With this new announcement, there have now been 535 cases of measles confirmed as of May 23 since the beginning of the outbreak last October. Here is the breakdown by neighborhood:
  • Bensonhurst: 2 (no additional case in the past week)
  • Borough Park: 84 (4 additional cases in the past week)
  • Brighton Beach: 4 (no additional case in the past week)
  • Crown Heights: 3 (1 additional case in the past week)
  • Flatbush: 1 (no additional case in the past week)
  • Midwood/Marine Park: 4 (no additional case in the past week)
  • Sunset Park: 12 (4 additional case in the past week)
  • Williamsburg: 418 (3 additional cases in the past week)
  • Flushing, Queens: 3 (no additional case in the past week)
  • Far Rockaway, Queens: 1 (no additional case in the past week)
  • Jamaica, Queens: 2 (no additional case in the past week)
  • Hunts Point, Longwood & Melrose, Bronx: 1 (no additional case in the past week)
The cases in Sunset Park are among individuals who do not identify as part of the Orthodox Jewish community. According to the NYC DOH, vaccination rate among children in this neighborhood is high, but the department will look to scale up community outreach in the area?s most commonly spoken languages to raise awareness and encourage vaccinations among children and adults
 
Source: https://pix11.com/2019/05/28/rockla...d-state-of-emergency-as-measles-crisis-grows/


Rockland County issues third state of emergency as measles crisis grows
Posted 2:22 PM, May 28, 2019, by Kristine Garcia

ROCKLAND, N.Y. ? Rockland County officials have issued a third declaration of a state of emergency as the measles crisis in the country grows.

The second declaration was due to expire May 25th at 11:59 p.m. The renewed state of emergency went into effect Sunday morning and will remain in effect until 11:59 p.m. June 24, 2019, according to Rockland County officials.

?21,582 MMR vaccinations have been given in Rockland since October 2018. This number has increased by 4,624 since the declaration of the original State of Emergency on March 26, 2019; clearly showing how much progress we are making against this outbreak, despite the confusion caused by the various court rulings,? said County Executive Ed Day. ?This outbreak, however, is still a public health emergency and we need the entire community?s help to end it.?

In a Tuesday morning press conference, New York Sen. Brad Hoylman called on the Legislature to pass a bill that would require the end of religious exemptions and non-medical loopholes for vaccines...
 
Source: https://www1.nyc.gov/site/doh/health/health-topics/measles.page

s of May 29, 2019, there have been 550 confirmed cases in NYC since September. Most of these cases have involved members of the Orthodox Jewish community. [h=3]Vaccination Requirement in Brooklyn[/h] On April 9, the Health Commissioner ordered every adult and child who lives, works or resides in the following ZIP codes and has not received the measles, mumps and rubella (MMR) vaccine to be vaccinated:
  • 11205
  • 11206
  • 11211
  • 11249
On April 17, the Board of Health voted unanimously to adopt a resolution supporting the Commissioner's order and the vaccination requirement.
As of May 24, 25,510 doses of the MMR vaccine have been administered to people who are under 19 years old in Williamsburg and Borough Park since October.
People who demonstrate they are immune from measles or have a medical condition that prevents them from receiving the vaccine will not need to get vaccinated.
If the Health Department identifies a person with measles or an unvaccinated child exposed to measles in one of the above ZIP codes, that individual or their parent or guardian could be fined $1,000...

******************************************************************************************

Source: http://rocklandgov.com/departments/health/measles-information/
[h=3]2018 - 2019 Measles Outbreak in Rockland County:[/h] As of May 28, 2019, there are 254 confirmed reported cases of measles in Rockland County.

Vaccination rates for confirmed measles cases in Rockland County as of May 28, 2019:
  • 78.0% have had 0 MMRs
  • 4.3% have had 1 MMR
  • 3.1% have had 2 MMRs
  • 14.6% unknown status
Age groups for the confirmed measles cases in Rockland County as of May 28, 2019:
  • Less than 1 year old: 12.2%
  • 1-3 years: 24.8%
  • 4-6 years: 13.4%
  • 7-18 years: 29.5%
  • 19+ years: 20.1%
****************************************************************************************

Source: https://www.health.ny.gov/publications/2170/
Some areas of New York State are currently experiencing a measles outbreak, including the lower Hudson Valley and parts of New York City.
Measles spreads easily and can be dangerous to anyone who is not vaccinated. If you have questions about measles or the measles vaccine, call the New York State Measles Hotline at 888-364-4837.

As of May 29, 2019, there are 310 confirmed cases of measles in New York State outside of New York City (254 in Rockland County, 36 in Orange County, 17 in Westchester County, 3 in Sullivan County, 1 in Suffolk County and 1 in Greene County.)

[h=2][/h]
 
Source: https://patch.com/new-york/chelsea-ny/manhattan-resident-gets-measles-exposure-sunset-park

Manhattan Resident Gets Measles From Exposure In Sunset Park
The city said 550 individuals had been diagnosed with measles as of May 28 since the outbreak first began last October.
By Sydney Pereira, Patch Staff | May 29, 2019 4:25 pm ET | Updated May 29, 2019 4:29 pm ET

...A DOH spokesman said the Manhattanite resides in the area of the Chelsea and Clinton neighborhoods and became ill early last week. The department said the resident was diagnosed after exposure to the disease in Sunset Park, Brooklyn, where there are 12 confirmed cases after the outbreak spread to that neighborhood earlier this month.

Seven people in Staten Island were also diagnosed with measles, the DOH said. Six of those were linked to exposure in Rockland County back in March while the seventh was linked to Sunset Park measles activity, the department said...

...About 77 percent of measles cases are in the Williamsburg ZIP codes of 11205, 11206, 11211 and 11249, where people who live or work are required to have the measles-mumps-rubella (MMR) vaccine under an emergency order from April...
 
Source: http://rocklandgov.com/departments/health/measles-information/
[h=3]2018 - 2019 Measles Outbreak in Rockland County:[/h] As of May 31, 2019, there are 255 confirmed reported cases of measles in Rockland County.

Vaccination rates for confirmed measles cases in Rockland County as of May 28, 2019:
  • 78.0% have had 0 MMRs
  • 4.3% have had 1 MMR
  • 3.1% have had 2 MMRs
  • 14.6% unknown status
Age groups for the confirmed measles cases in Rockland County as of May 28, 2019:
  • Less than 1 year old: 12.2%
  • 1-3 years: 24.8%
  • 4-6 years: 13.4%
  • 7-18 years: 29.5%
  • 19+ years: 20.1%
***************************************************************************

Source: https://www.health.ny.gov/publications/2170/
Some areas of New York State are currently experiencing a measles outbreak, including the lower Hudson Valley and parts of New York City.
Measles spreads easily and can be dangerous to anyone who is not vaccinated. If you have questions about measles or the measles vaccine, call the New York State Measles Hotline at 888-364-4837.

As of May 31, 2019, there are 312 confirmed cases of measles in New York State outside of New York City (255 in Rockland County, 37 in Orange County, 17 in Westchester County, 3 in Sullivan County, 1 in Suffolk County and 1 in Greene County.)

[h=2][/h]
 
Source: https://www.health.ny.gov/publications/2170/
Some areas of New York State are currently experiencing a measles outbreak, including the lower Hudson Valley and parts of New York City.
Measles spreads easily and can be dangerous to anyone who is not vaccinated. If you have questions about measles or the measles vaccine, call the New York State Measles Hotline at 888-364-4837.

As of June 3, 2019, there are 317 confirmed cases of measles in New York State outside of New York City (255 in Rockland County, 38 in Orange County, 17 in Westchester County, 5 in Sullivan County, 1 in Suffolk County and 1 in Greene County.)

[h=2][/h]
 
Source: https://www1.nyc.gov/site/doh/health/health-topics/measles.page
[h=2]Recent Outbreak in Brooklyn and Queens[/h] As of June 3, 2019, there have been 566 confirmed cases in NYC since September. Most of these cases have involved members of the Orthodox Jewish community.
[h=3]Vaccination Requirement in Brooklyn[/h] On April 9, the Health Commissioner ordered every adult and child who lives, works or resides in the following ZIP codes and has not received the measles, mumps and rubella (MMR) vaccine to be vaccinated:
  • 11205
  • 11206
  • 11211
  • 11249
On April 17, the Board of Health voted unanimously to adopt a resolution supporting the Commissioner's order and the vaccination requirement.
As of June 3, 27,074 doses of the MMR vaccine have been administered to people who are under 19 years old in Williamsburg and Borough Park since October.
People who demonstrate they are immune from measles or have a medical condition that prevents them from receiving the vaccine will not need to get vaccinated.
If the Health Department identifies a person with measles or an unvaccinated child exposed to measles in one of the above ZIP codes, that individual or their parent or guardian could be fined $1,000.
You can get vaccinated at a Federally Qualified Health Center near you, or at our immunization clinic in Fort Greene...
 
Source: https://midhudsonnews.com/2019/06/05/sullivan-county-issues-measles-public-health-advisory/

Sullivan County issues measles public health advisory
June 5, 2019


LIBERTY ? There are five confirmed cases of measles since March in Sullivan County and now the Public Health Department has issued an advisory for possible exposures to individuals who recently tested positive for the virus. There are two suspected cases.

Residents may have been exposed if they were at:

Gibbers-Viznitz in Kiamesha Lake on May 16 between 10 a.m. and 12 p.m., or between May 25 and June 2,
Yeshiva Gedolah Zichron Moshe in South Fallsburg between May 14 and 22 or between May 25 and June 3,
Garden Terrace in Fallsburg on May 18 between 12:30 p.m. and 2:30 p.m...
 
Source: https://www.health.ny.gov/publications/2170/
Some areas of New York State are currently experiencing a measles outbreak, including the lower Hudson Valley and parts of New York City.
Measles spreads easily and can be dangerous to anyone who is not vaccinated. If you have questions about measles or the measles vaccine, call the New York State Measles Hotline at 888-364-4837.

As of June 6, 2019, there are 323 confirmed cases of measles in New York State outside of New York City (259 in Rockland County, 38 in Orange County, 18 in Westchester County, 6 in Sullivan County, 1 in Suffolk County and 1 in Greene County.)

[h=2][/h]
 
Source: https://www.lohud.com/story/news/lo...unces-spring-valley-exposure-site/1383236001/

Measles: Rockland County announces Spring Valley exposure site
Robert Brum, Rockland/Westchester Journal News Published 3:46 p.m. ET June 7, 2019

Another measles exposure site was announced in Rockland County, where an eight-month outbreak has led to a total of 259 confirmed cases.

Anyone who visited Pharmacy Plus, 728 N. Main St., Spring Valley, on Tuesday, May 28 from 1-2 p.m., may have been exposed to measles, with a risk of exposure until 4 p.m.

The time frame reflects the period that the infected individuals were in this area and a two-hour period after they left the area, because the highly contagious virus remains in the air and on surfaces for up to two hours...
 
Source: https://www.health.ny.gov/publications/2170/
Some areas of New York State are currently experiencing a measles outbreak, including the lower Hudson Valley and parts of New York City.
Measles spreads easily and can be dangerous to anyone who is not vaccinated. If you have questions about measles or the measles vaccine, call the New York State Measles Hotline at 888-364-4837.

As of June 7, 2019, there are 324 confirmed cases of measles in New York State outside of New York City (259 in Rockland County, 39 in Orange County, 18 in Westchester County, 6 in Sullivan County, 1 in Suffolk County and 1 in Greene County.)

[h=2][/h]
 
Source: http://rocklandgov.com/departments/health/measles-information/
[h=3]2018 - 2019 Measles Outbreak in Rockland County:[/h] As of June 10, 2019, there are 262 confirmed reported cases of measles in Rockland County.

Vaccination rates for confirmed measles cases in Rockland County as of June 10, 2019:
  • 77.9% have had 0 MMRs
  • 4.6% have had 1 MMR
  • 3.4% have had 2 MMRs
  • 14.1 unknown status
Age groups for the confirmed measles cases in Rockland County as of June 10, 2019:
  • Less than 1 year old: 11.8%
  • 1-3 years: 26.0%
  • 4-6 years: 13.7%
  • 7-18 years: 28.6%
  • 19+ years: 19.8%

*****************************************************************************

Source: https://www.health.ny.gov/publications/2170/
Some areas of New York State are currently experiencing a measles outbreak, including the lower Hudson Valley and parts of New York City.
Measles spreads easily and can be dangerous to anyone who is not vaccinated. If you have questions about measles or the measles vaccine, call the New York State Measles Hotline at 888-364-4837.

As of June 10, 2019, there are 329 confirmed cases of measles in New York State outside of New York City (262 in Rockland County, 40 in Orange County, 18 in Westchester County, 7 in Sullivan County, 1 in Suffolk County and 1 in Greene County.)

[h=2][/h]
 
Source: https://hudsonvalleypost.com/hudson-valley-doctors-office-pharmacy-exposed-to-measles/

Hudson Valley Doctor?s Office, Pharmacy Exposed To Measles
Bobby Welber
June 11, 2019

Officials announced more sites where you could have been exposed to measles in the Hudson Valley, including a doctor's office and a pharmacy.


On Monday, the Sullivan County Public Health Department announced more possible measles exposure sites and confirmed seven Sullivan County residents have tested positive for measles this year.

Residents may have been exposed to measles if they were at the following location on June 1, between 8 a.m. and 12 p.m. or between 4 p.m. and 10 p.m.

Yeshiva Gedolah Zichron Moshe
Laurel Park Road
South Fallsburg, NY 12779

Residents may have been exposed to measles on June 4, if they were at the following location between 12:45 p.m. and 4 p.m.:

Middletown Medical
4058 State Route 42, Suite 6
Thompson Square Mall, Monticello, NY 12701

As of June 10, there are 262 confirmed reported cases of measles in Rockland County. Rockland County health officials also announced another measles exposure location

Anyone who visited Pharmacy Plus on North Main Street in Spring Valley during the afternoon on May 28 is at risk for exposure to measles, officials say...
 
Source: http://rocklandgov.com/departments/health/measles-information/
[h=3]2018 - 2019 Measles Outbreak in Rockland County:[/h] As of June 11, 2019, there are 267 confirmed reported cases of measles in Rockland County.

Vaccination rates for confirmed measles cases in Rockland County as of June 10, 2019:
  • 77.9% have had 0 MMRs
  • 4.6% have had 1 MMR
  • 3.4% have had 2 MMRs
  • 14.1 unknown status
Age groups for the confirmed measles cases in Rockland County as of June 10, 2019:
  • Less than 1 year old: 11.8%
  • 1-3 years: 26.0%
  • 4-6 years: 13.7%
  • 7-18 years: 28.6%
  • 19+ years: 19.8%
  • *********************************************************************************************************
Source: https://www1.nyc.gov/site/doh/health/health-topics/measles.page
[h=2]Recent Outbreak in Brooklyn and Queens[/h] As of June 10, 2019, there have been 588 confirmed cases in NYC since September.
[h=3]Vaccination Requirement in Brooklyn[/h] On April 9, the Health Commissioner ordered every adult and child who lives, works or resides in the following ZIP codes and has not received the measles, mumps and rubella (MMR) vaccine to be vaccinated:
  • 11205
  • 11206
  • 11211
  • 11249
On April 17, the Board of Health voted unanimously to adopt a resolution supporting the Commissioner's order and the vaccination requirement.
As of June 10, 27,607 doses of the MMR vaccine have been administered to people who are under 19 years old in Williamsburg and Borough Park since October.
People who demonstrate they are immune from measles or have a medical condition that prevents them from receiving the vaccine will not need to get vaccinated.
If the Health Department identifies a person with measles or an unvaccinated child exposed to measles in one of the above ZIP codes, that individual or their parent or guardian could be fined $1,000...

********************************************************************************************************************

Source: https://www.health.ny.gov/publications/2170/
Some areas of New York State are currently experiencing a measles outbreak, including the lower Hudson Valley and parts of New York City.
Measles spreads easily and can be dangerous to anyone who is not vaccinated. If you have questions about measles or the measles vaccine, call the New York State Measles Hotline at 888-364-4837.

As of June 11, 2019, there are 332 confirmed cases of measles in New York State outside of New York City (262 in Rockland County, 43 in Orange County, 18 in Westchester County, 7 in Sullivan County, 1 in Suffolk County and 1 in Greene County.)
 
Source: http://rocklandgov.com/departments/health/measles-information/
[h=3]2018 - 2019 Measles Outbreak in Rockland County:[/h] As of June 12, 2019, there are 266 confirmed reported cases of measles in Rockland County.

Age groups for the confirmed measles cases in Rockland County as of June 12, 2019:
  • Less than 1 year old: 11.8%
  • 1-3 years: 26.3%
  • 4-6 years: 13.5%
  • 7-18 years: 28.2%
  • 19+ years: 20.3%
Vaccination rates for confirmed measles cases in Rockland County as of June 12, 2019:
  • 77.8% have had 0 MMRs
  • 4.5% have had 1 MMR
  • 3.4% have had 2 MMRs
  • 14.3% have unknown status
 
Source: https://www.nydailynews.com/news/po...0190613-n7wudc2bcrdtbgdh624tabizzy-story.html


New York outlaws religious exemptions to vaccination amid epidemic national measles outbreak
By Denis Slattery
| New York Daily News |
Jun 13, 2019 | 5:15 PM

ALBANY ? Amid a record national outbreak in measles, New York state lawmakers outlawed religious exemptions to vaccination, shutting down anti-vaxxers who called the move unconstitutional.

Gov. Cuomo signed a bill into law Thursday evening...
 
Source: https://www.health.ny.gov/publications/2170/
Some areas of New York State are currently experiencing a measles outbreak, including the lower Hudson Valley and parts of New York City.
Measles spreads easily and can be dangerous to anyone who is not vaccinated. If you have questions about measles or the measles vaccine, call the New York State Measles Hotline at 888-364-4837.

As of June 14, 2019, there are 344 confirmed cases of measles in New York State outside of New York City (267 in Rockland County, 49 in Orange County, 18 in Westchester County, 8 in Sullivan County, 1 in Suffolk County and 1 in Greene County.)
 
Source: https://www1.nyc.gov/site/doh/health/health-topics/measles.page
[h=2]Recent Outbreak in Brooklyn and Queens[/h] As of June 17, 2019, there have been 596 confirmed cases in NYC since September.
[h=3]Vaccination Requirement in Brooklyn[/h] On April 9, the Health Commissioner ordered every adult and child who lives, works or resides in the following ZIP codes and has not received the measles, mumps and rubella (MMR) vaccine to be vaccinated:
  • 11205
  • 11206
  • 11211
  • 11249
On April 17, the Board of Health voted unanimously to adopt a resolution supporting the Commissioner's order and the vaccination requirement.
As of June 17, 28,351 doses of the MMR vaccine have been administered to people who are under 19 years old in Williamsburg and Borough Park since October.
People who demonstrate they are immune from measles or have a medical condition that prevents them from receiving the vaccine will not need to get vaccinated.
If the Health Department identifies a person with measles or an unvaccinated child exposed to measles in one of the above ZIP codes, that individual or their parent or guardian could be fined $1,000.
You can get vaccinated at a Federally Qualified Health Center near you, or at our immunization clinic in Fort Greene...

**********************************************************************************************

Source: https://www.health.ny.gov/publications/2170/
Some areas of New York State are currently experiencing a measles outbreak, including the lower Hudson Valley and parts of New York City.
Measles spreads easily and can be dangerous to anyone who is not vaccinated. If you have questions about measles or the measles vaccine, call the New York State Measles Hotline at 888-364-4837.

As of June 17, 2019, there are 347 confirmed cases of measles in New York State outside of New York City (268 in Rockland County, 51 in Orange County, 18 in Westchester County, 8 in Sullivan County, 1 in Suffolk County and 1 in Greene County.)
 
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