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CDC warns that measles spike poses a 'renewed threat' to the disease's elimination

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CDC warns that measles spike poses a 'renewed threat' to the disease's elimination

So far in 2024, more than 80% of measles cases involved people who were unvaccinated or whose vaccination status was unknown, according to CDC data.

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Elaine Thompson/AP


So far in 2024, more than 80% of measles cases involved people who were unvaccinated or whose vaccination status was unknown, according to CDC data.

Elaine Thompson/AP

A spike in measles cases, largely caused by people not getting vaccinated, poses a “renewed threat” to the declaration in 2000 that the highly contagious airborne disease had been eliminated in the United States.

“The U.S. measles elimination status will continue to be threatened by global increases in measles incidence and decreases in global, national, and local measles vaccination coverage,” the CDC said in a report released Thursday. Elimination status means the disease is no longer constantly present in the country.

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So far this year, the country has seen more than 120 cases of measles, according to CDC data. That’s more than double the number reported for all of last year.

The CDC said “the rapid increase in the number of reported measles cases during the first quarter of 2024 represents a renewed threat to elimination.”

The chances of widespread measles transmission in the U.S. remain low given the country’s “high population immunity,” the agency added. But the rise in cases is especially dangerous for infants and undervaccinated communities.

The uptick comes five years after the measles cases reached the highest level in over two decades. In 2019, the CDC tallied over 1,200 cases in 31 states, largely in undervaccinated communities in New York state.

Measles is also on the rise globally. According to the World Health Organization, there were about 9 million cases in 2022 — an 18% increase from 2021. The number of deaths rose 43% in 2022 compared to the prior year.

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What the CDC data says

Nearly half of the cases so far this year occurred among children under 5. Nearly a third came from adults 20 years and older.

Cases are typically linked to people who have traveled abroad. But vaccine skepticism and communities with low vaccination rates have also contributed to the spike.

CDC data showed that more than 80% of cases this year involved people who were either not vaccinated or whose vaccination status was unknown. About 13% of cases involved people who only received one dose of the measles vaccine. Public health officials recommend two doses.

As of April 4, 17 states recorded cases, with Illinois and Florida seeing the most number of sick patients.

Why a measles outbreak is dangerous

Measles’ symptoms include a fever, cough, runny nose, white spots inside the mouth, and rashes that spread across the body. Most cases are mild, but sometimes it can lead to brain swelling, pneumonia and death.

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The danger is in how contagious measles can be. If an infected person coughed in a room, 90% of unvaccinated people in that room could get sick.

Federal health officials recommend that all children get two doses of the measles vaccine: the first dose at 12 to 15 months of age and a second dose at 4 to 6 years old.

Adults who are planning to travel abroad and women who are considering getting pregnant should check on their vaccination status, the CDC said.

What it would take for the U.S. to lose its measles elimination status

Before a vaccine was introduced, the illness killed hundreds of people and sickened most children in the U.S. before they turned 15. That all changed in 1963 when a vaccine became available.

In 2000, measles was declared eliminated from the U.S., meaning the disease was no longer “constantly present” the CDC said. But the U.S. is at risk of losing its elimination status if a measles outbreak continues for a year or more, the agency added.

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Dr. Allison Bartlett, a professor of pediatrics at the University of Chicago’s medical school, told NPR’s Weekend Edition Saturday that the uptick in cases is a “very serious wake-up call.”

“This is a very, very preventable illness by vaccination. But it requires very high levels of individuals being vaccinated,” Bartlett said earlier this month.

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Trump claims US stockpiles mean wars can be fought ‘forever’; Kristi Noem testifies before Congress – US politics live

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Trump claims US stockpiles mean wars can be fought ‘forever’; Kristi Noem testifies before Congress – US politics live

Trump says US stockpiles mean “wars can be fought ‘forever’”

In a late night post on Truth Social, Donald Trump said that the US munitions stockpiles “at the medium and upper medium grade, never been higher or better”.

He added that the US has a “virtually unlimited supply of these weapons”, meaning that “wars can be fought ‘forever’”.

This comes after Trump said that the US-Israel war on Iran could go beyond the four-five weeks that the administration initially predicted. The president also did not rule out the possibility of US boots on the ground in Iran during an interview with the New York Post on Monday.

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“I rebuilt the military in my first term, and continue to do so. The United States is stocked, and ready to WIN, BIG!!!,” he wrote.

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Key events

During his opening remarks, Senate judicicary committee chairman, Chuck Grassley, blamed Democrats for the ongoing shutdown Department of Homeland Security (DHS) but highlighted four agencies: the Secret Service, Federal Emergency Management Agency (FEMA), the Transportation Security Administration (TSA), and the Coast Guard.

Democrats are demanding tighter guardrails for federal immigration enforcement, but a sweeping tax bill signed into law last year conferred $75bn for Immigration and Customs Enforcement (ICE), which means the agency is still functional amid the wider department shuttering.

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Supreme Court blocks redrawing of New York congressional map, dealing a win for GOP

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Supreme Court blocks redrawing of New York congressional map, dealing a win for GOP

The Supreme Court

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The Supreme Court on Monday intervened in New York’s redistricting process, blocking a lower court decision that would likely have flipped a Republican congressional district into a Democratic district.    
  
At issue is the midterm redrawing of New York’s 11th congressional district, including Staten Island and a small part of Brooklyn. The district is currently held by a Republican, but on Jan. 21, a state Supreme Court judge ruled that the current district dilutes the power of Black and Latino voters in violation of the state constitution.  
  
GOP Rep. Nicole Malliotakis, who represents the district, and the Republican co-chair of the state Board of Elections promptly appealed to the U.S. Supreme Court, asking the justices to block the redrawing as an unconstitutional “racial gerrymander.” New York’s congressional election cycle was set to officially begin Feb. 24, the opening day for candidates to seek placement on the ballot.  
  
As in this year’s prior mid-decade redistricting fights — in Texas and California — the Trump administration backed the Republicans.   
 
Voters and the State of New York contended it’s too soon for the Supreme Court to wade into this dispute. New York’s highest state court has not issued a final judgment, so the voters asserted that if the Supreme Court grants relief now “future stay applicants will see little purpose in waiting for state court rulings before coming to this Court” and “be rewarded for such gamesmanship.” The state argues this is an issue for “New York courts, not federal courts” to resolve, and there is sufficient time for the dispute to be resolved on the merits. 
  
The court majority explained the decision to intervene in 101 words, which the three dissenting liberal justices  summarized as “Rules for thee, but not for me.” 
 
The unsigned majority order does not explain the Court’s rationale. It says only how long the stay will last, until the case moves through the New York State appeals courts. If, however, the losing party petitions and the court agrees to hear the challenge, the stay extends until the final opinion is announced. 
 
Dissenting from the decision were Justices Sonia Sotomayor, Elena Kagan, and Ketanji Brown Jackson. Writing for the three, Sotomayor  said that  if nonfinal decisions of a state trial court can be brought to highest court, “then every decision from any court is now fair game.” More immediately, she noted, “By granting these applications, the Court thrusts itself into the middle of every election-law dispute around the country, even as many States redraw their congressional maps ahead of the 2026 election.” 

Monday’s Supreme Court action deviates from the court’s hands-off pattern in these mid-term redistricting fights this year. In two previous cases — from Texas and California — the court refused to intervene, allowing newly drawn maps to stay in effect.  
  
Requests for Supreme Court intervention on redistricting issues has been a recurring theme this term, a trend that is likely to grow.  Earlier last month  the high court allowed California to use a voter-approved, Democratic-friendly map.  California’s redistricting came in response to a GOP-friendly redistricting plan in Texas that the Supreme Court also permitted to move forward. These redistricting efforts are expected to offset one another.     
   
But the high court itself has yet to rule on a challenge to Louisiana’s voting map, which was drawn by the state legislature after the decennial census in order to create a second majority-Black district.  Since the drawing of that second majority-black district, the state has backed away from that map, hoping to return to a plan that provides for only one majority-minority district.    
     
The Supreme Court’s consideration of the Louisiana case has stretched across two terms. The justices failed to resolve the case last term and chose to order a second round of arguments this term adding a new question: Does the state’s intentional creation of a second majority-minority district violate the constitution’s Fourteenth and Fifteenth Amendments’ guarantee of the right to vote and the authority of Congress to enforce that mandate?    
Following the addition of the new question, the state of Louisiana flipped positions to oppose the map it had just drawn and defended in court. Whether the Supreme Court follows suit remains to be seen. But the tone of the October argument suggested that the court’s conservative supermajority is likely to continue undercutting the 1965 Voting Rights Act.   

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Map: Earthquake Shakes Central California

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Map: Earthquake Shakes Central California

Note: Map shows the area with a shake intensity of 3 or greater, which U.S.G.S. defines as “weak,” though the earthquake may be felt outside the areas shown.  All times on the map are Pacific time. The New York Times

A minor earthquake with a preliminary magnitude of 3.5 struck in Central California on Monday, according to the United States Geological Survey.

The temblor happened at 7:17 a.m. Pacific time about 6 miles northwest of Pinnacles, Calif., data from the agency shows.

As seismologists review available data, they may revise the earthquake’s reported magnitude. Additional information collected about the earthquake may also prompt U.S.G.S. scientists to update the shake-severity map.

Source: United States Geological Survey | Notes: Shaking categories are based on the Modified Mercalli Intensity scale. When aftershock data is available, the corresponding maps and charts include earthquakes within 100 miles and seven days of the initial quake. All times above are Pacific time. Shake data is as of Monday, March 2 at 10:20 a.m. Eastern. Aftershocks data is as of Monday, March 2 at 11:18 a.m. Eastern.

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