Fine-scale spatial clustering of measles nonvaccination that increases outbreak potential is obscured by aggregated reporting data.

ABSTRACT: The United States experienced historically high numbers of measles cases in 2019, despite achieving national measles vaccination rates above the World Health Organization recommendation of 95% coverage with two doses. Since the COVID-19 pandemic began, resulting in suspension of many clinical preventive services, pediatric vaccination rates in the United States have fallen precipitously, dramatically increasing risk of measles resurgence. Previous research has shown that measles outbreaks in high-coverage contexts are driven by spatial clustering of nonvaccination, which decreases local immunity below the herd immunity threshold. However, little is known about how to best conduct surveillance and target interventions to detect and address these high-risk areas, and most vaccination data ar

SUBMITTER: Masters NB 

PROVIDER: S-EPMC7668033 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature