Changes

As of February 2008, the CDC noted that "fewer than 100 measles cases are now reported annually in the United States and virtually all of those are linked to imported cases" in which someone is infected during overseas travel.  The USA maintains herd immunity for measles, even in states where it is easy to opt out of vaccination requirements.<ref> [http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5708a3.htm]</ref> Measles can be serious; according to an article in The Times, "About one in every 15 children has complications that can include meningitis, pneumonia, fits, encephalitis (swelling of the brain), blindness and brain damage."<ref>The Sunday Times, ''How the MMR scare led to the return of measles'', February 8, 2009[http://www.timesonline.co.uk/tol/life_and_style/health/article5683687.ece]</ref>  In the England and Wales, there were 1,348 cases of measles in 2008; two children died of the disease. <ref>The Sunday Times, ''MMR doctor Andrew Wakefield fixed data on autism'', by Brian Deer, February 8, 2009 [http://www.timesonline.co.uk/tol/life_and_style/health/article5683671.ece]</ref>

As of February 2008, the CDC noted that "fewer than 100 measles cases are now reported annually in the United States and virtually all of those are linked to imported cases" in which someone is infected during overseas travel.  The USA maintains herd immunity for measles, even in states where it is easy to opt out of vaccination requirements.<ref> [http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5708a3.htm]</ref> Measles can be serious; according to an article in The Times, "About one in every 15 children has complications that can include meningitis, pneumonia, fits, encephalitis (swelling of the brain), blindness and brain damage."<ref>The Sunday Times, ''How the MMR scare led to the return of measles'', February 8, 2009[http://www.timesonline.co.uk/tol/life_and_style/health/article5683687.ece]</ref>  In the England and Wales, there were 1,348 cases of measles in 2008; two children died of the disease. <ref>The Sunday Times, ''MMR doctor Andrew Wakefield fixed data on autism'', by Brian Deer, February 8, 2009 [http://www.timesonline.co.uk/tol/life_and_style/health/article5683671.ece]</ref>

The CDC notes that when a measles outbreak occurs, the cost to taxpayers can be substantial.  Public health responsibilities include "identification of cases, isolation of patients and vaccination, administration of immune globulin, and voluntary quarantine of contacts who have no evidence of measles immunity...In Iowa, the public health response to one imported measles case cost approximately $150,000."<ref>Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report, ''Outbreak of Measles --- San Diego, California, January--February 2008'', February 29, 2008 [http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5708a3.htm]</ref>

The CDC notes that when a measles outbreak occurs, the cost to taxpayers can be substantial.  Public health responsibilities include "identification of cases, isolation of patients and vaccination, administration of [[immune globulin]], and voluntary quarantine of contacts who have no evidence of measles immunity...In Iowa, the public health response to one imported measles case cost approximately $150,000."<ref>Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report, ''Outbreak of Measles --- San Diego, California, January--February 2008'', February 29, 2008 [http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5708a3.htm]</ref>

Other diseases besides the measles have also started not only to reappear but also to kill babies.  Hib (<i>[[Haemophilus influenzae]]</i> type B) recently killed an infant in Minnesota by causing meningitis in the baby.  The child who died had not been vaccinated.  Two others who had been either partially vaccinated, but not fully protected, or had an immune deficiency were seriously sickened.  The vaccine for Hib is less than twenty years old, but this is the first death due to the disease in the state of Minnesota since the vaccine was introduced.<ref>[http://children.webmd.com/vaccines/news/20090123/hib-outbreak-kills-unvaccinated-child Hib Outbreak Kills Unvaccinated Child]</ref>

Other diseases besides the measles have also started not only to reappear but also to kill babies.  Hib (<i>[[Haemophilus influenzae]]</i> type B) recently killed an infant in Minnesota by causing meningitis in the baby.  The child who died had not been vaccinated.  Two others who had been either partially vaccinated, but not fully protected, or had an immune deficiency were seriously sickened.  The vaccine for Hib is less than twenty years old, but this is the first death due to the disease in the state of Minnesota since the vaccine was introduced.<ref>[http://children.webmd.com/vaccines/news/20090123/hib-outbreak-kills-unvaccinated-child Hib Outbreak Kills Unvaccinated Child]</ref>