TY - JOUR T1 - THe opportunity and obligation to eliminate measles from the united states AU - Hinman AR, Brandling-Bennett A, Nieburg PI Y1 - 1979/09/14 N1 - 10.1001/jama.1979.03300110029022 JO - JAMA SP - 1157 EP - 1162 VL - 242 IS - 11 N2 - ON OCT 4, 1978, the Secretary of the Department of Health, Education, and Welfare, Joseph A. Califano, Jr, announced, "We are launching an effort that seeks to free the United States from measles by October 1, 1982" (statement made in Washington, DC, Oct 4, 1978). In announcing this initiative, the secretary noted the "remarkable progress made in controlling measles in the past 15 years" that made possible such an attempt to "eliminate indigenous cases of measles in this country." The purpose of this article is to describe the epidemiologic and operational history behind this initiative, to present its scientific rationale, and to summarize the major tactics viewed as essential to its successful execution.Background  Measles has had severe impact in the United States. Outbreaks were reported as early as 1635; a major epidemic occurred in the colonies in the period 1713 to 1715. In 1772, it was reported that 800 SN - 0098-7484 M3 - doi: 10.1001/jama.1979.03300110029022 UR - http://dx.doi.org/10.1001/jama.1979.03300110029022 ER -