Case Report. During June 20-22, 2004, a North
Carolina resident aged 11 years traveled from the United Kingdom to North
Carolina via New York and Connecticut. After her arrival in North Carolina
on June 22, she had cough, coryza, and fever, followed by onset of a rash
on June 25. She had suspected measles diagnosed on June 28. She had not received
MCV; her parents had declined to have her vaccinated for religious beliefs.
One day before her rash onset, the girl had close contact with a male infant
aged 11 months. The infant subsequently had measles with rash onset on July
4. Two days before his rash onset, the infant visited a summer camp, where
he potentially had contact with up to 234 persons, including 113 campers,
63 parents/visitors, and 58 staff members. Several campers returned home at
the end of the camp session, the day after the exposure. Multistate and multinational
investigation and control efforts to prevent further spread were conducted.
Potentially infected persons subsequently traveled to Arizona, Arkansas, Florida,
New York, Australia, Costa Rica, New Zealand, South Africa, and Wales. No
additional cases of measles were subsequently identified.