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Officials fighting the outbreak of measles in the US are threatened with a rare travel ban




A flyer educating parents about measles is on display at a children's clinic in Greenbrae, California. (Eric Risberg / AP)

Health officials in five states have warned people who are reportedly infected with measles and plan to travel

All eight individuals agreed to cancel their flights after they learned that officials were the federal government Martin Cetron, Director of the Global Migration and Quarantine Department of the Agency, which detects outbreaks of disease, to call on a Do-Not-Board list managed by the Centers for Disease Control and Prevention.

"The deterrent effect is enormous," he said.

CDC officials said the agency had been contacted by health officials about the individuals in New York, California, Illinois, Texas, and Washington.

The government's ban on travel is often under discussion "because it is politically charged and politically seen. While less restrictive than isolation or quarantine, the public health measure is considered a government that has power over people and the United States is currently quite toxic in America, "said Gostin. "There is nothing unethical or wrong about that. It's just a common sense that people with an active infectious disease should not get on a plane.

Health officials stress that vaccination is the best and most effective way to protect themselves from measles, and that the majority of people with Infectious, communicable diseases, such as measles, listen to the advice of doctors not to travel.

Officials in Rockland County, NY and New York City, the epicenter of measles outbreaks since last fall, say they have discouraged travel to several infected individuals.

Earlier this spring, Rockland health officials, who had had 238 cases of measles since last October, consulted with the CDC on the inclusion of two infectious individuals on the list to prevent them from flying to Israel for the Passover holiday. 19659011] "It served as an effective deterrent," spokesman John Lyon said. "They did not travel."

In New York City, where there were 523 cases in the country's largest outbreak, the health department advised two people "immune to measles" and the virus to fly during the 21-day outbreak Incubation period of the disease.

"We have worked with passengers to minimize the inconvenience of travel disruption to protect the health of New Yorkers and other travelers," spokesman Peter Gallahue said in a statement this week was very cooperative. "

Both governments have already taken more controversial and more restrictive public health measures to contain the outbreaks with a potential $ 1,000 fine. Rockland County issued an emergency order prohibiting anyone diagnosed with measles or anyone Person exposed to measles I gather in public places for up to 21 days or face a fine of $ 2,000 a day.

The United States has recorded a record number of measles cases this year. In 24 states, 880 cases were reported Monday by the CDC. This number is the largest since 1994.

The outbreaks are due to vaccine coverage at home and abroad faltering, partly due to an increasingly organized immunization effort. Global travel plays a huge role in spreading one of the most contagious pathogens from one place to another.

The majority of measles cases in the US came from unvaccinated US citizens who returned from places of major outbreaks, including Israel, Ukraine, and the Ukraine, the Philippines.

Ed Day, senior executive of Rockland County, said the county outbreak began with seven travelers from countries with major measles outbreaks. On Monday, he wrote to President Trump urging the White House to issue a decree or calling on Congress to pass a law requiring visitors to submit a "certificate of adequate vaccination." The Ministry of Health and Human Services, forwarded the application to the CDC, which returned it to HHS.

According to international health regulations, countries may only require proof of vaccination against yellow fever, Gostin said. It would be "chaotic" and unwieldy and likely a violation of international health regulations, he said, if the United States provided the evidence for the measles vaccine.

The "Do Not Board" list was created in 2007 after a man from Atlanta drugged-resistant tuberculosis caused a health scare after flying to Europe for his wedding and honeymoon after health officials unsuccessfully advised against travel abroad. Although it was assumed that no other passengers were infected, the episode led to the creation of the list, which was mainly used for people with tuberculosis. In 2014, when 667 measles cases occurred in the US, two people with measles were put on the list and excluded from the trip.

The risk of catching measles in the aircraft is relatively low since 80 to 85 percent of US travelers are immunized, Cetron said. However, the record number of measles cases this year has led to 62 aircraft-related investigations of contacts with people on measles who were on flights. [The CDC counts each route as one investigation.]

If a person is included in the list, the CDC must determine that this person is contagious or is likely to be contagious with a serious communicable disease, Cetron said. In addition, health officials are working with airlines to eliminate modification fees.

"If all these things are not enough to convince anyone, contact the Department of Homeland Security last and give them the identification information someone will put on the list," Cetron said. "And when they go to the airport, they do not get a boarding pass."

Some health authorities have taken steps to secure reimbursements for those who voluntarily agreed to change their plans.

In the suburb of Detroit, which had 41 cases of a man who had traveled from Brooklyn, officials from the Department of Health wrote letters to airlines requesting that those who had followed their advice get their money back, said Russell Faust, medical director of Oakland County, Michigan. Health department.

Read more:

A look at some of the anti-Vax groups fighting measles.

Having no measles, a man traveled from New York to Michigan and infected at least 39 people

Anti-Vaxxers face the game as measles falls


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