Measles imported to the United States by children adopted from China

Pediatrics
Qiru SuHuiming Luo

Abstract

In July 2013, the National Immunization Program of China was notified by the US Centers for Disease Control and Prevention that measles was detected in 3 newly adopted, special needs children with cerebral palsy (CP) from China. We report an investigation of measles transmission in China that led to infection of these children. Interviews were conducted with welfare institute staff and panel physicians; health records of the potentially exposed population were reviewed; and immunization coverage was assessed among institute residents. Five residents with CP, all unvaccinated against measles, among who were the 3 adoptees, were linked epidemiologically into 3 generations of measles transmission antecedent to the US outbreak. In a random sample of residents, first dose of measles containing vaccine (MCV1) and MCV2 coverage was 16 of 17 (94%) and 7 of 11 (64%) among children with CP, and 100% (32 of 32) and 96% (21 of 22) among children without CP. Vaccinators reported reluctance to vaccinate children with CP because the China pharmacopeia lists encephalopathy as a contraindication to vaccination. Panel physicians reported to investigators no necessity of vaccination for adoptees to the United States if US parents sign an affidavi...Continue Reading

References

Nov 5, 2002·Pediatrics·Annamari MäkeläHeikki Peltola
May 20, 2014·Bulletin of the World Health Organization·Chao MaHuiming Luo
Nov 8, 2014·Bulletin of the World Health Organization·Jane Parry

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Citations

Jan 1, 2015·Current Treatment Options in Infectious Diseases·Julian W TangCatherine J Noakes
Dec 6, 2019·MMWR. Morbidity and Mortality Weekly Report·Chao MaZijian Feng

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