Measles Immunization-Reply

In Reply. —Dr Robinson's experience is not unique. While more than 45 000 cases of measles have been reported in the past 2 years in the United States, the outbreaks have been focal and many areas have been spared the occurrence of this vaccine-preventable disease.¹ Lack of measles in the community, however, does not lessen the importance of complying with current recommendations of the US Department of Health and Human Services (Centers for Disease Control), American Academy of Pediatrics, and state health departments for routine reimmunization of school-age children.^2,3 In 1989, 40% of cases occurred in previously vaccinated persons, 94% of whom met the clinical case definition for measles (fever ≥38.3°C, if measured; generalized rash lasting ≥3 days; and at least one of the following: cough, coryza, or conjunctivitis¹), and 25% of the cases were serologically confirmed.¹ Susceptibility or immunity in previously vaccinated persons can be demonstrated