There are several factors driving the spread of the highly infectious virus, experts said.

Many cases reported in the United States this year were linked to international travel, according to the C.D.C., as travel destinations such as Britain, Austria and the Philippines have had outbreaks. Many of the people in the United States who have been infected have been unvaccinated children age 12 months and older.

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    3•9 months ago

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    The rise in cases should “alert us, rather than alarm us,” said Dr. Demetre Daskalakis, director of the National Center for Immunization and Respiratory Diseases at the C.D.C.

    Doctors say there are several factors contributing to the spread of measles, cases of which have climbed across the globe in recent years.

    So far, cases have appeared in at least 17 U.S. states: Arizona, California, Georgia, Illinois, Indiana, Louisiana, Maryland, Michigan, Minnesota, Missouri, New Jersey, New York, Ohio, Pennsylvania, Virginia, Washington and Florida.

    In Florida, the state surgeon general released guidance that contradicted widespread medical advice and allowed parents to send unvaccinated children to school amid a measles outbreak.

    issued a health advisory encouraging parents to vaccinate children older than six months before traveling internationally, regardless of their destination.

    Those kinds of conversations — parents seeking health information directly from doctors that they trust — can be a vital tool in what Dr. Daskalakis views as an “uphill battle.”

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