Abstract
THERE ARE indications that 1991 will see fewer US measles cases than 1990. But eradicating this disease in the United States—to say nothing of worldwide—clearly continues to pose a major challenge for those who are pursuing this goal ( JAMA . 1991;265:2095-2096). In the past year (1990), there may have been as many as 30 000 US cases (50% more than in 1989), with nearly 100 deaths. In fact, one of every five persons with rubeola was hospitalized (for a total of at least 15 000 hospital days nationwide). If all 97 measles-associated deaths reported for 1990 are confirmed, says William Atkinson, MD, Centers for Disease Control (CDC), Atlanta, Ga, this will be the largest US toll from measles since 1966 ( JAMA . 1966;196:29-30,38-39 and 1967;200:27). Some 203 000 cases were reported that year—comparatively low in comparison with the previous 20 years ( JAMA . 1967;199:32)—but 261 deaths were attributed to the disease. There's no
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