Judge upholds New York City’s mandatory measles vaccination order

FILE PHOTO: Materials are seen left at demonstration by people opposed to childhood vaccination after officials in Rockland County, a New York City suburb, banned children not vaccinated against measles from public spaces, in West Nyack, New York, U.S. March 28, 2019. REUTERS/Mike Segar/File Photo

By Jonathan Allen

NEW YORK (Reuters) – A Brooklyn judge on Thursday ruled against a group of parents who challenged New York City’s recently imposed mandatory measles vaccination order, rejecting their arguments that the city’s public health authority exceeded its authority.

In a six-page decision rendered hours after a hearing on the matter, Judge Lawrence Knipel denied the parents’ petition seeking to lift the vaccination order, imposed last week to stem the worst measles outbreak to hit the city since 1991.

The judge sided with municipal health officials who defended the order as a rare but necessary step to contain a surge in the highly contagious disease that has infected at least 329 people so far, most of them children from Orthodox Jewish communities in the borough of Brooklyn.

Another 222 cases have been diagnosed elsewhere in New York state, mostly in a predominantly ultra-Orthodox Jewish neighborhood of Rockland County, northwest of Manhattan.

The New York outbreaks are part of a larger resurgence of measles across the country, with at least 555 cases confirmed in 20 states, according to the U.S. Centers for Disease Control and Prevention.

Health experts say the virus, which can cause severe complications and even death, has spread mostly among school-age children whose parents declined to get them vaccinated. Most profess philosophical or religious reasons or cite concerns – debunked by medical science – that the three-way measles-mumps-rubella (MMR) vaccine may cause autism.

The judge rejected the parents’ contention that the vaccination order was excessive or coercive, noting that it does not call for forcibly administering the vaccine to those who refuse it.

Under the public health emergency declared last Tuesday by Mayor Bill de Blasio, residents of certain affected Brooklyn neighborhoods who refuse orders to obtain an MMR vaccine face fines unless they can otherwise demonstrate immunity to measles or provide a valid medical exemption.

The court challenge was filed in Brooklyn’s Supreme Court on behalf of five mothers and their children in the affected neighborhoods. Their identities were kept confidential to protect the children’s privacy, their lawyers said.

They told Knipel in court on Thursday the city had overstepped its authority and that quarantining the infected would be a preferable approach.

Robert Krakow, an attorney for the parents, estimated that just 0.0006 percent of the population of Brooklyn and Queens had measles. “That’s not an epidemic,” he said. “It’s not Ebola. It’s not smallpox.”

The health department’s lawyers argued that quarantining was ineffective because people carrying the virus can be contagious before symptoms appear.

The judge cited 39 cases diagnosed in Michigan that have been traced to an individual traveling from the Williamsburg community at the epicenter of Brooklyn’s outbreak. The surge in measles there originated with an unvaccinated child who became infected on a visit to Israel, where the highly contagious virus is also running rampant.

Krakow later told Reuters he was reviewing the judge’s dismissal of the case – brought under special proceedings for the appeal of administrative actions – to determine how his clients might respond.

The number of measles cases worldwide nearly quadrupled in the first quarter of 2019 to 112,163 compared with the same period last year, the World Health Organization said this week.

(Reporting by Jonathan Allen in New York; Additional reporting by Steve Gorman in Los Angeles; Editing by Bill Berkrot and G Crosse)

U.S. sees surge of nearly 20% in confirmed cases of measles, CDC reports

FILE PHOTO: A sign warning people of measles in the ultra-Orthodox Jewish community of Williamsburg, two days after New York City Mayor Bill de Blasio declared a public health emergency in parts of Brooklyn in response to a measles outbreak, is seen in New York, U.S., April 11, 2019. REUTERS/Shannon Stapleton/File Photo

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

As of April 11, the U.S. Centers for Disease Control and Prevention (CDC) recorded 555 cases of the disease since the beginning of the year, up from 465 cases confirmed by April 4. The cases were found in 20 states spanning the country.

FILE PHOTO: A general view of the Centers for Disease Control and Prevention (CDC) headquarters in Atlanta, Georgia September 30, 2014. REUTERS/Tami Chappell/File Photo

FILE PHOTO: A general view of the Centers for Disease Control and Prevention (CDC) headquarters in Atlanta, Georgia September 30, 2014. REUTERS/Tami Chappell/File Photo

The measles virus is highly contagious and can lead to deadly complications, particularly in children. The CDC report did not say whether there have been any fatalities.

A growing and vocal fringe of parents in the United States oppose measles vaccines believing, contrary to scientific evidence, that ingredients in the vaccines can cause autism or other disorders.

The United States declared that measles had been eliminated from the country in 2000, meaning the virus is no longer present year-round. But outbreaks still happen each year, typically when unvaccinated people travel to the country from parts of the world where the disease is still common.

New York City has recorded at least 285 cases of measles since October, according to local health officials, the large majority among members of the Orthodox Jewish communities in Brooklyn.

Mayor Bill de Blasio declared the outbreak a public health emergency last week and ordered unvaccinated people in the affected parts of Brooklyn to get the vaccine or face a fine. It is the worst outbreak seen in the city since 1991, the mayor said.

Most of the Brooklyn cases are among children. Several people had to be hospitalized but no fatalities had been reported as of last week.

New York health officials said the Brooklyn outbreak was caused by an unvaccinated child returning from a trip to Israel, which is also grappling with an outbreak.

Health officials say they have seen anti-vaccination pamphlets containing misinformation being distributed in the affected parts of Brooklyn.

Another outbreak has hit Orthodox Jewish families in New York’s Rockland County. Officials there banned children not vaccinated against measles from public spaces last month.

That order was overturned by a state judge, a decision being appealed by Rockland officials.

(Reporting by Tamara Mathias in Bengaluru and Jonathan Allen in New York; Editing by Anil D’Silva and Bill Trott)

NYC mayor orders mandatory measles vaccinations after Brooklyn outbreak

FILE PHOTO: A vial of measles, mumps and rubella vaccine and an information sheet is seen at Boston Children's Hospital in Boston, Massachusetts February 26, 2015. REUTERS/Brian Snyder/File Photo

NEW YORK (Reuters) – New York City Mayor Bill de Blasio declared a public health emergency in parts of Brooklyn on Tuesday in response to a measles outbreak, requiring unvaccinated people living in the affected areas to get the vaccine or face fines.

The city’s largest measles outbreak since 1991 has mainly been confined to the Orthodox Jewish community in Brooklyn’s Williamsburg, with 285 cases confirmed since October, de Blasio said at a news conference.

“This is the epicenter of a measles outbreak that is very, very troubling and must be dealt with immediately,” de Blasio said.

The disease is easily spread and can be fatal, but there have been no confirmed deaths so far, officials said.

The outbreak is part of a broader resurgence in the United States, with 465 cases reported in 19 states so far this year, according to the U.S. Centers for Disease Control and Prevention.

Officials from New York City’s Department of Health will check vaccination records of anyone who has been in contact with infected patients in certain parts of Brooklyn, officials said.

Those who have not received the measles-mumps-rubella vaccine, or can otherwise give evidence of immunity, such as having previously had the measles, will face a fine of up to $1,000.

(Reporting by Jonathan Allen and Gine Cherelus; Editing by Bill Berkrot)