By David Beasley
ATLANTA (Reuters) - Measles cases have hit a 20-year high in the United States, a troubling increase fueled by international travel by people who have not been vaccinated against the virus, the Centers for Disease Control and Prevention said on Thursday.
Between Jan. 1 and May 23 of this year, 288 measles cases were reported to the federal health agency, the highest year-to-date total since 1994, officials said.
"This is not the kind of record we want to break, but should be a wake-up call to travelers and parents to make sure vaccinations are up to date," said Anne Schuchat, director of the CDCâs National Center for Immunizations and Respiratory Diseases.
Home-grown measles in the United States was declared eliminated in 2000, but cases imported from patients traveling abroad continue to infect unvaccinated U.S. residents with the highly contagious respiratory disease, according to the CDC.
No cases of measles have been reported in Central Florida so far this year, said county health officials. However, in 2013, Orange County saw five cases and Seminole County saw two cases of confirmed measles, according to Dain Weister, spokesman for the Orange County health department.
In Seminole, those were the only cases in the county for 15 years, he said.
In 2012 and 2011, Orange County saw one case of measles each year. Osceola County reported one case in 2011.
A large outbreak in the Philippines was connected to 138 cases this year involving Amish communities in Ohio, health officials said. In all, 18 states have reported measles cases this year.
Measles has caused 43 patients to be hospitalized in 2014 but no deaths, Schuchat said.
Unvaccinated residents in the United States provide a âwelcome wagonâ for measles imported from abroad, Schuchat said, noting the virus is still common in many parts of the world including Europe, Asia and Africa. The Philippines has reported more than 32,000 measles cases and 41 deaths from January to April 20, she said.
Eighty-five percent of the unvaccinated U.S. residents who contracted measles cited religious, philosophical or personal reasons for not getting immunized, the CDC said.
âIt was not because they were too young or had medical reasons like leukemia,â Schuchat said. âThese outbreaks illustrate that clusters of people with like-minded beliefs who forgo vaccines can be susceptible to outbreaks when the virus in imported.â
The CDC recommends that, starting at age 12 months, infants receive two doses of MMR (measles, mumps and rubella) vaccine. Infants aged 6 through 11 months old should receive one dose of MMR vaccine before international travel.
The health agency also recommends vaccination for adults who were not immunized as children or are unsure of their immunization history.
(Editing by Colleen Jenkins and Marguerita Choy)
(Marni Jameson of the Orlando Sentinel contributed to this report)