U.S. measles cases in first five months of 2019 surpass total cases per year for past 25 years

CDC/ACIP [to 1 Jun 2019]
Thursday, May 30, 2019
U.S. measles cases in first five months of 2019 surpass total cases per year for past 25 years
Today, CDC is reporting 971 cases of measles in the United States thus far in 2019.  This is the greatest number of cases reported in the U.S. since 1992, when 963 cases were reported for the entire year.
CDC continues to work with affected state and local health departments to get ongoing outbreaks under control.
“Measles is preventable and the way to end this outbreak is to ensure that all children and adults who can get vaccinated, do get vaccinated. Again, I want to reassure parents that vaccines are safe, they do not cause autism. The greater danger is the disease the vaccination prevents,” said CDC Director Dr. Robert Redfield, M.D. “Your decision to vaccinate will protect your family’s health and your community’s well-being. CDC will continue working with public health responders across our nation to bring this outbreak to an end.”
Outbreaks in New York City and Rockland County, New York have continued for nearly 8 months.  If these outbreaks continue through summer and fall, the United States may lose its measles elimination status. That loss would be a huge blow for the nation and erase the hard work done by all levels of public health.  The measles elimination goal, first announced in 1966 and accomplished in 2000, was a monumental task. Before widespread use of the measles vaccine, an estimated 3 to 4 million people got measles each year in the United States, along with an estimated 400 to 500 deaths and 48,000 hospitalizations…

MMWR News Synopsis for Friday, May 31, 2019
Scaling Up Testing for Human Immunodeficiency Virus Infection Among Contacts of Index Patients — 20 Countries, 2016–2018
Index testing is an HIV case-finding strategy targeting the exposed contacts of HIV-positive people for HIV testing. With an HIV positive rate that is more than twice that of all HIV testing approaches combined, index testing was found to be a more efficient approach to HIV case finding.
A new report summarizes data on the index testing approach in 20 countries supported by CDC through the President’s Emergency Plan for AIDS Relief during October 1, 2016–March 31, 2018. During this period, the index testing approach led to more than 1.7 million HIV tests. The positivity rate for index testing was 9.8% among adults aged 15 and older and 1.5% among children younger than 15. Scale-up of index testing could help increase the number of HIV-positive people who know their status and receive antiretroviral treatment, and as a result, reduce the number of people who can transmit the virus.

Using Social Media To Increase HIV Testing Among Men Who Have Sex with Men — Beijing, China, 2013–2017
Online technology such as social media platforms may be an effective way to promote HIV testing among hard-to-reach populations such as men who have sex with men (MSM), particularly in settings in which this population faces high levels of stigma.
In China, MSM bear a disproportionate burden of HIV infection, and stigmatization of same-sex behaviors presents challenges for HIV prevention and treatment efforts. Effective HIV testing in communities with a high risk of HIV infection is an entry point for an HIV response. “Blued” is a popular gay dating app with over 27 million Chinese registered users. Between 2015 and December 2017, to encourage HIV testing among MSM in Beijing, Blued launched an HIV testing campaign through its online promotion functionality and geolocation capabilities.. A sharp increase in HIV testing followed the campaign, indicating that leveraging social media platforms might be useful in increasing HIV testing among MSM, particularly young adult MSM.