2019 Pacific Northwest Measles Outbreak
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2019 Pacific Northwest Measles Outbreak
In early 2019, a measles outbreak occurred in the Portland metropolitan area, including the Clark County, Washington suburbs, in the United States. At the time, the outbreak was the largest outbreak in more than two decades; outbreaks in 2019 in areas including Brooklyn and Rockland County, New York have since seen far greater numbers of cases. Background In late December 2018, the Public Health Department of Clark County, Washington identified a patient with a high fever and rash, which are symptoms characteristic of measles. This was Clark County's first confirmed case of measles. The case sparked immediate concern, as measles is a highly contagious disease: the virus can spread through coughing or sneezing, and it is infectious enough that 90% of people in close proximity to the patient, if unvaccinated, will contract measles. Measles is also highly contagious because, for up to two hours, it can live on both surfaces and in airspaces. The area where the outbreak began and sp ...
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Portland Metropolitan Area
The Portland metropolitan area is a metro area in the U.S. states of Oregon and Washington centered on the principal city of Portland, Oregon. The U.S. Office of Management and Budget (OMB) identifies it as the Portland–Vancouver–Hillsboro, OR–WA Metropolitan Statistical Area, a metropolitan statistical area used by the United States Census Bureau (USCB) and other entities. The OMB defines the area as comprising Clackamas, Columbia, Multnomah, Washington, and Yamhill Counties in Oregon, and Clark and Skamania Counties in Washington. The area's population is estimated at 2,753,168 in 2017. The Oregon portion of the metropolitan area is the state's largest urban center, while the Washington portion of the metropolitan area is the state's third-largest urban center after Seattle and Spokane (the Seattle Urban Area includes Tacoma and Everett). Portions of the Portland metro area (Clackamas, Multnomah, and Washington Counties) are under the jurisdiction of Metro, a direc ...
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Seattle Area
The Seattle metropolitan area is an urban conglomeration in the U.S. state of Washington that comprises Seattle, its surrounding satellites and suburbs. It contains the three most populous counties in the state—King, Snohomish, and Pierce—and is considered part of the greater Puget Sound region. The United States Census Bureau defines the metropolitan area as the Seattle–Tacoma–Bellevue, WA metropolitan statistical area. With an estimated population of 4,102,400 , it is the 15th largest metropolitan statistical area (MSA) in the United States and is home to over half of Washington's population. Definition As defined by the United States Census Bureau, the Seattle metropolitan area is made up of the following (''see Fig. STB''): * Seattle–Bellevue– Everett metropolitan division ** King County: Seattle and its immediate vicinity ** Snohomish County: north of Seattle * Tacoma metropolitan division ** Pierce County: south of Seattle Based on commuting pattern ...
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Washington Department Of Health
The Washington State Department of Health is a state agency of Washington. It is headquartered in Olympia, Washington. The agency was created by the state legislature in May 1989 after splitting from the Washington State Department of Social and Health Services. Washington State Pharmacy Quality Assurance Commission States have historically provided a conscience clause right allowing pharmacists to refrain from participating in abortions. In June 2006, the Pharmacy Board of the Washington State Department of Health rejected a draft rule proposed by Governor Christine Gregoire to require all pharmacies to begin carrying Plan B levonorgestrel.Jason R. Mau, Stormans ''and the Pharmacists: Where Have All the Conscientious Rx Gone?''
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Google Trends
Google Trends is a website by Google that analyzes the popularity of top search queries in Google Search across various regions and languages. The website uses graphs to compare the search volume of different queries over time. On August 5, 2008, Google launched Google Insights for Search, a more sophisticated and advanced service displaying search trends data. On September 27, 2012, Google merged Google Insights for Search into Google Trends. Background Google Trends also allows the user to compare the relative search volume of searches between two or more terms. Originally, Google neglected updating Google Trends on a regular basis. In March 2007, internet bloggers noticed that Google had not added new data since November 2006, and Trends was updated within a week. Google did not update Trends from March until July 30, and only after it was blogged about, again. Google now claims to be "updating the information provided by Google Trends daily; Hot Trends is updated hourly." ...
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2015 Disneyland Measles Outbreak
Measles is extremely contagious, but surviving the infection results in lifelong immunity, so its continued circulation in a community depends on the generation of susceptible hosts by birth of children. In communities which generate insufficient new hosts the disease will die out. This concept was first recognized by Bartlett in 1957, who referred to the minimum number supporting measles as the critical community size (CCS). Analysis of outbreaks in island communities suggested that the CCS for measles is c. 250,000. Due to the development of vaccination against measles, the world has seen a 99% decrease in measles related cases compared cases before the vaccine was developed. Unfortunately, the COVID-19 pandemic has created less of a concern of routine measles immunizations, and outbreaks are expected to occur if routine vaccinations of children are not implemented again. Incidence In 2018, the WHO estimated that there were around 353,236 cases of measles worldwide. This has ...
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Baylor College Of Medicine
Baylor College of Medicine (BCM) is a medical school and research center in Houston, Texas, within the Texas Medical Center, the world's largest medical center. BCM is composed of four academic components: the School of Medicine, the Graduate School of Biomedical Sciences; the School of Health Professions, and the National School of Tropical Medicine. The school is part owner, alongside Catholic Health Initiatives (CHI), of St. Luke's Episcopal Hospital, Baylor St. Luke's Medical Center, the flagship hospital of the CHI St. Luke's Health system. Other affiliated teaching hospitals and research institutes include Harris Health System, Harris Health System's Ben Taub Hospital, Texas Children's Hospital, The University of Texas MD Anderson Cancer Center, TIRR Memorial Hermann, the Menninger Clinic, the Michael E. DeBakey Veterans Affairs Medical Center in Houston, Michael E. DeBakey VA Medical Center, and the Christus Santa Rosa Health System, Children's Hospital of San Antonio. On ...
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Peter Hotez
Peter Jay Hotez (born May 5, 1958) is an American scientist, pediatrician, and advocate in the fields of global health, vaccinology, and neglected tropical disease control. He serves as founding dean of the National School of Tropical Medicine, Professor of Pediatrics and Molecular Virology & Microbiology at Baylor College of Medicine, where he is also Director of the Texas Children's Hospital Center for Vaccine Development and Texas Children's Hospital Endowed Chair in Tropical Pediatrics, and University Professor of Biology at Baylor College of Medicine. Hotez served previously as president of the American Society of Tropical Medicine and Hygiene and is a founding Editor-in-Chief of '' PLOS Neglected Tropical Diseases''. He is also the co-director of Parasites Without Borders, a global nonprofit organization with a focus on those suffering from parasitic diseases in subtropical environments. Early life and education Hotez was born in Hartford, Connecticut, to a Jewish family. H ...
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CDC Vaccine Information Statement For MMR Vaccine
The Centers for Disease Control and Prevention (CDC) is the National public health institutes, national public health agency of the United States. It is a Federal agencies of the United States, United States federal agency, under the United States Department of Health and Human Services, Department of Health and Human Services, and is headquartered in Atlanta, Georgia. The agency's main goal is the protection of public health and safety through the control and prevention of disease, injury, and disability in the US and worldwide. The CDC focuses national attention on developing and applying disease control and prevention. It especially focuses its attention on infectious disease, Foodborne illness, food borne pathogens, environmental health, occupational safety and health, health promotion, injury prevention and educational activities designed to improve the health of United States citizens. The CDC also conducts research and provides information on non-infectious diseases, su ...
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Centers For Disease Control And Prevention
The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency, under the Department of Health and Human Services, and is headquartered in Atlanta, Georgia. The agency's main goal is the protection of public health and safety through the control and prevention of disease, injury, and disability in the US and worldwide. The CDC focuses national attention on developing and applying disease control and prevention. It especially focuses its attention on infectious disease, food borne pathogens, environmental health, occupational safety and health, health promotion, injury prevention and educational activities designed to improve the health of United States citizens. The CDC also conducts research and provides information on non-infectious diseases, such as obesity and diabetes, and is a founding member of the International Association of National Public Health Institutes.
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Rubella
Rubella, also known as German measles or three-day measles, is an infection caused by the rubella virus. This disease is often mild, with half of people not realizing that they are infected. A rash may start around two weeks after exposure and last for three days. It usually starts on the face and spreads to the rest of the body. The rash is sometimes itchy and is not as bright as that of measles. Swollen lymph nodes are common and may last a few weeks. A fever, sore throat, and fatigue may also occur. Joint pain is common in adults. Complications may include bleeding problems, testicular swelling, encephalitis, and inflammation of nerves. Infection during early pregnancy may result in a miscarriage or a child born with congenital rubella syndrome (CRS). Symptoms of CRS manifest as problems with the eyes such as cataracts, deafness, as well as affecting the heart and brain. Problems are rare after the 20th week of pregnancy. Rubella is usually spread from one person to the ...
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Mumps
MUMPS ("Massachusetts General Hospital Utility Multi-Programming System"), or M, is an imperative, high-level programming language with an integrated transaction processing key–value database. It was originally developed at Massachusetts General Hospital for managing hospital laboratory information systems. MUMPS technology has since expanded as the predominant database for health information systems and electronic health records in the United States. MUMPS-based information systems run over 40% of the hospitals in the U.S., run across all of the U.S. federal hospitals and clinics, and provide health information services for over 54% of patients across the U.S. A unique feature of the MUMPS technology is its integrated database language, allowing direct, high-speed read-write access to permanent disk storage. This provides tight integration of unlimited applications within a single database, and provides extremely high performance and reliability as an online transaction pro ...
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MMR Vaccine
The MMR vaccine is a vaccine against measles, mumps, and rubella (German measles), abbreviated as ''MMR''. The first dose is generally given to children around 9 months to 15 months of age, with a second dose at 15 months to 6 years of age, with at least four weeks between the doses. After two doses, 97% of people are protected against measles, 88% against mumps, and at least 97% against rubella. The vaccine is also recommended for those who do not have evidence of immunity, those with well-controlled HIV/AIDS, and within 72 hours of exposure to measles among those who are incompletely immunized. It is given by injection. The MMR vaccine is widely used around the world. Worldwide over 500 million doses were administered between 1999 and 2004, and 575 million doses have been administered since the vaccine's introduction worldwide. Measles resulted in 2.6 million deaths per year before immunization became common. This has decreased to 122,000 deaths per year , mostly in low-in ...
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