Академический Документы
Профессиональный Документы
Культура Документы
Anne Schuchat, MD
RADM, US Public Health Service
Assistant Surgeon General
Director, National Center for Immunization and Respiratory
Diseases
1963
Vaccine
Licensed
30,000
1989-1991
Resurgence
25,000
400,000of cases
Number
20,000
15,000
300,000
200,000
10,000
1993
Vaccines for
Children
Program
2000
Elimination
Declared
5,000
0
100,000
1989 2nd Dose
Recommended
Year
Vaccination status
65% unvaccinated
20% unknown vaccination status
15% vaccinated
DC US National Report: to PAHO on Documentation and verification of measles, rubella and CRS
mination in the Americas
2011
2012
2013
2014
80
21
54
60
importations
importations
importations
importations
14 outbreaks
4 outbreaks
11 outbreaks
23 outbreaks
3
3
3
3
21 cases
- 14 cases
- 58 cases
383 cases
700
600
500
400
300
200
100
0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
20
01
20
02
20
03
20
04
20
05
20
06
20
07
Incidence/million
U.S., 2014
25
20
15
10
5
0
11
200
Jan 2015
100
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Month
Aug
Sep
Oct
Nov
Dec
Childcare
centers
Hospital
Transportatio
n
Widely
attended
gatherings
ER
Family
14
Measles 2015
15
Yea Locatio
r
n
Number
of cases
(outbrea
ks)
201
1
US
107 (16)
$2.7-5.3M
201
1
Utah
13 (2)
>$330,000
200
8
Californi 12 (1)
a
$125,000
200
8
Arizona
$800,000
14 (1)
200 health
Indiana
34 care
(1) costs expended
$168,000
*Public
and health
to control the spread of
21
22
HP2020 Goal:
<1%
1
0.8
0.7
0.6
0.8
0.7
0.6
National Immunization Survey, 19-35 month old children, US, 2008 2013
MMWR 63(34); 741-748, August 29, 2014
20th Century
Annual Morbidity
2014
Reported Cases
Percent
Decrease
Smallpox
29,005
100%
Diphtheria
21,053
> 99%
Measles
530,217
628
> 99%
Mumps
162,344
1,151
99%
Pertussis
200,752
28,660
86%
Polio (paralytic)
16,316
100%
Rubella
47,745
> 99%
152
100%
Tetanus
580
21
96%
20,000
27*
> 99%
Haemophilus influenzae
JAMA. 2007;298(18):2155-2163
CDC. MMWR January 9, 2015 / 63(53);ND-733-ND-746. (MMWR 2014 provisional week 53 data)
* Haemophilus influenzae type b (Hib) < 5 years of age. An additional 12 cases of Hib are estimated to have occurred among the 226
reports of Hi (< 5 years of age) with unknown serotype.
Whats a journalist to do
27
www.cdc.gov/measle
Acknowledgements
State and local health departments
CDC staff : measles epidemiology, laboratory,
health economics, communications, policy
Jane Seward
Greg Wallace
Amy Fiebelkorn
Paul Gastanaduy
Susan Redd
Nakia Clements
Mark Papania
Susan Reef
William Bellini
Michelle Basket
Teresa Smith
Natarsha Thompson
Paul Rota
Jennifer Rota
Ismael Ortega-Sanchez
Jeanette St Pierre
Sarah Poser
Jessica Allen
Mark Pallansch
Karen Mason
Candice Swartwood
Kristin Pope
Nancy Messonnier