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Current Trends Measles Importations -- United States, 1982

During 1982, 118 measles cases, an average of 2.3 weekly, were imported into the United States*; they represented 7.0% of the provisional total of 1,697 measles cases reported to CDC during that period. Thus, the proportion of cases reported as being imported increased from 1981's 3.6% (114/3,124).

The 118 persons with imported measles were travelers who arrived in the United States from 32 different countries. Eight countries accounted for 62.7% (74) of the importations: England--19 (16.1%), Mexico--12 (10.2%), Philippines--10 (8.5%), India--nine (7.6%), France--seven (5.9%), Korea--seven (5.9%), Scotland--five (4.2%), and Spain--five (4.2%). The other 24 countries each contributed four or fewer importations during the year.

Twenty-seven states, New York City, and the District of Columbia reported measles importations (Figure 2). Five areas accounted for 61.0% (72) of reported cases: California--34 (28.8%), Florida--11 (9.3%), New York City--11 (9.3%), New York State (excluding New York City)--nine (7.6%), and Hawaii--seven (5.9%).

Returning U.S. citizens accounted for 67 (56.8%) of the 1982 importations, compared with 66 (57.9%) of 114 in 1981.

Measles transmission to persons in the United States was documented in 19 (16.1%) of the 118 cases, with 613 cases resulting from importations. Thus, imported and import-related cases accounted for 43.1% of all measles cases reported in 1982. Large import-related measles outbreaks occurred in Florida, Kansas, Michigan, New York, and Texas. Reported by Div of Immunization, Center for Prevention Svcs, CDC.

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