New York
What to Know About Measles Cases in New York and New Jersey
Experts are emphasizing the importance of vaccination against measles after two people in New York and three in New Jersey were diagnosed with the viral illness since the start of the year.
It’s not unusual for sporadic cases of measles to be reported. Last year, 14 people in New York City were diagnosed with the illness, with an additional case elsewhere in New York State.
But an unfolding outbreak of the disease in West Texas and New Mexico has cast a spotlight on measles, which is highly contagious and can prove deadly and is sometimes heralded by a rash. That outbreak has emerged at the same time that Robert F. Kennedy Jr., an anti-vaccine activist who advocates unconventional treatments, has become President Trump’s secretary of health and human services.
With measles so much in the news, residents of New York and New Jersey might be feeling concerned. Here’s what to know about the cases in the region.
Should I be concerned about the local cases?
Neither of the two patients in New York State, both of whom live in New York City, had been vaccinated against measles — one was an infant and too young to be immunized — and the cases are not related, according to the city’s health department. The first case was reported in January, and the second in February. Both patients have recovered.
In New Jersey, all three people with confirmed cases of measles this year were not vaccinated against the virus. A person from Bergen County who had traveled internationally was the first of the three patients to be diagnosed, on Feb. 14, according to the state’s health department. Two people who had been in close contact with the first patient were diagnosed nearly a week later and were quarantined to minimize the chances of spreading the virus.
One of the New Jersey patients was hospitalized, but all three have recovered, according to the health department.
New York and New Jersey have issued advisories urging residents to be alert for symptoms and to check their vaccination status. Symptoms can include a rash, fever, cough and eye inflammation, and the virus can sometimes cause pneumonia or brain swelling, both of which can be deadly.
New Jersey officials warned that people who visited the emergency department at the Englewood Hospital between 11:30 a.m. and 5:30 p.m. on Feb. 9 might have been exposed, and urged them to contact their doctor if they experienced symptoms.
Vaccines are the best protection.
Vaccines are the best way to avoid becoming sick with measles, according to experts. The measles vaccine also protects against mumps and rubella, and is typically administered to children in two doses: one when they are between 12 and 15 months old, and another when they are 4 to 6 years old.
The measles, mumps and rubella vaccine, often called the M.M.R. vaccine, is “one of our best,” said Dr. Roy Gulick, chief of the infectious diseases division at Weill Cornell Medicine and NewYork-Presbyterian. People who have received both doses are 97 percent immune to the virus.
In a statement, Dr. Michelle Morse, the acting commissioner of New York City’s health department, urged New Yorkers to make sure they and their children were vaccinated.
“Vaccination not only protects the person who gets vaccinated, but also contributes to community protection by helping stop the spread of the disease and keeping infants and others who can’t be vaccinated safe,” Dr. Morse said.
Vaccination rates in the region are high, but lower for toddlers.
In New York and Connecticut, 97.7 percent of kindergarten students had received the standard set of required childhood vaccinations, including the M.M.R. vaccine, last school year, one of the highest rates in the country, according to the U.S. Centers for Disease Control and Prevention. Far fewer younger children in New York had received a first dose of the M.M.R. vaccine as of Jan. 1. About 81 percent of 2-year-olds had been immunized, according to the state health department — well below the 95 percent experts say is needed to effectively prevent the virus from spreading.
Vaccination rates among New Jersey kindergartners were short of the 95 percent threshold in 2023, at about 93 percent. That’s a slight decline from the year before, as more families in the state have claimed religious exemptions to vaccine requirements for students.
Nationwide, the rate of kindergartners vaccinated dropped from 95 percent to 93 percent between 2019 and 2022, according to the C.D.C. In 2023, the rate dipped even lower.
After a 2019 outbreak, case counts have been mostly low in New York.
Small outbreaks of measles crop up periodically across the United States. New York City reported 14 cases last year, but in 2023 there was just one reported case. In the three-year period before that, no cases were recorded in the city. New Jersey had seven cases last year and one the year before.
In 2019, an outbreak in New York City resulted in more than 600 cases after travelers from Europe and Israel, where vaccines are less common, brought the virus to the city. The outbreak, which affected other states including California and Michigan, was the worst in the United States in decades. City officials responded by declaring a public health emergency and mandating vaccines in some Brooklyn neighborhoods.
Most outbreaks in the past two decades have been fueled by travel between the United States and a country where the virus remains common.
Before vaccines, measles infected between 3 million and 4 million people each year, killing 400 to 500, according to the C.D.C. After the first vaccine was licensed and released in 1963, infection rates declined, and in 2000, the virus was no longer being continuously transmitted in the United States.
New York
They Witness Deaths on the Tracks and Then Struggle to Get Help
‘Part of the job’
Edwin Guity was at the controls of a southbound D train last December, rolling through the Bronx, when suddenly someone was on the tracks in front of him.
He jammed on the emergency brake, but it was too late. The man had gone under the wheels.
Stumbling over words, Mr. Guity radioed the dispatcher and then did what the rules require of every train operator involved in such an incident. He got out of the cab and went looking for the person he had struck.
“I didn’t want to do it,” Mr. Guity said later. “But this is a part of the job.”
He found the man pinned beneath the third car. Paramedics pulled him out, but the man died at the hospital. After that, Mr. Guity wrestled with what to do next.
A 32-year-old who had once lived in a family shelter with his parents, he viewed the job as paying well and offering a rare chance at upward mobility. It also helped cover the costs of his family’s groceries and rent in the three-bedroom apartment they shared in Brooklyn.
But striking the man with the train had shaken him more than perhaps any other experience in his life, and the idea of returning to work left him feeling paralyzed.
Edwin Guity was prescribed exposure therapy after his train struck a man on the tracks.
Hundreds of train operators have found themselves in Mr. Guity’s position over the years.
And for just as long, there has been a path through the state workers’ compensation program to receiving substantive treatment to help them cope. But New York’s train operators say that their employer, the Metropolitan Transportation Authority, has done too little to make them aware of that option.
After Mr. Guity’s incident, no official told him of that type of assistance, he said. Instead, they gave him the option of going back to work right away.
But Mr. Guity was lucky. He had a friend who had been through the same experience and who coached him on getting help — first through a six-week program and then, with the assistance of a lawyer, through an experienced specialist.
The specialist prescribed a six-month exposure therapy program to gradually reintroduce Mr. Guity to the subway.
His first day back at the controls of a passenger train was on Thanksgiving. Once again, he was driving on the D line — the same route he had been traveling on the day of the fatal accident.
M.T.A. representatives insisted that New York train operators involved in strikes are made aware of all options for getting treatment, but they declined to answer specific questions about how the agency ensures that drivers get the help they need.
In an interview, the president of the M.T.A. division that runs the subway, Demetrius Crichlow, said all train operators are fully briefed on the resources available to them during their job orientation.
“I really have faith in our process,” Mr. Crichlow said.
Still, other transit systems — all of which are smaller than New York’s — appear to do a better job of ensuring that operators like Mr. Guity take advantage of the services available to them, according to records and interviews.
A Times analysis shows that the incidents were on the rise in New York City’s system even as they were falling in all other American transit systems.
An Uptick in Subway Strikes
San Francisco’s system provides 24-hour access to licensed therapists through a third-party provider.
Los Angeles proactively reaches out to its operators on a regular basis to remind them of workers’ compensation options and other resources.
The Massachusetts Bay Transportation Authority has made it a goal to increase engagement with its employee assistance program.
The M.T.A. says it offers some version of most of these services.
But in interviews with more than two dozen subway operators who have been involved in train strikes, only one said he was aware of all those resources, and state records suggest most drivers of trains that strike people are not taking full advantage of them.
“It’s the M.T.A.’s responsibility to assist the employee both mentally and physically after these horrific events occur,” the president of the union that represents New York City transit workers, John V. Chiarello, said in a statement, “but it is a constant struggle trying to get the M.T.A. to do the right thing.”
New York
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new video loaded: Protesters Arrested After Trying to Block a Possible ICE Raid
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transcript
Protesters Arrested After Trying to Block a Possible ICE Raid
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[chanting] “ICE out of New York.”
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New York
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