U.S. measles outbreak spreads to Idaho and Virginia, hits 1,022 cases

FILE PHOTO: A vial of the measles, mumps, and rubella (MMR) vaccine at the International Community Health Services clinic in Seattle, Washington, U.S., March 20, 2019. REUTERS/Lindsey Wasson/File Photo

The United States’ worst measles outbreak in a quarter-century spread to Idaho and Virginia last week as public health authorities on Monday reported 41 new cases of the highly contagious and sometimes deadly disease.

The U.S. has recorded 1,022 cases of the diseases this year as of June 6, in an outbreak blamed on misinformation about vaccines, the U.S. Centers for Disease Control and Prevention said.

The 2019 outbreak, which has reached 28 states, is the worst since 1992, when 2,126 cases were recorded.

Federal health officials attribute this year’s outbreak to U.S. parents who refuse to vaccinate their children. These parents believe, contrary to scientific evidence, that ingredients in the vaccine can cause autism.

“We cannot say this enough: Vaccines are a safe and highly effective public health tool that can prevent this disease and end the current outbreak,” Health and Human Services Secretary Alex Azar said in a statement last week.

Measles was declared eliminated in the United States in 2000, meaning there was no continuous transmission of the disease for a year. Still, cases of the virus occur and spread via travelers coming from countries where measles is common.

CDC officials have warned that the country risks losing its measles elimination status if the ongoing outbreak, which began in October 2018 in New York, continues until October 2019.

(Reporting by Gabriella Borter in New York and Aakash Jagadeesh Babu in Bengaluru; Editing by Scott Malone and Susan Thomas)

U.S. measles outbreak grows with 60 new measles cases across 26 states

FILE PHOTO: Centers for Disease Control and Prevention (CDC) headquarters in Atlanta, Georgia September 30, 2014. REUTERS/Tami Chappell/File Photo/File Photo

(Reuters) – The United States recorded 60 new measles cases last week, taking confirmed cases for the year to 940, the worst outbreak since 1994 and since measles was declared eliminated in 2000, federal health officials said on Monday.

The U.S. Centers for Disease Control and Prevention reported a 6.8% increase in the number of measles cases in the week ended May 24 in an outbreak that has now reached 26 states. The agency has been providing weekly updates every Monday.

Experts warn that the outbreak is not over as the number of cases edges closer to the 1994 total of 958. That was the highest number since 1992, when the CDC recorded 2,126 cases.

Public health officials have blamed the measles resurgence on the spread of misinformation about vaccines, as a vocal fringe of parents oppose vaccines, believing, contrary to scientific studies, that ingredients in them can cause autism.

Although the virus was eliminated from the United States in 2000, meaning the disease was no longer a constant presence, outbreaks still happen via travelers coming from countries where measles is still common, according to the U.S. Centers for Disease Control and Prevention.

(Reporting by Shubham Kalia and Saumya Sibi Joseph in Bengaluru; Editing by Phil Berlowitz)

U.S. measles outbreak triggers quarantine at two Los Angeles universities

FILE PHOTO: A measles poster is seen at Venice Family Clinic in Los Angeles, California February 5, 2015. REUTERS/Lucy Nicholson

By Alex Dobuzinskis

LOS ANGELES (Reuters) – A nationwide measles outbreak has led health officials to quarantine dozens of people at two Los Angeles universities, officials said on Thursday.

The quarantine affects the University of California, Los Angeles (UCLA) and California State University, Los Angeles (Cal State LA) and comes as the United States battles the highest number of measles cases since the country declared the virus eliminated in 2000.

The United States has confirmed 695 cases of measles, the U.S. Centers for Disease Control and Prevention said on Wednesday. Many of the case occurred in the states of New York and Washington.

California has confirmed 38 cases, state health officials have said.

The people ordered quarantined at the two California campuses were exposed to measles and could not provide evidence they had been immunized against the disease, the Los Angeles County Department of Public Health said in a statement.

“Both universities are assisting with the implementation of quarantine orders and determining how best to support students who must be quarantined and who live on campus,” the Department of Public Health said.

At Cal State LA, the quarantine is related to a measles exposure at a library on April 11. The quarantine initially affected about 200 employees, including some student-employees, the university said in a statement.

That number was later reduced to 156 people, the Department of Public Health said in an email on Thursday, and the quarantine will end in a week.

At UCLA, 119 students and eight staff members who were exposed to measles at the campus earlier this month and could not provide proof of immunity were ordered quarantined on Wednesday, the university said in a statement.

Since then, officials have released more than 40 people from the quarantine after establishing they had immunity. The UCLA quarantine will end by Tuesday, according to the Department of Public Health.

The virus can lead to deadly complications, but no measles deaths have been reported in the latest U.S. outbreak.

U.S. public health officials have blamed the nationwide outbreak, which coincides with a global rise in the prevalence of the disease, in part on the spread of misinformation about the safety of vaccines.

Although the disease was eliminated from the country in 2000, meaning the virus was no longer continually present year-round, outbreaks still happen via travelers coming from countries where measles is common, the U.S. Centers for Disease Control and Prevention says.

(Reporting by Alex Dobuzinskis; editing by G Crosse and Leslie Adler)

Some 156 people in 10 states infected with E. coli from ground beef: CDC

FILE PHOTO: A general view of the Centers for Disease Control and Prevention (CDC) headquarters in Atlanta, Georgia September 30, 2014. REUTERS/Tami Chappell/File Photo

By Brendan O’Brien

(Reuters) – A total of 156 people in 10 states have been infected with E. coli after eating tainted ground beef at home and in restaurants since the beginning of March, the U.S. Centers for Disease Control and Prevention (CDC) said on Tuesday.

No deaths have been reported but 20 people have been hospitalized after they were infected with the strain E. coli O103 since March 1, the CDC said on its website.

The agency said an investigation is ongoing to determine the source of the contaminated ground beef that was supplied to grocery stores and restaurants.

“At this time, no common supplier, distributor, or brand of ground beef has been identified,” the CDC said.

The investigation began on March 28, when officials in Kentucky and Georgia notified the CDC of the outbreak. Since then, some 65 cases have been reported in Kentucky, 41 in Tennessee and another 33 in Georgia.

E. coli cases have also been reported in Florida, Illinois, Indiana, Minnesota, Mississippi, Ohio and Virginia.

The CDC said that illnesses after March 26 may not have been reported yet because the lead time is two to three weeks.

People infected with the bacteria get sick two to eight days after swallowing the germ, and may sometimes develop a type of kidney failure.

Many of the infected people had bought large trays or chubs of ground beef from grocery stores and used the meat to make dishes like spaghetti sauce and Sloppy Joes, the agency said.

The regulator said it is not recommending that consumers avoid eating ground beef at this time, but said that consumers and restaurants should handle ground beef safely and cook it thoroughly to avoid foodborne illnesses.

(Reporting by Brendan O’Brien in Milwaukee, Wis.; Editing by Bill Tarrant and Matthew Lewis)

U.S. records 71 new measles cases in week as outbreak spreads

FILE PHOTO: A general view of the Centers for Disease Control and Prevention (CDC) headquarters in Atlanta, Georgia September 30, 2014. REUTERS/Tami Chappell

(Reuters) – The United States recorded 71 new measles cases last week, a 13 percent increase as the country faces its second-worst outbreak of the disease in almost two decades, federal health officials said on Monday.

The U.S. Centers for Disease Control and Prevention said it had recorded 626 cases of the highly contagious and sometimes deadly disease in 22 states as of April 19, the highest rate of infection in five years.

The CDC had previously reported 555 cases in 20 states between Jan. 1 and April 11. The current outbreak will likely surpass the 2014 outbreak in number of cases, the CDC said on Monday.

Iowa and Tennessee were the two states that joined the CDC list with new measles cases.

More than half the cases recorded this year occurred in New York City, primarily in the Williamsburg neighborhood of Brooklyn.

The U.S. outbreak is part of a worldwide rise in the once nearly eradicated disease. The World Health Organization reported last week that global cases had risen nearly four-fold in the first quarter of 2019 to 112,163 compared with the same period last year.

A vocal fringe of parents in the United States oppose vaccines believing, contrary to scientific evidence, that ingredients in them can cause autism or other disorders.

(Reporting by Manojna Maddipatla in Bengaluru and Gabriella Borter in New York; Editing by Maju Samuel and Bill Berkrot)

U.S. sees surge of nearly 20% in confirmed cases of measles, CDC reports

FILE PHOTO: A sign warning people of measles in the ultra-Orthodox Jewish community of Williamsburg, two days after New York City Mayor Bill de Blasio declared a public health emergency in parts of Brooklyn in response to a measles outbreak, is seen in New York, U.S., April 11, 2019. REUTERS/Shannon Stapleton/File Photo

(Reuters) – The number of confirmed cases of measles in the United States this year jumped by nearly 20 percent in the week ended April 11 in the country’s second-worst outbreak in nearly two decades, federal health officials reported on Monday.

As of April 11, the U.S. Centers for Disease Control and Prevention (CDC) recorded 555 cases of the disease since the beginning of the year, up from 465 cases confirmed by April 4. The cases were found in 20 states spanning the country.

FILE PHOTO: A general view of the Centers for Disease Control and Prevention (CDC) headquarters in Atlanta, Georgia September 30, 2014. REUTERS/Tami Chappell/File Photo

FILE PHOTO: A general view of the Centers for Disease Control and Prevention (CDC) headquarters in Atlanta, Georgia September 30, 2014. REUTERS/Tami Chappell/File Photo

The measles virus is highly contagious and can lead to deadly complications, particularly in children. The CDC report did not say whether there have been any fatalities.

A growing and vocal fringe of parents in the United States oppose measles vaccines believing, contrary to scientific evidence, that ingredients in the vaccines can cause autism or other disorders.

The United States declared that measles had been eliminated from the country in 2000, meaning the virus is no longer present year-round. But outbreaks still happen each year, typically when unvaccinated people travel to the country from parts of the world where the disease is still common.

New York City has recorded at least 285 cases of measles since October, according to local health officials, the large majority among members of the Orthodox Jewish communities in Brooklyn.

Mayor Bill de Blasio declared the outbreak a public health emergency last week and ordered unvaccinated people in the affected parts of Brooklyn to get the vaccine or face a fine. It is the worst outbreak seen in the city since 1991, the mayor said.

Most of the Brooklyn cases are among children. Several people had to be hospitalized but no fatalities had been reported as of last week.

New York health officials said the Brooklyn outbreak was caused by an unvaccinated child returning from a trip to Israel, which is also grappling with an outbreak.

Health officials say they have seen anti-vaccination pamphlets containing misinformation being distributed in the affected parts of Brooklyn.

Another outbreak has hit Orthodox Jewish families in New York’s Rockland County. Officials there banned children not vaccinated against measles from public spaces last month.

That order was overturned by a state judge, a decision being appealed by Rockland officials.

(Reporting by Tamara Mathias in Bengaluru and Jonathan Allen in New York; Editing by Anil D’Silva and Bill Trott)

Explainer: Low vaccination rates, global outbreaks fuel U.S. measles spread

A measles poster is seen at Venice Family Clinic in Los Angeles, California February 5, 2015. REUTERS/Lucy Nicholson

By Steve Gorman

(Reuters) – A measles outbreak that has stricken at least 225 people in New York state since October began with a traveler who visited Israel during the Jewish high holidays and returned to a predominantly ultra-Orthodox Jewish neighborhood of Rockland County.

A similar pattern unfolded three months later and nearly 3,000 miles (4,800 km) away when a person who visited Eastern Europe returned to a community with strong ties to a local church group in Vancouver, Washington. More than 50 people fell ill there.

In both instances, U.S. travelers picked up measles in foreign countries where the highly contagious disease was running rampant and brought it back to places where vaccination rates were too low by U.S. public health standards, setting off the worst outbreaks seen in those states in decades.

The U.S. Centers for Disease Control and Prevention says New York’s outbreak marks the highest tally of imported cases since measles was declared eradicated in the United States in 2000.

The two outbreaks appear to be winding down, health officials say, after concerted efforts to pinpoint the origins and isolate and inoculate those who were exposed but unprotected and educate parents who had resisted vaccines.

The disease has spread mostly among school-age children whose parents declined to get them vaccinated. Most cited philosophical or religious reasons, or concerns – debunked by medical science – that the three-way vaccines against measles, mumps and rubella (MMR) could cause autism, authorities said.

New York State Health Commissioner Dr. Howard Zucker said another key factor was mere “complacency” in an age where the potential ravages of measles are unfamiliar to parents who came of age after the vaccine was introduced in 1957.

In Rockland County, the suburb north of Manhattan accounting for the bulk of cases, the state has vaccinated 15,000 children since the outbreak began there last autumn, Zucker said. The Brooklyn borough of New York City was another hot spot.

Still, officials say the measles crisis in New York and Washington states offer a lesson about the importance of maintaining a minimum level of “herd” immunization against dangerous, preventable diseases such as measles.

It also highlights the global nature of disease control, in which a hot spot of infection in one country can ignite a distant outbreak in an immunization-weak spot of another, said Dr. Scott Lindquist, Washington’s top epidemiologist.

Here are some key facts about measles and immunization, according to public health experts and the CDC.

WHAT IMMUNIZATION RATES ARE IDEAL?

A 95 percent rate of immunization is required to provide sufficient “herd” protection in a given population. Rates as low as 60 percent were found in parts of New York where measles spread, Zucker said.

HOW BAD CAN MEASLES GET?

Symptoms typically include high fever, cough, runny nose and watery eyes, followed by tiny white spots inside the mouth and a red rash that can cover the body.

Serious and potentially fatal complications, especially in young children and pregnant women, can include pneumonia and swelling of the brain. Ear infections occur in about 10 percent of children with measles and can lead to permanent hearing loss.

One rare but fatal complication is subacute panencephalitis (SSPE), which can attack the central nervous system seven to 10 years after a person has recovered from measles.

HOW CONTAGIOUS IS MEASLES?

Measles is spread through casual contact with the virus, which can linger and remain infectious in the air of an enclosed space for up to two hours after it is breathed out by someone carrying the disease. The rate of transmission from an infected person to another individual nearby who lacks immunity is about 90 percent.

ORIGINS OF LATEST OUTBREAKS?

Health authorities say the strain of the virus identified in Washington state matches the one circulating widely in Ukraine since last year. The New York outbreak has been tracked back to separate flare-ups of measles in Israel and in Eastern Europe.

(Reporting by Steve Gorman in Los Angeles; Editing by Bill Tarrant and Peter Cooney)

U.S. officials say tainted romaine lettuce appears to be from California

FILE PHOTO: Romaine lettuce has been taken off the shelf for fear of an E. coli outbreak at this grocery store in Toronto, Ontario, Canada November 21, 2018. REUTERS/Carlos Osorio

LOS ANGELES (Reuters) – The U.S. Food and Drug Administration said on Monday that the source of an E.coli outbreak in the United States and Canada that has been associated with romaine lettuce appeared to be growers in the Central Coast region of California.

At least 43 people in 12 states and 22 people in Canada have been sickened in the outbreak. Last week the U.S. Centers for Disease Control and Prevention issued a blanket warning to avoid all romaine and advised consumers, restaurants and markets to destroy any on hand.

The FDA said on Monday that all romaine lettuce entering the market should now be labeled with a harvest location and date and that consumers should not buy or eat it if that information is missing.

The agency said that going forward romaine lettuce grown in the Central Coast region of California should be discarded, while product from elsewhere was no longer subject to a warning.

(Reporting by Dan Whitcomb)

Emirates plane quarantined in New York with sick passengers: airline

The emergency services are seen, after the passengers were taken ill on a flight from New York to Dubai, on JFK Airport, New York, U.S., September 05, 2018 in this still image obtained from from social media. Larry Coben/via REUTERS

NEW YORK (Reuters) – An Emirates airline flight from Dubai was quarantined at New York’s John F. Kennedy International Airport on Wednesday morning after passengers became ill during the flight, the airline and New York news media said.

Emirates flight 203, a double-deck Airbus A388 carrying about 500 passengers, landed shortly after 9 a.m. EDT (1300 GMT), according to an airlines spokeswoman.

The emergency services are seen, after the passengers were taken ill on a flight from New York to Dubai, on JFK Airport, New York, U.S., September 05, 2018 in this still image obtained from from social media. Larry Coben/via REUTERS

The emergency services are seen, after the passengers were taken ill on a flight from New York to Dubai, on JFK Airport, New York, U.S., September 05, 2018 in this still image obtained from from social media. Larry Coben/via REUTERS

The spokeswoman said 10 passengers fell ill on the flight from Dubai to New York. New York media outlets had earlier put the number at about 100 passengers.

“Emirates can confirm that about 10 passengers on board flight EK203 from Dubai to New York were taken ill,” the spokeswoman said. “On arrival at JFK, as a precaution, they were immediately checked by local health authorities and those needing medical attention will be attended to.” She said all other passengers would be allowed to leave the plane shortly.

Officials from the Port Authority Police Department and the U.S. Centers for Disease Control and Prevention were on scene, according to news station WNBC, but did not immediately respond to requests for comment. The mayor’s office also did not respond to requests for comment.

Larry Cohen, who identified himself as one of the passengers aboard the plane, uploaded photos on Twitter showing dozens of police and emergency vehicles waiting outside the plane on the tarmac.

“All we have been told is that there are some sick passengers and that we need to remain on board,” Cohen told Reuters via Twitter messaging.

(Reporting by Gina Cherelus and Alexander Cornwell in Dubai; editing by Scott Malone and Jonathan Oatis)

U.S. charges hundreds in major healthcare fraud, opioid crackdown

U.S. Attorney General Jeff Sessions addresses a news conference to announce a nation-wide health care fraud and opioid enforcement action, at the Justice Department in Washington, U.S. June 28, 2018. REUTERS/Jonathan Ernst

By Nate Raymond

(Reuters) – The U.S. Justice Department on Thursday announced charges against 601 people including doctors for taking part in healthcare frauds that resulted in over $2 billion in losses and contributed to the nation’s opioid epidemic in some cases.

The arrests came as part of what the department said was the largest healthcare fraud takedown in U.S. history and included 162 doctors and other suspects charged for their roles in prescribing and distributing addictive opioid painkillers.

“Some of our most trusted medical professionals look at their patients – vulnerable people suffering from addiction – and they see dollar signs,” U.S. Attorney General Jeff Sessions said.

The arrests came as part of an annual fraud takedown overseen by the Justice Department. The crackdown resulted in authorities bringing dozens of unrelated cases involving alleged frauds that cost government healthcare programs and insurers more than $2 billion.

Officials sought in the latest crackdown to emphasize their efforts to combat the nation’s opioid epidemic. According to the U.S. Centers for Disease Control and Prevention, the epidemic caused more than 42,000 deaths from opioid overdoses in the United States in 2016.

In a report released on Thursday, the U.S. Department of Health and Human Services’ Office of Inspector General said about 460,000 patients covered by Medicare received high amounts of opioids in 2017 and 71,000 were at risk of misuse or overdose.

Those figures were slightly down from 2016, but the report said the high level of opioid use remained a concern. The report said almost 300 prescribers had “questionable prescribing” that warranted further scrutiny.

Many of the criminal cases announced on Thursday involved charges against medical professionals who authorities said had contributed to the country’s opioid epidemic by participating in the unlawful distribution of prescription painkillers.

The cases included charges in Texas against a pharmacy chain owner and two other people accused of using fraudulent prescriptions to fill bulk orders for over 1 million hydrocodone and oxycodone pills that were sold to drug couriers.

“The perpetrators really are despicable and greedy people,” U.S. Health and Human Services Secretary Alex Azar said at a press conference.

The Justice Department also announced other cases unrelated to opioids, including schemes to bill the government healthcare programs Medicare, Medicaid and Tricare as well as private insurers for medically unnecessary prescription drugs and compounded medications.

(Reporting by Nate Raymond in Boston; Editing by Chizu Nomiyama and Tom Brown)