Abstract
Results of a measles spatial risk analysis from May, 2019, published in The Lancet Infectious Diseases, identified US counties with the highest relative risk of a measles outbreak in 2019.1 Measles outbreaks have persisted in the USA and globally with over 400 000 cases confirmed in 2019, reversing decades of progress towards measles elimination in many countries.2,3 In the USA, 1282 cases of measles were reported in 2019 across 31 states and 94 counties, the most since 1992.4
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