Measles, also known as morbilli or rubeola, is a highly contagious infectious disease caused by the measles virus. It is preventable through vaccination. Other common names for measles include 9-day measles, red measles, and English measles. Due to its contagiousness, it can spread rapidly among unvaccinated populations.
In 1914, a statistician estimated that 1% of all deaths in the temperate zone were caused by measles, with fatality rates ranging from 1-6% depending on age, social conditions, and pre-existing health conditions.
In 1954, John Enders and Thomas C. Peebles successfully isolated the measles virus from David Edmonston, a 13-year-old boy from the United States.
Birth before 1957 is presumptive evidence of measles immunity, because those born before 1957 are likely to have been naturally infected with the measles virus.
In 1957, M.S. Bartlett recognized the concept of critical community size (CCS) for measles, which refers to the minimum population size needed to sustain the disease. Analysis of outbreaks in island communities suggested that the CCS for measles is around 250,000.
In 1963, Maurice Hilleman, while at Merck, developed the first successful measles vaccine using the Edmonston B strain, and it became widely available in the United States.
In 1968, an improved measles vaccine became available, enhancing the effectiveness of measles prevention.
In 1971, the measles vaccine was combined with the mumps and rubella vaccines to create the MMR vaccine, which was licensed for use in the United States.
In 1980, 2.6 million people died from measles.
Between 1985 and 1992, the death rate among reported measles cases in the U.S. was 0.2%.
Between 1987 and 2000, the case fatality rate across the United States was three deaths per 1,000 cases attributable to measles, or 0.3%.
In 1990, 545,000 people died from measles.
In 1990, there were 630,000 deaths due to measles globally.
In 1991, Philadelphia experienced a significant measles outbreak centered around the Faith Tabernacle Congregation, a church discouraging vaccination, resulting in over 1400 infections and nine child deaths.
Between 1985 and 1992, the death rate among reported measles cases in the U.S. was 0.2%.
From January to December 2019, 1,282 individual cases of measles were confirmed in 31 states. This is the greatest number of cases reported in the US since 1992.
By 2019 cases had increased to a total of 870,000, the highest since 1996.
In 2024, a significant increase in measles cases in Europe occurred, with 127,350 being reported, the highest caseload in the region since 1997.
Worldwide, measles fell 60% from an estimated 873,000 deaths in 1999 to 345,000 in 2005.
As of April 2019, the number of measles cases was the highest since measles was declared eliminated in the US in 2000.
Between 1987 and 2000, the case fatality rate across the United States was three deaths per 1,000 cases attributable to measles, or 0.3%.
Between 2000 and 2017, vaccination led to an 80% decrease in deaths from measles.
By 2000, consistent widespread childhood vaccination efforts had reduced measles cases in the United States to approximately 1 case per million people.
In 2000, the United States was declared free of circulating measles due to successful immunization programs.
In 2000, the WHO established the Global Measles and Rubella Laboratory Network (GMRLN) to provide laboratory surveillance for measles, rubella, and congenital rubella syndrome.
In 2012, the number of deaths due to measles was 78% lower than in 2000 due to increased rates of immunization among UN member states.
From 2001 to 2011, there were 911 cases of measles reported in the United States after the country was declared free of the disease.
In 2001, rinderpest, a cattle virus closely related to the measles virus, was eradicated.
Before the measles-related death in Washington State in 2015, the last such fatality in the United States had occurred in 2003.
In 2005, the MMR vaccine was combined with the varicella vaccine to create the MMRV vaccine, which was subsequently licensed.
Worldwide, measles fell 60% from an estimated 873,000 deaths in 1999 to 345,000 in 2005.
From 2007 to 2017 in England and Wales, death occurred in two to three cases out of 10,000 due to measles.
Estimates for 2008 indicate measles deaths fell further to 164,000 globally, with 77% of the remaining measles deaths in 2008 occurring within the Southeast Asian region.
From 2001 to 2011, there were 911 cases of measles reported in the United States after the country was declared free of the disease.
In 2011, German anti-vaccination campaigner Stefan Lanka offered €100,000 for scientific proof that measles is caused by a virus and determination of its diameter, claiming it's psychosomatic. Despite evidence from German physician David Bardens, Lanka refused to pay, leading to a court case where he was initially ordered to pay, but later not required to due to the evidence's failure to meet his exact requirements. The case gained international attention.
In 2011, the WHO estimated that 158,000 deaths were caused by measles.
In 2012, the number of deaths due to measles was 78% lower than in 2000 due to increased rates of immunization among UN member states.
In 2013–14, there were almost 10,000 measles cases in 30 European countries, with most cases occurring in unvaccinated individuals, and over 90% of cases occurring in Germany, Italy, Netherlands, Romania, and United Kingdom.
Between October 2014 and March 2015, a measles outbreak in the German capital of Berlin resulted in at least 782 cases.
In late December 2014, a measles outbreak originated at Disneyland in California, eventually infecting 147 people in the US, Mexico, and Canada; the majority of those infected were either unvaccinated or had unknown vaccination status, the initial exposure of the virus was never identified.
By 2014, global vaccination programs had reduced the number of deaths from measles to 73,000.
In 2014, an outbreak of measles started in Ohio after two unvaccinated Amish men returned from missionary work in the Philippines, leading to 383 cases across nine counties, with 89% occurring in unvaccinated individuals.
In 2014, the CDC stated that endemic measles, rubella, and congenital rubella syndrome had not returned to the United States.
In the spring of 2014, Vietnam experienced a measles epidemic, with an estimated 8,500 cases and 114 fatalities reported by April 19.
Between October 2014 and March 2015, a measles outbreak in the German capital of Berlin resulted in at least 782 cases.
From January 4 to April 2, 2015, the CDC reported 159 cases of measles, 70% of which were linked to an earlier exposure in December 2014.
As of February 26, 2025, the first measles death since 2015 was reported. The death occurred to an unvaccinated school-aged child in West Texas.
In 2015, a woman in Washington state, who had been vaccinated but was taking immunosuppressive drugs, died of pneumonia as a result of contracting measles, marking the first measles fatality in the U.S. since 2003.
In August 2016, a measles outbreak in the Naga Self-Administered Zone in Myanmar resulted in at least 40 children's deaths, likely due to lack of vaccination and poor health infrastructure.
As a result of widespread vaccination, measles was declared eliminated from the Americas in 2016.
Between 2000 and 2016, global cases decreased by 84%.
Data from 2016 to 2018 show that the most frequently detected measles virus genotypes are decreasing, suggesting that increasing global population immunity has decreased the number of chains of transmission.
In 2016, Brazil was awarded a measles elimination certificate by the Pan American Health Organization.
In 2016, a record low of 4,400 measles cases in Europe were reported.
In 2016, the spread of measles had been interrupted in Brazil. The last known case had occurred twelve months earlier in the state of Ceará.
In June 2017, the Maine Health and Environmental Testing Laboratory confirmed a case of measles in Franklin County, marking the first case in Maine in 20 years.
As of 2017, about 85% of children worldwide had received their first dose of the measles vaccine. Between 2000 and 2017, vaccination led to an 80% decrease in deaths from measles.
Despite being declared eliminated in 2016, there were measles cases again in 2017, 2018, 2019, and 2020 in the Americas region.
From 2007 to 2017 in England and Wales, death occurred in two to three cases out of 10,000 due to measles.
From 2017, a measles resurgence in Europe started to occur with numbers increasing in that year to 21,315 cases, with 35 deaths.
In 2017, a review indicated that measles's reproductive number estimates range from 3.7 to 203.3, which goes beyond the frequently cited range of 12 to 18.
In 2017, there were only two cases of measles centred on the Orthodox Jewish areas of Brooklyn, compared to 285 cases in 2018.
In 2018, there were 142,300 measles related deaths globally, of which most cases were reported from African and eastern Mediterranean regions. These estimates were slightly higher than that of 2017, when 124,000 deaths were reported due to measles infection globally.
In July 2018, a measles case in Portland, Oregon, exposed 500 people, with 40 lacking immunity and being monitored by county health officials.
By August 1, 2018, Brazil had identified two measles outbreaks, one in Amazonas and another in Roraima, in addition to cases in Rio de Janeiro, Rio Grande do Sul, Pará, São Paulo, and Rondônia, totaling 1,053 confirmed cases, primarily linked to virus importation from Venezuela.
In October 2018, a measles outbreak began in Brooklyn, New York, with more than 200 reported cases by February 2019, tied to population density in the Orthodox Jewish community and initial exposure from an unvaccinated child visiting Israel.
As of 2018, measles remains a leading cause of vaccine-preventable deaths in the world.
Cases reported in the first three months of 2019 were 300% higher than in the first three months of 2018, with outbreaks in every region of the world.
Data from 2016 to 2018 show that the most frequently detected measles virus genotypes are decreasing, suggesting that increasing global population immunity has decreased the number of chains of transmission.
Despite being declared eliminated in 2016, there were measles cases again in 2017, 2018, 2019, and 2020 in the Americas region.
In 2018, a large measles outbreak resulted in well beyond 115,000 cases and over 1,200 deaths.
In 2018, the measles vaccination rate in Samoa was between 31 and 34%.
In 2018, there were 142,300 measles related deaths globally, of which most cases were reported from African and eastern Mediterranean regions. These estimates were slightly higher than that of 2017, when 124,000 deaths were reported due to measles infection globally.
In 2018, there were 285 cases of measles centred on the Orthodox Jewish areas of Brooklyn, compared to two cases in 2017.
By February 2019, the measles outbreak that began in October 2018 in Brooklyn, New York, had resulted in more than 200 reported cases.
In April 2019, a resurgence of measles cases was reported across multiple US states, and New York Mayor Bill de Blasio declared a public health emergency in response to a significant spike of 285 cases in the Orthodox Jewish areas of Brooklyn in 2018, contrasting with only two cases in 2017, and an additional 168 cases in neighboring Rockland County.
As of April 2019, 695 cases of measles had been reported in 22 states, marking the highest number since measles was declared eliminated in the US in 2000.
Beginning in May 2019, a measles outbreak occurred among the Malaysian Orang Asli sub-group of Batek people in Kelantan, causing 15 deaths within the tribe.
From January to December 2019, 1,282 individual cases of measles were confirmed across 31 states in the US, with 128 hospitalizations and 61 reported complications, including pneumonia and encephalitis.
In December 2019, a vaccination campaign in Samoa brought the measles vaccination rate to an estimated 94% of the eligible population, up from 31-34% in 2018.
By 2019 cases had increased to a total of 870,000, the highest since 1996.
Despite being declared eliminated in 2016, there were measles cases again in 2017, 2018, 2019, and 2020 in the Americas region.
In 2019, a measles outbreak with nearly 5,000 deaths and 250,000 infections occurred after the disease spread to all provinces in the country, primarily affecting children under five, and was reported by the World Health Organization (WHO) as the world's largest and fastest-moving epidemic.
According to the WHO, the COVID-19 pandemic hindered measles vaccination campaigns in at least 68 countries in 2020, including in countries that were experiencing outbreaks, which caused increased risk of additional cases.
Despite being declared eliminated in 2016, there were measles cases again in 2017, 2018, 2019, and 2020 in the Americas region.
Following the end of the 2019 outbreak, reported measles cases fell to pre-outbreak levels: 13 cases in 2020.
Following the end of the 2019 outbreak, reported measles cases fell to pre-outbreak levels: 49 cases in 2021.
Following the end of the 2019 outbreak, reported measles cases fell to pre-outbreak levels: 121 cases in 2022.
In 2022, there were an estimated 136,000 measles deaths globally, mostly among unvaccinated or under vaccinated children under the age of 5 years.
In November 2024, the WHO and CDC reported that measles cases increased by 20% in 2023, primarily due to insufficient vaccine coverage in the world's poorest and conflict-affected regions, increasing from about 8.6 to 10.3 million cases.
In February 2024, the World Health Organization said more than half of the world was at risk of a measles outbreak due to COVID-19 pandemic-related disruptions.
In November 2024, the WHO and CDC reported that measles cases increased by 20% in 2023, primarily due to insufficient vaccine coverage in the world's poorest and conflict-affected regions, increasing from about 8.6 to 10.3 million cases.
As of March 2025, the CDC recorded 483 confirmed measles cases. This exceeded the entire 2024 total of 285.
In 2024, a measles outbreak was declared in the Bangsamoro region in the Philippines with at least 592 cases and 3 deaths.
In 2024, a significant increase in measles cases in Europe occurred, with 127,350 being reported, the highest caseload in the region since 1997.
As of February 2025, a measles outbreak was ongoing amongst unvaccinated communities in Texas and New Mexico, with the first measles death since 2015 reported on 26 February, involving an unvaccinated school-aged child in West Texas; the confirmed number of measles cases was 124 as of 26 February 2025, according to the Texas Department of Health Services, most of them being children ages 5–17.
As of March 2025, the CDC recorded 483 confirmed measles cases across 20 states, 2 deaths, and 70 hospitalizations, exceeding the entire 2024 total of 285.
In May 2025, during the Southwest United States measles outbreak, families refused vaccines and opted for vitamin A supplements after Robert F. Kennedy Jr. promoted vitamin A as prevention. Despite side effects and criticism, Kennedy continued to endorse vitamin A during the epidemic.
In the 2025 U.S. outbreak, children are presenting at hospitals with measles and hypervitaminosis A because their parents were administering vitamin A sources (supplements or cod liver oil) as attempts of protection before the children became ill with measles.
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