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Illustration: Rebecca Zisser/Axios

Measles — declared eradicated in the U.S. in 2000 — has roared back at a record pace this year.

Why it matters: Most Americans have no firsthand experience with measles and that lack of familiarity, along with the online success of the anti-vaccine movement, is giving a deadly but easily preventable virus an opening to spread.

So far in 2019:

  • 695 confirmed cases of measles in 22 states.
  • More than 70 new confirmed cases reported in just the past week.
  • 5 states reporting ongoing outbreaks as of Monday (at least 3 cases in one place counts as an outbreak).

We may be a victim of our own success in squelching what used to be a ubiquitous virus that is extremely contagious.

  • According to the CDC, prior to 1963, between 3 to 4 million were infected each year and nearly all children got measles by the time they were 15 years old.
  • A CDC spokesperson tells Axios that among reported cases, an estimated 400 to 500 people died annually prior to widespread vaccination, 48,000 were hospitalized and 1,000 suffered encephalitis (swelling of the brain) from measles.

Now, due in large part to vaccination efforts that began in 1963, most Americans have no experience with the virus.

  • Parents may be fooled into thinking that measles is a relatively mild disease, similar to the flu, and think vaccination is unnecessary or not a priority.
  • This is not only wrong, but it could have deadly consequences.
"Parents may think that many vaccine-preventable diseases are mild, but there’s no way to tell how serious a disease may be for a child," CDC spokesman Jason McDonald tells Axios via email. But measles can be particularly hazardous for babies and young children, he says.
  • From 2001-2013, 28% of children younger than 5 years old who had measles had to be treated in the hospital, McDonald said, referring to relatively small outbreaks related to measles patients who traveled to the U.S. from areas where the disease is still active.
  • "Some children develop pneumonia (a serious lung infection) or lifelong brain damage."

Different vaccine-hesitant communities added together are causing vaccination rates to fall below effective immunity levels, Anthony Fauci, who leads the National Institutes of Allergy and Infectious Diseases, tells Axios.

“It is kind of like all of the stars are in the right pace for the disaster we’re seeing now because we’re having multiple factors combining together to give us these outbreaks,” Fauci says.

The situation is worrying enough in New York State alone that the CDC issued a stark warning Wednesday: "The longer these outbreaks continue, the greater the chance measles will again get a sustained foothold in the United States."

The bottom line: One relatively morbid source of hope, however, are the widely-reported health impacts from the ongoing outbreaks, with children in intensive care units and an El Al Airlines flight attendant in a coma.

“I think unfortunately the best motivation… is that we’re having these outbreaks and people are really getting seriously ill,” Fauci says. “Those are the things that are going to jolt people into reconsidering this.”

Go deeper:

Go deeper

Updated 1 hour ago - Economy & Business

The billionaire balloon

Data: World Inequality Report 2022; Chart: Axios Visuals

The super-rich are getting stupid rich: New data out today shows the share of global wealth held by the richest slice of humanity swelled by almost a full percentage point during the pandemic.

Driving the news: The top 0.01% of individuals now hold about 11% of the world's wealth, compared to just over 10% in 2020, according to the "World Inequality Report 2022," written by Lucas Chancel, Thomas Piketty, Emmanuel Saez and Gabriel Zucman.

Tina Reed, author of Vitals
1 hour ago - Health

Omicron gives a shot to boosters

Expand chart
Data: CDC; Chart: Will Chase/Axios

Vaccination rates have ticked higher since the discovery of the Omicron variant, CDC data shows.

By the numbers: The seven-day average for vaccinations in the U.S. reached about 1.8 million on Monday, up from an average of about 1.3 million a month ago.

Scoop: Over 200 papers quietly sue Big Tech

Illustration: Allie Carl/Axios

Newspapers all over the country have been quietly filing antitrust lawsuits against Google and Facebook for the past year, alleging the two firms monopolized the digital ad market for revenue that would otherwise go to local news. 

Why it matters: What started as a small-town effort to take a stand against Big Tech has turned into a national movement, with over 200 newspapers involved across dozens of states.