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Experts can't say for sure where the next outbreak might be.

Public health officials in OR and Washington reported a combined 56 confirmed cases of measles.

Looking Ahead Where will the next big measles outbreak spring up in the United States?

"Measles worldwide is on the rise and it has been alarming", Professor Kristine Macartney, Director of National Centre for Immunisation Research & Surveillance (NCIRS) told 10 daily.

A report published by the European Commission previous year and compiled by a team led by Ms Larson found measles immunisation coverage had fallen in 12 EU countries since 2010, and seven out of the 10 countries with the lowest vaccine confidence in the world were in Europe. This is the highest number in a decade.

The percentage of children receiving the first dose of the vaccine also increased, to 95%. The disease is so contagious that 90 percent of people close to someone who is not immune will be infected. "The recommended two doses of the measles vaccine provide even greater protection - 97 percent".

It is also 15 times a record low recorded in 2016.

Macartney agrees that ISIS activity "definitely has an impact". The current Washington outbreak has been traced back to someone from outside the country.

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According to WAC 246-105-030, measles is one of many diseases for which a child is required to be vaccinated against or show proof of immunity, before attending any school (public or private) or child care center. Public health officials urge all individuals to re-visit their immunization records by logging into MyIR or by contacting their healthcare provider.

- One case of measles has been confirmed in Bell County. Julie Graham, a public information officer with the Health Department, said those reports are inaccurate.

Under Inslee's declaration, state agencies can use all available resources to help affected areas and additional medical resources can be requested from other states.

Despite availability of safe and cost-effective vaccines since the 1960s, more than 100,000 people die globally from the illness each year - the majority of whom are children younger than five years old in developing countries. "The outbreak in Washington and NY at the moment is being linked to travel to Israel and Ukraine", MacIntyre said.

The New York City measles outbreak continues to persist, with 67 confirmed cases of measles occurring between October and February 6, 2019. However, it can not make us blind to the people and places that are still being missed. The Philippines is also battling a major outbreak, with more than 1,800 cases and 26 deaths.

"It's never too late to be vaccinated", Soldat said.

Washington state Rep. Paul Harris (R-Vancouver) has introduced a measurethat would remove personal belief exemptions for the MMR vaccine. In comparison, other immunisation requirements are more costly sitting at at around $20.