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A medical assistant gives an MMR vaccine to an infant at the Medical Arts Pediatric Med Group in Los Angeles, 2015. Photo: Mel Melcon/Los Angeles Times via Getty Images

142,300 people — mostly children under 5 years old — died from measles in 2018, the World Health Organization said on Thursday.

The big picture: Cases of the vaccine-preventable infection continue to spike around the world. Ukraine, the Democratic Republic of the Congo (DRC), Madagascar, Liberia and Somalia had the highest incidence rates of the infection in 2018.

By the numbers: In 2019 so far...

  • 5,110 measles-related deaths have been reported in the DRC in 250,270 suspected cases as of Nov. 17 — an increase of more than 8,000 cases compared to the previous week. The DRC has also been battling outbreaks of Ebola and malaria.
  • Madagascar and Nigeria are two countries with ongoing outbreaks, with new cases reported weekly, WHO stated on Nov. 27. Ukraine has reported 56,802 cases of measles this year through Nov. 5.
  • The Samoa Ministry of Health confirmed a total of 2,437 cases and 32 associated deaths as of Nov. 26. The WHO said on Nov. 27 that 243 of those new cases had been reported within 24 hours.
  • The U.S. measles outbreak this year broke a 27-year record, reaching a total of 1,276 cases in 31 states as of Dec. 5, per the CDC. There have been no reported fatalities in the U.S., and cases have dropped since spiking in April. But it only takes one unvaccinated group for the extremely contagious virus to establish a new foothold, Axios' Eileen Drage O'Reilly reports.

Where it stands: Roughly 16,000 more deaths related to measles occurred globally in 2018 than in 2017. 124,000 estimated measles-related deaths were reported in 2017, according to WHO.

  • The CDC recommends getting the MMR vaccine to protect against measles, mumps and rubella. Children should receive two doses of the vaccine — first at 12–15 months of age, then again at 4–6 years of age.
  • To achieve a herd immunity threshold for measles, WHO recommends a community vaccination rate of 93%–95%.

Go deeper ... WHO: Measles outbreaks spike globally

Go deeper

44 mins ago - Politics & Policy

Senate retirements could attract GOP troublemakers

Sen. Roy Blunt (R-Mo.). Photo: Jim Lo Scalzo/EPA/Bloomberg via Getty Images

Sen. Roy Blunt's retirement highlights the twin challenge facing Senate Republicans: finding good replacement candidates and avoiding a pathway for potential troublemakers to join their ranks.

Why it matters: While the midterm elections are supposed to be a boon to the party out of power, the recent run of retirements — which may not be over — is upending that assumption for the GOP in 2022.

Congressional diversity growing - slowly

Data: Brookings Institution and Pew Research Center; Note: No data on Native Americans in Congress before the 107th Congress; Chart: Danielle Alberti/Axios

The number of non-white senators and House members in the 535-seat Congress has been growing steadily in the past several decades — but representation largely lags behind the overall U.S. population.

Why it matters: Non-whites find it harder to break into the power system because of structural barriers such as the need to quit a job to campaign full time for office, as Axios reported in its latest Hard Truths Deep Dive.

Staff for retiring Senate Republicans a K Street prize

Illustration: Eniola Odetunde/Axios

The retirements of high-profile Senate Republicans mean a lot of experienced staffers will soon be seeking new jobs, and Washington lobbying and public affairs firms are eyeing a potential glut of top-notch talent.

Why it matters: Roy Blunt is the fifth Republican dealmaker in the Senate to announce his retirement next year. Staffers left behind who can navigate the upper chamber of Congress will be gold for the city’s influence industry.