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In 2000, endemic measles was declared eliminated in the U.S. Nonetheless, outbreaks continue to occur in this country due to importation by travelers and a population that is less than universally vaccinated.
On July 5, 2013, the CDC was notified of two laboratory-confirmed cases of measles in children (a boy and a girl, both 2 years old) recently adopted from an orphanage in Henan Province, China. Investigation revealed that both were ill prior to departure. The boy had rhinorrhea and cough 10 days before travel; the rash that developed 5 days later was misdiagnosed at his preimmigration examination as contact dermatitis. The girl was febrile — but without other symptoms — 5 days before travel, at her preimmigration examination. Hours there…