Measles Among U.S.-Bound Refugees from Malaysia - California, Maryland, North Carolina, and Wisconsin, August-September 2011

On Aug 26, 2011, California public health officials notified CDC of a suspected measles case in an unvaccinated male refugee aged 15 years from Burma, who had lived in an urban area of Kuala Lumpur, Malaysia, which is experiencing ongoing measles outbreaks. Thirty-one refugees who traveled from Malaysia on the same flight with the index patient on Aug 24 arrived in the following seven states: Maryland, North Carolina, New Hampshire, Oklahoma, Texas, Washington, and Wisconsin. Zipprich et al discuss preventions methods to limit the size of outbreaks of measles in communities.