title: Epidemiology of measles in the United States, 1997-2001.
abstract: Of the 540 measles cases (annual incidence, less than 1/million population) reported during 1997-2001 in the United States, 362 (67%) were associated with international importation: 196 imported cases, 138 cases epidemiologically linked to imported cases, and 28 cases associated with an imported measles virus genotype. The remaining 178 (33%) "unknown-source" cases were analyzed as potential evidence of endemic measles transmission. A total of 83 counties (2.6% of the 3140 US counties) in 27 states reported unknown-source cases; 49 counties reported only 1 unknown-source case, and the maximum reported by any county was 10. Nationally, unknown-source cases were reported in 103 of the 260 weeks. The largest unknown-source outbreak included 13 cases and lasted 5 weeks. The rarity of unknown-source cases, wide gaps in geographic and temporal distribution, and the short duration of the longest unknown-source outbreak indicate that endemic transmission of measles was not sustained in the United States during this period.
authors.affiliation: National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. mpapania@cdc.gov.
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Papania
authors.forename: Jane F
authors.initials: JF
authors.lastname: Seward
authors.forename: Susan B
authors.initials: SB
authors.lastname: Redd
authors.forename: Fabio
authors.initials: F
authors.lastname: Lievano
authors.forename: Rafael
authors.initials: R
authors.lastname: Harpaz
authors.forename: Melinda E
authors.initials: ME
authors.lastname: Wharton
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002487:Centers for Disease Control and Prevention, U.S.; D002648:Child; D002675:Child, Preschool; D018563:Disease Notification; D019353:Endemic Diseases; D006801:Humans; D015994:Incidence; D007223:Infant; D008457:Measles / Q000453:epidemiology* / Q000635:transmission; D008458:Measles Vaccine / Q000008:administration & dosage / Q000627:therapeutic use; D008571:Men; D014195:Travel; D014481:United States / Q000453:epidemiology; D014611:Vaccination; D014930:Women
chemical_list: D008458:Measles Vaccine