Content area
Abstract
According to the Centers for Disease Control and Prevention and various state health departments,3 at least 45 USA counties have reported measles cases in 2019 and 30 of these are either included in the top 25 at-risk counties identified in figure 1 or spatially adjacent to one of the top 25 counties. [...]each of the USA counties listed in the appendix that have not yet had a measles outbreak in 2019 (as of April 15) either lies adjacent to a county that has or is served by a major international airport and is thus at risk of imported measles cases resulting in a local outbreak. Besides Travis, Texas these include Maricopa, Arizona, Clayton Georgia, Honolulu, Hawaii, Wayne, Michigan, Salt Lake, Utah, Hennepin, Minnesota, Suffolk, Massachusetts, Loudon, Virginia, San Diego, California, and multiple counties in Florida. [...]using the proposed analysis, we can specify the set of countries that contribute most to measles risk across the USA.
Details
1 Departments of Philosophy and Integrative Biology, University of Texas, Austin, TX 78712, USA
2 School of Civil and Environmental Engineering, UNSW Sydney, Sydney, NSW 2052, Australia
3 St Michaels Hospital, Toronto, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada; BlueDot, Toronto, ON, Canada
4 School of Civil and Environmental Engineering, UNSW Sydney, Sydney, NSW 2052, Australia; Department of Civil Engineering, Johns Hopkins University, Baltimore, MD, USA