Now there are no cases of measles in the state, but Health Promotion Director Cindy Farr says there is a possibility measles could reach Montana.
Moldova, Montenegro and Colombia also reported measles cases in 2018 despite having none the year prior, but none came close to Brazil's increase as Moldova had the second highest increase of these countries with 312 cases.
Check your immunization records to make sure you and your children have had two doses of the measles vaccine (MMR or MMRV).
This is despite there being a vaccine for measles readily available in most countries, which is cheap and effective.
The city's Health Department on Thursday pleaded with parents to vaccinate their children against measles, as an outbreak in Brooklyn has grown exponentially since October.
Measles is transmitted by airborne particles, droplets, and direct contact with the respiratory secretions of an infected person.
The new surge in cases has not "happened overnight", she added.
Ukraine suffered the world's largest increase in the number of measles cases in 2018, some of them the result of the so-called "anti-vax" movement, the United Nations children's agency says. The last reported fatal case was in 2015, and the last one before that was 12 years prior.
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Herd immunity refers to how a disease can be kept from easily spreading through a community based on the proportion of people in that community who are immune to the disease, such as through vaccination. There is no specific treatment for measles, so vaccination can mean the difference between life and death, according to UNICEF.
- Congressional hearing - The US Congress will hold a hearing Wednesday on the issue of vaccinating children. Among serious complications, 1 in 20 patients get pneumonia, and 1 in 1,000 get brain swelling that can lead to seizures, deafness or intellectual disability.
The virus can live for up to two hours in the air or on nearby surfaces. In the Ukraine had been recorded in the past year, with 35.120 cases, nearly 30,000 more than in 2017.
"Almost all of these cases are preventable, and yet children are getting infected even in places where there is simply no excuse", Fore said.
"I'm really concerned about the misinformation, but I also understand how complicated it is for parents", Messonnier said.
According to the latest statistics from the Centers for Disease Control and Prevention, 2019 has already seen 159 individual measles cases in 10 states, approximately 50 percent of which were linked to one outbreak around near Clark County in Washington state and Portland, Oregon.
People born before 1957 who have had the lab testing that shows they are not immune and may be at high risk should have one dose of the MMR vaccine and then a second dose 28 days later.