June 2019 - Parks & Recreation - 54

The Childhood Scourge Is Back
By Richard J. Dolesh

O

f all the infectious and communicable diseases that park and recreation program leaders
must be aware of, it is likely no one expected
that in 2019 they would have to be worried
about preventing measles exposure. In fact,
in 2000, a group of experts, including physicians, epidemiologists and public health experts, declared the disease had
been " eliminated " in the United States, a proclamation that
marked a milestone in the fight against this highly persistent
and recurring disease.
Although there have been sporadic and highly localized cases of measles since 2000, they have mostly been traced to international travelers who were exposed while they were on travel
and who then returned to the United States to infect others.
The measles outbreaks that are now occurring widely across
the nation have been an unpleasant reminder to the medical
community and public health agencies that measles has not
been eliminated. The primary causes of today's new cases

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are from international origin by unvaccinated travelers coming into the U.S. and then from individuals in the U.S., mostly
children, who are passing the disease to others. In late May,
Pennsylvania reported its first case of measles, raising to 26 the
number of states reporting confirmed measles cases.
Measles is a highly infectious viral disease that is most common in children, However, it is not a benign childhood illness
lasting for a few days and leaving no more than a memory of
a fever and blotchy red spots on the face and body. It continues
to infect large numbers of people worldwide, affecting
up to 10 million people annually causing serious
health effects, including infections, pneumonia,
and encephalitis. It is especially dangerous to
very young children and those with compromised immune systems.
According to the Centers for Disease
Control and Prevention (CDC), more
than 100,000 of the more than 10



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