Claim: Public warned of possible measles exposure in Pennsylvania.
Verdict: SUPPORTS

Retrieved passages:
title: Measles
text: initiated in Ohio when two unvaccinated Amish men returned to the United States from missionary work in the Philippines, harboring asymptomatic measles. Their return to a community with low vaccination rates led to an outbreak that rose to include a total of 383 outbreak-related cases across nine counties. Of the 383 cases, 340 (89%) occurred in unvaccinated individuals. From January 4 to April 2, 2015, there were 159 cases of measles reported to the CDC. Of those 159 cases, 111 (70%) were determined to have come from an earlier exposure in late December 2014. This outbreak was believed to have

title: Epidemiology of measles
text: regions. In June 2006, an outbreak in Boston resulted after a resident became infected in India, and in October 2007, a Michigan girl who had been vaccinated contracted the disease overseas. In 1991 in the Philadelphia region, thousands of children were sick with measles. The epicenter of this outbreak was traced to the Faith Tabernacle Congregation, a Faith Healing church that actively discouraged parishioners from vaccinating their children. A Court Order was obtained to forcibly treat and vaccinate children whose parents would not agree to seeking medical care. Nine children eventually died as a result of this outbreak. Between January

title: Epidemiology of measles
text: particularly for young children with a family history of autism, and where several immunizations are given at the same time. William Schaffner, professor at the Vanderbilt University School of Medicine, described the pastor as "misinformed" and said that young children are among the most vulnerable to measles. In February and March 2014, 20 confirmed cases appeared in New York City. In December 2014, a measles outbreak began at Disneyland in Southern California. At least 173 people have become infected with measles in 21 states, as of May 2015. Health officials say 39 cases have been traced to direct exposure at

title: Measles
text: and was taking immunosuppressive drug for another condition. The drugs suppressed the woman's immunity to measles, and the woman became infected with measles; she did not develop a rash, but contracted pneumonia, which caused her death. In June 2017, the Maine Health and Environmental Testing Laboratory confirmed a case of measles in Franklin County. This instance marks the first case of measles in 20 years for the state of Maine. In 2018 one case occurred in Portland, Oregon, with 500 people exposed; 40 of them lacked immunity to the virus and were being monitored by county health officials as of

title: 2009 flu pandemic in the United States by state
text: another two in Marion County (June 15, 2009 and July 24, 2009) and three in Multnomah County (June 26, 2009, July 3, 2009, and July 17, 2009). On May 3, The Pennsylvania Department of Health said that a 31-year-old male in Montgomery County had the H1N1 flu. By May 5 probable cases were under investigation in Philadelphia (10), Bucks (2), Chester (2), Allegheny (1), Cambria (1), Franklin (1), Lehigh (1), Luzerne (1), Lycoming (1), Montgomery (1), and York (1) counties. On June 4, a 55-year-old woman in Berks County was confirmed as the first death in Pennsylvania due to swine

title: 2013 Swansea measles epidemic
text: to contain the outbreak. Vaccinations were held in all comprehensive schools in Powys. There were concerns that the epidemic could spread to London and infect many more people, prompting the Department of Health to set up a mass vaccination campaign targeted at one million school children throughout England. The following table shows measles notifications by the NHS Health Board. Reported notifications tend to exceed confirmed cases. Public Health Wales issued a statement saying, "Measles is one of a number of notifiable diseases. Doctors in Wales have a statutory duty to notify a 'Proper Officer' of the Local Authority of suspected

title: Vaccine controversies
text: of these cases (117 cases [66%]) were part of a large multi-state outbreak linked to Disneyland in California, continued from 2014. Analysis by the CDC scientists showed that the measles virus type in this outbreak (B3) was identical to the virus type that caused the large measles outbreak in the Philippines in 2014. On July 2, 2015, the first confirmed death from measles in 12 years was recorded. An immunocompromised woman in Washington State was infected and later died of pneumonia due to measles. In spring 2017, a measles outbreak occurred in Minnesota. As of June 16, 78 cases of

title: Epidemiology of measles
text: deaths were reported. A measles outbreak was declared on 8 March 2014 in regions east of Vancouver in the Fraser Valley area where vaccination rates were known to be low in school and religious groups. A total of 228 cases were confirmed. On March 24, Fraser Health Authority said the outbreak have been contained and confined to the original community. Indigenous measles were declared to have been eliminated in North, Central, and South America; the last endemic case in the region was reported on November 12, 2002. Outbreaks are still occurring, however, following importations of measles viruses from other world

title: Epidemiology of measles
text: six were French, and 7,288 hospitalizations. In February 2014, 26 cases in Barcelona, Spain. Ukraine has had a multiple large outbreaks of measles. In 2001-2002, there were around 25,000 cases and 14 deaths reported. In 2006 with 44,534 reported cases with at least 2 deaths. 13,517 cases were reported in 2012. Germany has faced repeated outbreaks in the 21st century. 6,037 cases were reported in 2001 with at least two deaths. More than 1,500 cases were reported in 2006. 1,600 cases were reported in an outbreak in 2013. An outbreak in 2015 had more than 1,700 cases had been reported

title: Epidemiology of measles
text: schedule or discourage vaccination, among them Bob Sears and Jay Gordon for reducing vaccination rates and thus weakening herd immunity, and creating a situation in which an outbreak was more likely. California passed a mandatory vaccination law in June 2015. In Spring 2015, a death of an immune-suppressed woman in Washington State caused by measles was diagnosed after autopsy. This was the first U.S. measles death since 2003. In spring 2017, a measles outbreak occurred in Minnesota. As of June 16, 78 cases of measles had been confirmed in the state, 71 were unvaccinated and 65 were Somali-Americans. The outbreak

title: Epidemiology of measles
text: Approximately 1000 cases of the disease were reported in Israel between August 2007 and May 2008 (in sharp contrast to just some dozen cases the year before). Many children in ultra-Orthodox Jewish communities were affected due to low vaccination coverage. In 2007, a large measles outbreak in Japan caused a number of universities and other institutions to close in an attempt to contain the disease. In 2014 the Philippines experienced a large ongoing measles outbreak. According to the World Health Organization there were 57,564 suspected cases of measles, including 21,403 confirmed cases, 110 measles deaths, were reported in the Philippines

title: Epidemiology of measles
text: vaccinated. In 2013, at least 20 members of the Eagle Mountain International Church in North Texas were diagnosed with measles after a few members of the congregation traveled abroad on a mission trip and contracted the disease. The church is part of Kenneth Copeland Ministries, which used to advocate abstaining from vaccinations and immunizations for fear they cause autism. The church has sponsored several vaccination drives. Senior Pastor Terri Pearsons, who had previously expressed concerns about potential links between the measles vaccine and autism, was encouraging parishioners to get vaccinated. However, she said she still has some concerns about vaccines,

title: Measles
text: people with malnutrition. Most of those who die from the infection are less than five years old. Measles is not believed to affect other animals. Before immunization in the United States, between three and four million cases occurred each year. As a result of widespread vaccination, the disease was declared eliminated from the Americas in 2016. It, however, occurred again in 2017 and 2018 in this region. Symptoms typically begin 10–14 days after exposure. The classic symptoms include a four-day fever (the 4 D's) and the three C's—cough, coryza (head cold, fever, sneezing), and conjunctivitis (red eyes)—along with fever and

title: Epidemiology of measles
text: an outbreak occurred in Minnesota. As of June 16, 78 total cases had been confirmed, 71 of which were unvaccinated. Indigenous measles was declared to have been eliminated in North, Central, and South America; the last endemic case in the region was reported on November 12, 2002, with only northern Argentina and rural Canada, particularly in Ontario, Quebec, and Alberta, having minor endemic status. Outbreaks are still occurring, however, following importations of measles viruses from other world regions. In June 2006, an outbreak in Boston resulted after a resident became infected in India. The Canadian government defines endemic measles as

title: 2013 Swansea measles epidemic
text: cases of measles based on clinical symptoms, usually before diagnosis has been confirmed by laboratory testing. Reported notifications of measles usually far exceed the actual numbers of confirmed cases. Other rashes are often mistaken for measles". 2013 Swansea measles epidemic The 2012–13 Swansea measles epidemic began in November 2012 and was declared over on 3 July 2013. There were a total of 1,219 measles notifications (suspected cases) in Swansea, Neath Port Talbot, Bridgend, Carmarthenshire, Ceredigion, Pembrokeshire and Powys, with 1,455 measles notifications for the whole of Wales, 664 of which were in Swansea alone. A total of 88 people were

title: Epidemiology of measles
text: declined to have them vaccinated. The typical vaccine would be the MMR vaccine. The incident drew attention to the controversy over MMR vaccination. This was San Diego County's first measles outbreak since 1991. In February 2008 there was an outbreak of measles in Pima County, Arizona. There were 13 laboratory confirmed and 4 probable measles cases, though 22 cases were previously reported. The outbreak started with a visitor from Switzerland and resulted in a public health emergency declaration by Pima County. The last confirmed Pima County case occurred in 1994, and the last outbreak occurred in 1991. By July 9,

title: Epidemiology of measles
text: 1 and April 25, 2008, a total of 64 confirmed measles cases were preliminarily reported in the United States to the Centers for Disease Control and Prevention, the most reported by this date since 2001, and the highest total number in six years. Of the 64 cases, 54 were associated with importation of measles from other countries into the United States, and 63 of the 64 patients were unvaccinated or had unknown or undocumented vaccination status. By July 9, 2008, a total of 127 cases were reported in 15 states, making it the largest US outbreak since 1997 (when 138

title: Epidemiology of measles
text: 2008, a total of 127 cases were reported in 15 states (including 22 in Arizona), making it the largest U.S. outbreak since 1997 (when 138 cases were reported). Most of the cases were acquired outside of the United States and afflicted individuals who had not been vaccinated. By July 30, 2008, the number of cases had grown to 131. Of these, about half involved children whose parents rejected vaccination. The 131 cases occurred in seven different outbreaks. There were no deaths, and 15 hospitalizations. Eleven of the cases had received at least one dose of measles vaccine. Children who were

title: Measles
text: July 2, 2018. By August 2018, 102 cases of measles had been reported throughout the United States. The spread of measles had been interrupted in Brazil as of 2016, with the last known case twelve months earlier. This last case was in the state of Ceará. Brazil won a measles elimination certificate by the Pan American Health Organization in 2016, but the Ministry of Health has proclaimed that the country has struggled to keep this certificate, since two outbreaks had already been identified in 2018, one in the state of Amazonas and another one in Roraima, in addition to cases

title: Epidemiology of measles
text: cases were reported). Most of the cases were acquired outside of the United States and afflicted individuals who had not been vaccinated. In early 2008 there was an outbreak of measles in San Diego, California. The outbreak is traced to an unvaccinated 7-year-old child who went on a family trip to Europe. The CDC refers to this as an "import-associated outbreak". The final diagnosis included 11 additional cases of measles in unvaccinated children in San Diego. All of the confirmed patients were not vaccinated because they were younger than 1, the minimum age for measles inoculation, or because their parents