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He went on to blame misinformation and myth as the primary cause of the growing number of cases, citing the role social media plays in perpetuating fears about the measles, mumps, and rubella (MMR) vaccine. Particularly in the Ukraine, the Philippines and Brazil, there was significantly more disease.

The surge in vaccinations is happening around the Clark County, Wash., area after more than 50 people contracted the measles in an outbreak that began a few weeks ago.

It then propagates among un-vaccinated people, who tend to live close to each other. In the 2017-2018 school year, the proportion had fallen to 84 percent.

But this winter's outbreaks of measles across the nation are resulting in challenges to many exemptions: At least eight states, including some that have experienced measles outbreaks this year, want to remove personal exemptions for the measles vaccine. "Other exemptions are for medical reasons as the MMR vaccine is a live vaccine, and people with compromised immune systems can not have the vaccine", said Fredell.

This case is unrelated to the current outbreak that has affected 73 people in OR and Washington. The opt-out for religious reasons would remain.

Dr. Michael Grosso is chair of pediatrics at Northwell Health's Huntington Hospital in Huntington, N.Y. He agreed with Jan, adding that "disciplinary action by state licensing boards is reasonable" for doctors who sell fraudulent medical exemptions to parents.

So far, only three states - Mississippi, West Virginia and California - prohibit almost all vaccine exemptions, including the one exempting families who say their religious belief conflicts with vaccination. In the most populous U.S. state, exemptions are permitted only for medical reasons. Since 2015, DE has allowed schools to temporarily exclude non-vaccinated kids.

- Congressional hearing - The US Congress will hold a hearing Wednesday on the issue of vaccinating children. However, nine out of 10 unvaccinated people who are exposed to the virus will contract it, according to the Centers for Disease Control and Prevention. Most cases have been reported from zip codes in Borough Park and Williamsburg, Brooklyn.

And health authorities are alarmed because the previous school year was the third in a row in which requests for exemptions from vaccination increased, even though the rises were small. In spite of a vaccination rate of around 90 percent by 2015 in Berlin, diseased according to the Robert Koch-Institute 1.234 people to the measles. Vaccination-free kids were practically unheard of at the turn of the century. This can only be remedied by increasing the number of vaccinated children everywhere.

That law was passed because large clusters of "anti-vaxx" parents were refusing to vaccinate their children - allowing outbreaks of measles and whooping cough to re-emerge in that state.

Messonnier also noted that a lack of adequate access to health care can be a barrier to getting vaccinations, as has been seen in some rural and low-income communities. Children who now have cough, colds, or fever can not receive the vaccine.