Pennsylvania reports fifth measles-related death — The Guardian

Pennsylvania, United States, has reported a fifth measles-related death amid 943 confirmed cases of the disease in 39 counties. Health officials fear the outbreak could spread beyond the current hotspot, The Guardian reports.

Most cases in Lancaster

The highest number of cases was recorded in Lancaster County — 381. According to the publication, most of them likely involve Amish or similar religious communities, where vaccination rates for the combined measles, mumps and rubella vaccine have historically been low.

Lancaster County does not have its own health department. Doctors, officials and community representatives are trying to establish such a body in order to respond to the outbreak more effectively.

Jean Franklin, director of the health department in neighboring Chester County, said that her county, where 83 cases have been registered, is preparing for a possible increase in cases from Lancaster. According to her, the disease can affect unvaccinated people regardless of administrative boundaries.

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Local health departments

Only seven of Pennsylvania's 67 counties have their own health departments. In Chester, officials conduct epidemiological surveillance, trace patients' contacts, open vaccination centers and counter misinformation about vaccine safety.

Richard Lorraine, medical director of the Montgomery County Office of Public Health, said that the appearance of measles cases in the county is a matter of time, so immunization is the main area of work. In cooperation with community organizers and pharmacies, access to vaccination is provided regardless of insurance coverage.

Laura Werner, director of the Delaware County health department, also reported difficulties following the bankruptcy of the largest local healthcare system, Crozer Health, which was a major provider of pediatric care. According to her, despite the county's high overall vaccination rate, there are areas with lower vaccination coverage.