U.S. records no new measles cases for first week since outbreak began

An illustration provides a 3D graphical representation of a spherical-shaped, measles virus particle studded with glycoprotein tubercles in this handout image obtained by Reuters April 9, 2019. Centers for Disease Control and Prevention (CDC)/Handout via REUTERS

(Reuters) – Health officials recorded no new cases of measles in the United States last week, marking the first week without new cases of the disease since the start of an outbreak largely linked to parents who declined to vaccinate their children.

The U.S. Centers for Disease Control and Prevention said on Monday it had recorded 1,241 cases of the highly contagious and sometimes deadly disease in 31 states as of Sept. 12.

The current outbreak of measles is the worst to hit the country since 1992, when 2,126 cases were reported, and threatens to end the nation’s measles-free status.

The majority of U.S. measles cases this year have occurred in children who had not received the measles-mumps-rubella vaccine, which confers immunity to the disease.

Federal health officials have attributed the outbreak in large part to a vocal fringe of U.S. parents who refuse to vaccinate their children because they believe, contrary to scientific evidence, that ingredients in them can cause autism.

U.S. Health and Human Services Secretary Alex Azar in an April that the current outbreak is “completely avoidable” and the unfortunate result of some people’s choice to deny the proven safety of vaccines.

The weekly increase in the number of cases has tapered down over the last few months, dropping to 7 new cases last week. The report of zero new cases is the latest indication that the outbreak is petering out after dozens of cases were reported per week earlier this year.

The disease 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.

(Reporting by Gabriella Borter in New York and Tamara Mathias in Bengaluru; Editing by Shailesh Kuber and Nick Zieminski)

First Ebola patient in eastern Congo’s main city dies, fears of epidemic spreading

A health worker checks the temperature of a woman as she crosses the Mpondwe border point separating Uganda and the Democratic Republic of Congo as part of the ebola screening at the computerised Mpondwe Health Screening Facility in Mpondwe, Uganda June 13, 2019. REUTERS/Newton Nabwaya

GOMA, Democratic Republic of Congo (Reuters) – The first Ebola patient in eastern Democratic Republic of Congo’s largest city, Goma, has died, the government said on Tuesday.

The spread of the virus to Goma, a city of roughly 1 million people on the border with Rwanda, has raised fears the outbreak, which is already the second deadliest Ebola epidemic ever, could spread more widely.

The patient was a priest who became infected during a visit to the town of Butembo, one of the epicenters of the outbreak, before taking a bus to Goma, according to Congo’s health ministry.

He was being driven from Goma to a clinic in Butembo on Monday to receive treatment when he died, North Kivu province’s Governor Carly Nzanzu told an Ebola response meeting.

The World Health Organization (WHO) said on Monday that health officials had identified 60 people who had come into contact with the pastor since he was taken ill and that half of them had been vaccinated.

Goma, a lakeside city more than 350 kilometers (220 miles) south of where Ebola was first detected a year ago, is the largest city to be affected by the outbreak, which has infected more than 2,500 people and killed nearly 1,700.

Three Ebola cases which originated in Congo were confirmed in neighboring Uganda a month ago, but no new cases have since been registered in that country.

(Reporting by Stanis Bujakera and Djaffar Al Katanty, Writing by Anna Pujol-Mazzini, Editing by Ed Osmond)

U.S. measles outbreak spreads to Maine, 25th state to report case

FILE PHOTO: A vial of measles, mumps and rubella vaccine and an information sheet is seen at Boston Children's Hospital in Boston, Massachusetts February 26, 2015. REUTERS/Brian Snyder/File Photo

(Reuters) – Maine became the 25th U.S. state to confirm a case of measles amid the country’s worst outbreak of the disease in a quarter century, as state medical officials on Wednesday reported that a child was infected but is now fully recovered.

The afflicted school-aged child from Somerset County, whose measles case was confirmed on Monday, was vaccinated and had no complications while the disease ran its course, the Maine Center for Disease Control and Prevention said.

The report comes as measles cases have erupted across the country, with federal health officials reporting on Monday that 880 people have contracted the disease so far this year.

Health experts say the virus has spread among school-age children whose parents declined to give them the vaccine, which confers immunity to the disease. A vocal fringe of U.S. parents cite concerns the vaccine may cause autism, despite scientific studies that have debunked such claims.

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.

The CDC said last month that 72% of the people infected with measles were unvaccinated. Of the others, 10% had at one of the two recommended vaccine doses, while the status of the remaining 18% was unclear, the agency said.

“The best protection against measles is vaccination,” Maine State Epidemiologist Dr. Siiri Bennett said in a statement, adding that even when vaccinated individuals become ill, the severity of the disease is reduced and its spread is less likely.

(This story refiles to fixed dropped “a” in lead)

(Reporting by Peter Szekely in New York; Editing by Scott Malone, Paul Simao and Susan Thomas)

Maine Senate rejects ending religious exemptions for vaccinations

FILE PHOTO: An illustration provides a 3D graphical representation of a spherical-shaped, measles virus particle studded with glycoprotein tubercles in this handout image obtained by Reuters April 9, 2019. Centers for Disease Control and Prevention (CDC)/Handout via REUTERS/File Photo

An effort to end all non-medical exemptions for childhood vaccinations in Maine was in limbo on Thursday after the state Senate voted to amend it to allow parents to keep opting out on religious grounds.

The bill had passed the Democratic-controlled state House of Representatives last month, making Maine one of at least seven states considering ending non-medical exemptions amid the worst outbreak of measles in the United States in 25 years.

In a close vote, 18 lawmakers in the Democratic-led state Senate supported an amendment to the House bill to retain the religious exemption that exists in state law, while 17 voted against. The senators approved ending exemptions for children whose parents oppose vaccination for “philosophical reasons.”

Several senators who had trained and worked as doctors argued at length ahead of the vote to allow an exemption only if a healthcare provider deemed it medically necessary. Others noted no major U.S. religion opposes vaccinations.

Senator Linda Sanborn, a Democrat who has practiced family medicine, said the bill was to prevent “an impending disaster” in a state with one of the lowest vaccination rates in the country. Five percent of Maine’s kindergarten students have non-medical exemptions from vaccination, compared with a national average of 2 percent.

She said other fatal diseases could follow the fate of smallpox, which was globally eradicated through vaccination efforts, adding: “It takes a community caring about not just ourselves but our neighbors to make this happen.”

Senate Republicans, including Scott Cyrway, opposed the bill as government overreach into the private sphere.

“We’re forcing someone to do something when we don’t really have to,” Cyrway said.

In neighboring Vermont, lawmakers voted in 2015 to remove philosophical exemptions while leaving in place religious ones. As a result, more parents sought and received those exemptions – 3.9 percent in 2017, up from 0.9 percent in 2015, according to the state’s Department of Health.

In Maine, the amended bill will go back to the House, which can vote either to accept or reject the amendment. If both chambers cannot agree, the bill dies.

A spokeswoman for the House did not immediately respond to a request for comment.

There have been no measles cases in Maine since 2007, but officials have worried about recent outbreaks of whooping cough, another childhood disease for which there is a mandatory vaccination.

Only three states have outlawed any non-medical exemptions for vaccinations – California, Mississippi and West Virginia.

(Reporting by Jonathan Allen; Editing by Scott Malone and Peter Cooney)

Ebola is real, Congo president tells skeptical population

FILE PHOTO: A health worker wearing Ebola protection gear, walks before entering the Biosecure Emergency Care Unit (CUBE) at the ALIMA (The Alliance for International Medical Action) Ebola treatment centre in Beni, in the Democratic Republic of Congo, March 30, 2019. Picture taken March 30, 2019.REUTERS/Baz Ratner/File Photo

GOMA, Democratic Republic of Congo (Reuters) – Congolese President Felix Tshisekedi on Tuesday implored people in areas hit by the nation’s worst-ever Ebola outbreak to accept the disease is real and trust health workers.

Mistrust of first responders and widespread misinformation propagated by some community leaders has led many in affected areas of eastern Democratic Republic of Congo to refuse vaccinations. Instead, they turn to traditional healers, whose clinics have contributed to the hemorrhagic fever’s spread.

“It is not an imaginary disease,” Tshisekedi said after arriving in the city of Beni on his first tour of eastern Congo since being inaugurated in January.

“If we follow the instructions, in two or three months Ebola will be finished,” he optimistically told a crowd after having his temperature taken and washing his hands, as required of all incoming passengers to Beni airport.

Congo has suffered 10 outbreaks of Ebola, which causes severe vomiting, diarrhea and bleeding, since the virus was discovered there in 1976. The current one has seen 1,264 confirmed and probable cases and 814 deaths since it was declared last August.

It is surpassed only by the 2013-2016 outbreak in West Africa, in which more than 28,000 cases were reported and more than 11,000 people died.

Following a series of attacks on treatment centers by unidentified assailants in February and March, the current outbreak is now spreading at its fastest rate yet.

More than 100 cases were confirmed last week.

Tshisekedi, who won a disputed election last December to succeed Joseph Kabila, also called on Tuesday for the disarmament of dozens of militia that operate in the east and whose presence has complicated the Ebola response.

“The time of armed groups is over,” he said. “The new government is reaching out to these children of the country to surrender arms through disarmament programmes.”

(Reporting by Fiston Mahamba and Stanis Bujakera; Writing by Giulia Paravicini; Editing by Aaron Ross and Andrew Cawthorne)

NYC mayor orders mandatory measles vaccinations after Brooklyn outbreak

FILE PHOTO: A vial of measles, mumps and rubella vaccine and an information sheet is seen at Boston Children's Hospital in Boston, Massachusetts February 26, 2015. REUTERS/Brian Snyder/File Photo

NEW YORK (Reuters) – New York City Mayor Bill de Blasio declared a public health emergency in parts of Brooklyn on Tuesday in response to a measles outbreak, requiring unvaccinated people living in the affected areas to get the vaccine or face fines.

The city’s largest measles outbreak since 1991 has mainly been confined to the Orthodox Jewish community in Brooklyn’s Williamsburg, with 285 cases confirmed since October, de Blasio said at a news conference.

“This is the epicenter of a measles outbreak that is very, very troubling and must be dealt with immediately,” de Blasio said.

The disease is easily spread and can be fatal, but there have been no confirmed deaths so far, officials said.

The outbreak is part of a broader resurgence in the United States, with 465 cases reported in 19 states so far this year, according to the U.S. Centers for Disease Control and Prevention.

Officials from New York City’s Department of Health will check vaccination records of anyone who has been in contact with infected patients in certain parts of Brooklyn, officials said.

Those who have not received the measles-mumps-rubella vaccine, or can otherwise give evidence of immunity, such as having previously had the measles, will face a fine of up to $1,000.

(Reporting by Jonathan Allen and Gine Cherelus; Editing by Bill Berkrot)

Unvaccinated children face public space ban in New York measles outbreak

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

(Reuters) – A New York suburb has banned children not vaccinated against measles from public spaces, such as schools and shopping malls, as it fights the state’s worst outbreak in decades of the potentially deadly disease.

Rockland County declared a state of emergency on Tuesday and said the ban would remain in place for 30 days or until unvaccinated children get the measles, mumps and rubella (MMR) shot.

The Rockland announcement follows measles outbreaks in California, Illinois, Texas and Washington and is part of a global resurgence of the viral infection, according to the U.S. Centers for Disease Control and Prevention.

“We will not sit idly by while children in our community are at risk,” County Executive Ed Day said in a statement. “This is a public health crisis, and it is time to sound the alarm.”

There have been 153 confirmed cases of measles in Rockland County, about 11 miles (18 km) north of Manhattan, mostly among children who have not been vaccinated.

The ban begins at midnight after which unvaccinated children will not be permitted in locations such as places of worship, schools and shopping malls. Outdoor spaces like playgrounds are excluded from the ban. People medically unable to get vaccinated are exempt.

The outbreak began when a traveler visited Israel and returned to a predominantly ultra-Orthodox Jewish neighborhood of Rockland County. There have also been at least 181 confirmed cases of measles in the New York boroughs of Brooklyn and Queens since October, mostly among Orthodox Jews, according to the city’s health department.

The New York and Washington outbreaks began after U.S. travelers picked up measles in foreign countries, where the disease was running rampant and brought it back to places where vaccination rates were too low by U.S. public health standards.

The disease has spread mostly among school-age children whose parents declined to get them vaccinated, citing reasons such as philosophical or religious beliefs, or concerns the MMR vaccine could cause autism, authorities said.

Large scientific studies have demonstrated that there is no link between vaccines and autism.

Officials say the measles outbreaks offer a lesson about the importance of maintaining a minimum 95 percent “herd” level of immunization against dangerous, preventable diseases such as measles. Rates as low as 60 percent were found in parts of New York where measles spread, State Health Commissioner Howard Zucker said in February.

(Reporting by Andrew Hay in New Mexico; Editing by Bill Tarrant and Bill Berkrot)

Congo starts vaccinating health workers against Ebola

A Congolese health worker checks the temperature of a woman before the launch of vaccination campaign against the deadly Ebola virus near Mangina village, near the town of Beni, in North Kivu province of the Democratic Republic of Congo, August 8, 2018. REUTERS/Samuel Mambo

By Fiston Mahamba

MANGINA, Congo (Reuters) – Congolese officials and the World Health Organization began vaccinating health workers against the deadly Ebola virus on Wednesday, to try to halt an outbreak in Congo’s volatile east.

A Reuters witness on a visit to Mangina, the village in eastern Democratic Republic of Congo where the epidemic was declared, saw health workers in protective suits administering the injections.

So far 43 people are believed to have been infected in North Kivu and Ituri provinces, including 36 who have died, the health ministry said on Tuesday.

“We are putting all our energy and all our expertise to quickly control this epidemic,” Health Minister Oly Ilunga told journalists at the start of the vaccination campaign.

“All the measures of prevention are in place. The vaccination is the last phase. It will enable us to break the chain of transmission of this epidemic.”

More than 900 contacts of those infected have been identified for monitoring, although security is an issue in the area where militia groups operate, WHO said.

The disease, which causes fever, vomiting, and diarrhea, is spread through direct contact with body fluids.

“Around 40 health workers are expected to be vaccinated today; by end of the week, once all the necessary steps are in place, vaccination of community contacts and their contacts will commence,” WHO spokesman Tarik Jasarevic said.

WHO has said that analysis of genetic sequencing showed it was a separate outbreak from the one 2,500 km (1,500 miles) away in the northwest that ended less than two weeks ago after killing 33 people — but the same Zaire strain.

This is Congo’s 10th Ebola outbreak since the virus was first identified near northern Congo’s Ebola river.

“There is a huge fear among the local population,” Kaswera Mathumo, a medical worker at a clinic in Mangina, where the vaccinations were taking place, said.

The experimental vaccine being used, which is manufactured by Merck, proved successful during its first wide-scale usage against the previous outbreak in Equateur Province.

More than 3,000 doses remain in stock in the capital Kinshasa, allowing authorities to deploy them quickly to affected areas.

But they face security challenges in eastern Congo, a region bubbling with conflicts over land and ethnicity stoked by decades of on-off war.

Local authorities announced on Tuesday that 14 bodies had been discovered in the town of Tubameme, about 40 km (25 miles) northeast of the epicenter of the outbreak in the town of Mangina, suspected to have been killed by a militia group.

(Additional reporting by Tom Miles in Geneva; Writing by Tim Cocks and Stephanie Nebehay; Editing by Richard Balmforth)

Cholera outbreak spreading in Yemen

Boy lies on a bed at a hospital where he is receiving treatment for cholera amid confirmation by the UNICEF and the World Health Organization of an outbreak of the epidemic in Sanaa, the capital of Yemen

SANAA (Reuters) – More cases of cholera have been registered in the Yemeni capital Sanaa, a World Health Organization (WHO) official said on Tuesday.

The United Nations first reported the cholera outbreak on Friday.

“The number of cases has increased from five to 11 people,” WHO official Omar Saleh told a news conference in Sanaa.

Medics were working to curb the epidemic, which has yet to claim any deaths or spread beyond the capital, he said.

Thousands of families fleeing Yemen’s war are living in camps outside Sanaa, where conditions could lead to the spread of cholera, including through contaminated food or water.

Much of the country’s infrastructure, including schools and hospitals, has been destroyed by the 18-month old conflict between a Saudi Arabia-led coalition and the Iran-aligned Houthi group which controls much of northern Yemen, including Sanaa.

Saleh said that more than half of Yemen’s health centers had ceased to operate since the start of the war after not receiving funds from the health ministry.

The conflict has killed more than 10,000 people and displaced millions, the United Nations estimates.

(Reporting by Mohamed Ghobari, Writing by Tom Finn, editing by Sami Aboudi and Angus MacSwan)

Indonesia begins re-vaccinating victims of fake drug ring

A child who received fake medication from a drug-making ring is revaccinated by government health care workers at a clinic in East Jakarta, Indonesia

By Randy Fabi and Agustinus Beo Da Costa

JAKARTA (Reuters) – Indonesia on Monday began re-vaccinating nearly 200 children who received fake versions of imported inoculations from a drug-counterfeiting ring broken up last month after operating for more than a decade.

President Joko Widodo urged calm as public uproar intensified over revelations that health officials knew about the syndicate producing the fake vaccines for several years but did little to stop it.

The scandal has exposed major weaknesses in the oversight of the health sector, which has expanded rapidly alongside a growing middle class.

No illnesses or deaths have been directly linked to the fake vaccines, officials have said.

“I want to ask people to stay calm because this incident happened over such a long time,” Widodo told reporters at a Jakarta clinic offering re-vaccinations.

“We need more time to investigate so we can get the real data of people who suffered from these fake vaccines.”

The ring used stolen vials and forged labels to make the fake medicine look like imported vaccines produced by GlaxoSmithKline and Sanofi. State-owned Bio Farma produces nearly all vaccines available in Indonesia.

At least 28 health care facilities throughout the country, including Jakarta and the tourist resort island of Bali, were suspected of buying fake booster vaccines for hepatitis B, diphtheria, tetanus and whooping cough.

Health officials said the sham vaccines contained the antibiotic gentamicin and saline solution and were not harmful and made up only 1 percent of total vaccines in Indonesia.

Investigators are trying to determine how widely the fake drugs were distributed.

Police have arrested nearly two dozen people, including drugmakers, pharmacists, doctors and nurses.

Police have identified at least 197 children for re-vaccination, but many more are expected to be confirmed.

Health Minister Nila Moeloek told Reuters officials knew fake vaccines were being distributed in 2013 but she declined to say why action was not taken sooner. The president has ordered an overhaul of the food and drug monitoring agency.

One mother, Rina Herlina Sari, told Reuters she no longer trusted private clinics.

“The government should revoke their permits,” she said.

Reuters reporters visited the clinic accused of giving Sari’s daughter, and other children, fake vaccines, and found it operating. Its main midwife had been arrested but other staff were working.

“The overall facility is a health facility with other areas of care so we have to allow it to continue,” Agung Setya, director of criminal police investigations, told Reuters.

“It is up to the health ministry to decide whether to shut it down.”

(Additional reporting by Kanupriya Kapoor; Editing by Robert Birsel and Nick Macfie)