vania-janet/multiturn-rag-retrieval-data huggingface dataset:
Measles Cases and Outbreaks | Measles (Rubeola) | CDC
During January 1–December 31, 2023, a total of 58 measles cases were reported by 20 jurisdictions: California, Colorado, District of Columbia, Florida, Hawaii, Idaho, Illinois, Kentucky, Maryland, Missouri, New Jersey, New York City, Ohio, Oregon, Pennsylvania, Texas, Utah, Virginia, Washington, and Wisconsin.
*Jurisdictions refer to any of the 50 states, New York City, and the District of Columbia. 

2022

From January 1 to December 31, 2022, a total of 121 measles cases were reported by 6 jurisdictions. *
For more information please see the following reports:

Notes from the Field: Measles Outbreak — Central Ohio, 2022–2023MMWR. August 4, 2023

*Jurisdictions refer to any of the 50 states, New York City, and the District of Columbia. 

2021

From January 1 to December 31, 2021, a total of 49 measles cases were reported by 5 jurisdictions. *
For more information please see the following reports:

Public Health Actions to Control Measles Among Afghan Evacuees During Operation Allies Welcome — United States, September–November 2021MMWR. April 29, 2022

*Jurisdictions refer to any of the 50 states, New York City, and the District of Columbia. 

2020

From January 1 to December 31, 2020, 13 individual cases of measles were confirmed in 8 jurisdictions.*
*Jurisdictions refer to any of the 50 states, New York City, and the District of Columbia. 

2019

From January 1 to December 31, 2019, 1,274 individual cases of measles were confirmed in 31 states.
This is the greatest number of cases reported in the United States since 1992. The majority of cases were among people who were not vaccinated against measles. Measles is more likely to spread and cause outbreaks in U.S. communities where groups of people are unvaccinated.
For more information please see the following reports:

Increase in Measles Cases – United States, January 1-April 26, 2019 MMWR. May 3, 2019
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Measles Cases and Outbreaks | Measles (Rubeola) | CDC
Notes from the Field: Measles Outbreak at a United States Immigration and Customs Enforcement Facility — Arizona, May–June 2016MMWR. May 26, 2017

Measles Outbreak of Unknown Source — Shelby County, Tennessee, April–May 2016MMWR. September 30, 2016

*Jurisdictions refer to any of the 50 states, New York City, and the District of Columbia. 

2015

For more information please see the following reports:

Measles — United States, January 4–April 2, 2015MMWR. April 17, 2015

Measles Outbreak — California, December 2014–February 2015MMWR. Feb 20, 2015

*Jurisdictions refer to any of the 50 states, New York City, and the District of Columbia. 

2014

For more information please see the following reports:

Measles Outbreak in an Unvaccinated Family and a Possibly Associated International Traveler — Orange County, Florida, December 2012–January 2013. MMWR. Sep 12, 2014

Notes from the Field: Measles in a Micronesian Community — King County, Washington, 2014. MMWR. Sep 12, 2014

Measles — United States, January 1–May 23, 2014. MMWR May 29, 2014

Notes from the Field: Measles — California, January 1–April 18, 2014. MMWR. Apr 25, 2014

*Jurisdictions refer to any of the 50 states, New York City, and the District of Columbia. 

2013

For more information please see the following reports:

Measles — United States, January 1-August 24, 2013. MMWR. Sep 13, 2013

Notes from the field: Measles outbreak among members of a religious community — Brooklyn, New York, March–June 2013. MMWR. Vol 62, No 36;752-3 09/13/2013

Notes from the field: Measles outbreak associated with a traveler returning from India — North Carolina, April–May 2013. MMWR. Vol 62, No 36;753
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Deborah Perkins, RNInfection Prevention SpecialistDr. Celia Sutton-PadoHealth Officer202 Front St.P.O. Box 7Loyalton, CA 96118Ph: 530-993-6700Fx: 530-993-679022 Maiden LaneP.O. Box 38Downieville CA 95936Ph: 530-289-3711Fx: 530-289-3716HoursMonday - Friday8 a.m. - 5 p.m.ClosedNoon - 1 p.m.
 

  
 
 

 

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Measles Cases and Outbreaks | Measles (Rubeola) | CDC
Achieving measles elimination status in the United States was a historic public health achievement. The below figure illustrates how common measles was before vaccines and how vaccine policy enabled elimination.
View LargerDownload

*2023 data are preliminary and subject to change. †Elimination is defined as the absence of endemic measles transmission in a region for ≥ 12 months in the presence of a well-performing surveillance system.

*2023 data are preliminary and subject to change. †Elimination is defined as the absence of endemic measles transmission in a region for ≥ 12 months in the presence of a well-performing surveillance system.Show More

MMR Vaccine Coverage for Kindergarteners by School Year (2009–2023)
The measles, mumps, and rubella (MMR) vaccine is very safe and effective. When more than 95% of people in a community are vaccinated (coverage >95%), most people are protected through community immunity (herd immunity). However, vaccination coverage among U.S. kindergartners has decreased from 95.2% during the 2019–2020 school year to 93.1% in the 2022–2023 school year, leaving approximately 250,000 kindergartners at risk each year over the last three years. To dive into vaccine coverage data for MMR, visit VaxView.
At local levels, vaccine coverage rates may vary considerably, and pockets of unvaccinated people can exist in states with high vaccination coverage. When measles gets into communities of unvaccinated people in the United States, outbreaks can occur.

Previous Years

2023

During January 1–December 31, 2023, a total of 58 measles cases were reported by 20 jurisdictions: California, Colorado, District of Columbia, Florida, Hawaii, Idaho, Illinois, Kentucky, Maryland, Missouri, New Jersey, New York City, Ohio, Oregon, Pennsylvania, Texas, Utah, Virginia, Washington, and Wisconsin.
*Jurisdictions refer to any of the 50 states, New York City, and the District of Columbia. 

2022

From January 1 to December 31, 2022, a total of 121 measles cases were reported by 6 jurisdictions. *
Measles Cases and Outbreaks | Measles (Rubeola) | CDC
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	May 24, 2024	

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Measles Cases and Outbreaks 

What to know

Updated on May 24, 2024. CDC updates this page weekly on Fridays.

Measles cases in 2024
As of May 23, 2024, a total of 142 measles cases were reported by 21 jurisdictions: Arizona, California, Florida, Georgia, Illinois, Indiana, Louisiana, Maryland, Michigan, Minnesota, Missouri, New Jersey, New York City, New York State, Ohio, Pennsylvania, Vermont, Virginia, Washington, West Virginia, and Wisconsin.
 There have been 10 outbreaks (defined as 3 or more related cases) reported in 2024, and 68% of cases (97 of 142) are outbreak-associated. For comparison, 4 outbreaks were reported during 2023 and 48% of cases (28 of 58) were outbreak-associated. 

U.S. Cases in 2024

U.S. Cases in 2024
Total cases

Age
Under 5 years: 
5-19 years: 
20+ years: 

Vaccination Status
Unvaccinated or Unknown: 
One MMR dose: 
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U.S. Hospitalizations in 2024

U.S. Hospitalizations in 2024

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What to Know

How serious is measles?

Measles is an airborne, extremely infectious, and potentially severe rash illness. Before the measles vaccine was introduced, an estimated 48,000 people were hospitalized and 400–500 people died in the United States each year.
Keep Reading:
Measles Symptoms and ComplicationsMeasles is not a seasonal virus. However, measles is often spread over times of high travel (ex: spring break) or in situations where unvaccinated persons are in close quarters (ex: summer camp).
Snakes on a trail: Tips for hiking in rattlesnake country
Otherwise, walk out as calmly as you can to the nearest phone signal or assistance. It’s better to move toward help than wait, if you’re uncertain when help may come.
How do I keep from being bitten?
A California study found two-thirds of rattlesnake bites were on the hand or arm, and 80 percent of victims were young men.  Most bites occur from handling or accidentally touching snakes.  

Don’t pick up or get close to snakes.
Make sure you can see where you plan to step or put your hands. Step on, not over, large rocks or logs.
Stick to trails, avoid tall grass and heavy underbrush where snakes may shelter out of the heat.
Wear long pants and sturdy shoes. Don’t wear sandals in bushy, wild areas.
Rattlesnakes can swim, so be careful about grabbing what look like sticks or branches in lakes and rivers.

What about my dog?
Keep dogs on leash so they don’t investigate snakes. If bitten, get them quickly to a vet for antivenom shots.
Regional Parks and rattlesnakes
Each year, rangers, other parks staff and, yes, some hikers report seeing rattlesnakes along trails or in other park areas. If the snake is in a populated spot, rangers will relocate it to a safer location.  
Not surprisingly, the Sonoma County parks where rattlesnake sightings are more common are parks like Shiloh Ranch, Sonoma Valley, Hood Mountain and Spring Lake - warm, dry parks that feature grasslands, woodlands, and rocky areas. 
Again, the good news is local rangers can't recall ever responding to a report of a snake bite.
Stephen Nett is a Bodega Bay-based naturalist, writer and speaker.

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H5 bird flu is widespread in wild birds worldwide and is causing outbreaks in poultry and U.S. dairy cows with two cases of H5 in U.S. dairy workers.
While the current public health risk is low, CDC is watching the situation carefully and working with states to monitor people with animal exposures.
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Communicable Disease | Sierra County, CA - Official Website
Celia Sutton-PadoHealth Officer202 Front St.P.O. Box 7Loyalton, CA 96118Ph: 530-993-6700Fx: 530-993-679022 Maiden LaneP.O. Box 38Downieville CA 95936Ph: 530-289-3711Fx: 530-289-3716HoursMonday - Friday8 a.m. - 5 p.m.ClosedNoon - 1 p.m.
 

 
 
 

 

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Chronic Wasting Disease

Creutzfeldt-Jakob disease (CJD), a sporadic prion disease arising in 1:1,000,000 people, and variant Creutzfeldt-Jakob disease (vCJD), which has been linked to the consumption of infected cattle during the “mad cow disease” outbreak in Great Britain and Europe in the 1990s, are examples of TSEs in humans.

How is chronic wasting disease spread?

The misfolded prion that causes CWD is infectious to other cervids and can be spread through direct contact with infected individuals or through contact with a contaminated environment. Infectious prions can be excreted in urine, feces, and saliva of infected animals, even before they show any signs of the disease. Carcasses and tissues, especially brain, spinal cord, and lymph nodes, of infected animals contain infectious prions and may spread the disease if left out on the landscape. Prions are very stable and difficult to disinfect, persisting for years in a contaminated environment able to infect a susceptible deer or elk.

Where is chronic wasting disease?

Chronic wasting disease (CWD) was first described in mule deer at a captive facility in Colorado in 1967. Since then, CWD has been diagnosed in free-ranging deer, elk, and moose populations in 34 states (now including California) and four Canadian provinces. It has also been found in captive elk and Sika deer in South Korea, free-ranging moose and reindeer in Norway, and free-ranging moose in Finland. For a map of current known CWD infected populations in North America, please visit the United States Geological Survey (USGS) CWD page. A timeline of the spread of CWD can be found by visiting the Chronic Wasting Disease Alliance website.

What are the symptoms of chronic wasting disease?

The progression of chronic wasting disease (CWD) in an infected animal is very slow. It takes months or even years following infection for clinical signs of CWD to appear. Infected animals gradually become skinnier, emaciated or “wasted” despite continuing to eat. They may show abnormal behaviors such as a wide stance, staggering gait, or inability to keep their head up.

What should I do if I see a sick deer or elk and am concerned it might be chronic wasting disease?
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