Published Date: 2014-07-20 17:43:47
Subject: PRO/EDR> Measles update (29)
Archive Number: 20140720.2623526
Date: Tue 15 Jul 20014
Source: The Examiner [abridged, edited]
http://www.examiner.com/article/kansas-city-measles-outbreak-reaches-30-cases
The outbreak of measles in the Kansas City area continues to grow and is now the 3rd largest in the United States this year [2014]. In a 14 Jul 2014 e-mail, the Missouri Department of Health confirmed 21 cases in the state. On that same day, the Kansas Department of Health reported 9 in the state. All 30 cases are linked and a part of the same outbreak.
Measles has spread beyond the Kansas City metro area to Sedgwick County and the city of Wichita. There have been 6 measles cases in that area, and all are linked to Kansas City. The 1st 2 patients were an unvaccinated adult and a child too young to be vaccinated, announced on 10 Jul 2014. On 12 Jul 2014, the Kansas Department of Health and Environment announced confirmation of 4 measles cases which are tied to Kansas City but apparently unrelated to the 1st 2 reported illnesses. Three adults working at a local steak house have contracted the disease, and an unvaccinated child exposed at the restaurant has also become ill. The growing number of measles cases in Kansas and Missouri places this outbreak 3rd nationally for 2014. Only an ongoing outbreak in Ohio and an outbreak early in the year [2014] in Southern California have had more cases.
In Ohio, public health workers continue to hold their breath as a 2nd week with no new measles cases passes. The total in the outbreak among Ohio's Amish community remains at 368 through 14 Jul 2014. Pam Palm, the press contact for the Knox County Health Department, told the Examiner on 10 Jul 2014 that 42 days without a new illness must pass before the outbreak is declared over. That deadline would be on or about 10 Aug 2014.
In the State of Washington, a measles outbreak within the Micronesian community of King County has resulted in 12 illnesses. Pierce County has reported 2 of the 12 measles cases. One patient was exposed in a hospital emergency department, and the other is a close contact of that patient. The 12 measles cases are part of a year-to-date total for Washington of 27 illnesses in at least 3 outbreaks.
On 14 Jul 2014, the Centers for Disease Control released their weekly report on the number of measles cases reported to them. In 2014 through 11 Jul 2014, the CDC has received reports of 566 confirmed cases of measles from 20 states. This is the highest number of reported illnesses since 1995, with the Ohio outbreak accounting for 66 percent of the total.
More at the link
http://promedmail.org/direct.php?id=20140720.2623526
Here I made a summary of the weekly cases from the MMWR, beginning with wk 1 and ending with the current week:
Current wk cases, cumulative 2014, state, cases per state, indigenous or imported
Here are the cumulative numbers for the last 5 years:
187, 55, 220, 63, 71
http://www.cdc.gov/mmwr/mmwr_wk/wk_cvol.html
Subject: PRO/EDR> Measles update (29)
Archive Number: 20140720.2623526
Date: Tue 15 Jul 20014
Source: The Examiner [abridged, edited]
http://www.examiner.com/article/kansas-city-measles-outbreak-reaches-30-cases
The outbreak of measles in the Kansas City area continues to grow and is now the 3rd largest in the United States this year [2014]. In a 14 Jul 2014 e-mail, the Missouri Department of Health confirmed 21 cases in the state. On that same day, the Kansas Department of Health reported 9 in the state. All 30 cases are linked and a part of the same outbreak.
Measles has spread beyond the Kansas City metro area to Sedgwick County and the city of Wichita. There have been 6 measles cases in that area, and all are linked to Kansas City. The 1st 2 patients were an unvaccinated adult and a child too young to be vaccinated, announced on 10 Jul 2014. On 12 Jul 2014, the Kansas Department of Health and Environment announced confirmation of 4 measles cases which are tied to Kansas City but apparently unrelated to the 1st 2 reported illnesses. Three adults working at a local steak house have contracted the disease, and an unvaccinated child exposed at the restaurant has also become ill. The growing number of measles cases in Kansas and Missouri places this outbreak 3rd nationally for 2014. Only an ongoing outbreak in Ohio and an outbreak early in the year [2014] in Southern California have had more cases.
In Ohio, public health workers continue to hold their breath as a 2nd week with no new measles cases passes. The total in the outbreak among Ohio's Amish community remains at 368 through 14 Jul 2014. Pam Palm, the press contact for the Knox County Health Department, told the Examiner on 10 Jul 2014 that 42 days without a new illness must pass before the outbreak is declared over. That deadline would be on or about 10 Aug 2014.
In the State of Washington, a measles outbreak within the Micronesian community of King County has resulted in 12 illnesses. Pierce County has reported 2 of the 12 measles cases. One patient was exposed in a hospital emergency department, and the other is a close contact of that patient. The 12 measles cases are part of a year-to-date total for Washington of 27 illnesses in at least 3 outbreaks.
On 14 Jul 2014, the Centers for Disease Control released their weekly report on the number of measles cases reported to them. In 2014 through 11 Jul 2014, the CDC has received reports of 566 confirmed cases of measles from 20 states. This is the highest number of reported illnesses since 1995, with the Ohio outbreak accounting for 66 percent of the total.
More at the link
http://promedmail.org/direct.php?id=20140720.2623526
Here I made a summary of the weekly cases from the MMWR, beginning with wk 1 and ending with the current week:
Current wk cases, cumulative 2014, state, cases per state, indigenous or imported
Code:
1 1 CA (1) = 1 imported(wk 1)
0 1
4 6 OR (4) = 3 indigenous, 1 imported
0 6
5 13 MA (1), TX (1), CA (3) = 1 indigenous, 4 imported (wk 5)
2 20 NY (1), TX (1) = 2 imported
2 24 NY (2) = 2 imported
1 28 NYC (1) = 1 imported
3 51 NY (1), NYC (1), CA (1) = 2 indigenous, 1 imported (wk 9)
10 71 NYC (1), CA (9) = 2 indigenous, 8 imported
5 80 NYC (1), CA (4) = 1 indigenous, 4 imported
4 89 CA (4) = 4 imported
9 106 NYC (1), CA (8) = 1 indigenous, 8 imported (wk 13)
1 108 CA (1) = 1 imported
2 112 CA (2) = 2 imported
0 120
14 134 OH (14) = 14 imported (wk 17)
20 161 OH (19), PA (1) = 7 indigenous, 13 imported
27 188 OH (27) = 19 indigenous, 8 imported
28 220 OH (25), Mo (2), WA (1) = 13 indigenous, 15 imported
87 307 OH (72), WA (14), CA (1) = 16 indigenous, 71 imported (wk 21)
29 335 OH (29) = 18 indigenous, 11 imported
65 402 OH (46), MO (1) = 42 indigenous, 22 imported
1 403 WA (1) = imported
26 503 OH (25), WA (1) = 12 indigenous, 13 imported (wk 25)
22 532 OH (22) = 15 indigenous, 7 imported
8 548 RI (1), OH (6), Mo (1) = 1 indigenous, 7 imported
3 552 OH (1), TX (2) = 1 indigenous, 2 importedHere are the cumulative numbers for the last 5 years:
187, 55, 220, 63, 71
http://www.cdc.gov/mmwr/mmwr_wk/wk_cvol.html