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The number of confirmed cases of measles in the United States this year jumped by almost 20 percent in the week ended April 11 in the country's second-worst outbreak in almost two decades, federal health officials reported on Monday.

Those born before 1957 or who previously had measles or had two measles vaccine shots are considered immune because of the vaccine's high rate of effectiveness.

According to the data, in 2019 so far, 170 countries have reported 112 163 measles cases - while after three months in 2018, only 28 124 cases had been reported, in 163 countries - nearly a 300% increase.

In the overseas department of Mayotte, there has been 21 measles cases year-to-date.

There have been 329 confirmed cases of the measles, a highly contagious disease, in NY since October, and 44 new cases since the emergency declaration last week.

"Spikes in case numbers have also occurred in countries with high overall vaccination coverage, including the United States". As the Post reported, the largest epidemic occurred in 2014 when "the United States reported a record 667 cases, including one large outbreak primarily among unvaccinated Amish communities in OH that accounted for more than half of the cases".

They were infected by visitors from Israel, where a measles outbreak began a year ago.

A sign warns people of measles in the ultra-Orthodox Jewish community in Williamsburg on April 10, 2019 in New York City.

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There have been no deaths associated with the outbreak.

The New York City orders required anyone living or working within the ZIP codes to be vaccinated with the measles, mumps and rubella vaccine unless the person can demonstrate immunity to measles.

There is no evidence of the spread of measles in Maryland and there are no additional potential measles exposure locations in the state, health officials say.

"After just one dose of MMR vaccine about 95 per cent of people will be protected from measles, and 99 per cent of people who have had both MMR doses will be protected from measles".

The total so far is the second-greatest number of cases reported since 2000. "In 2017, measles killed 110,000 people worldwide, mostly children under the age of 5".

As a result, the number of cases of whooping cough fell more than 90 per cent from 1.97 million cases in 1980 to nearly 144,000 cases in 2017. But poor regions remain worst affected, African countries witnessed the most dramatic rise of almost 700 percent, the data released by the United Nations agency said.

Venezuela, where the disease was once contained, has also seen tens of thousands of cases as the country's economic and political crises continue to push the healthcare system to the brink of collapse.