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The CDC released updated figures on Friday of measles cases in the United States so far in 2019, indicating this year marks the highest level of measles cases in the U.S. since 1992. Despite the rise of measles in recent years, the CDC still considers measles eliminated in the U.S. The CDC says that measles elimination means the absence of continuous disease transmission for 12 months or more in a specific geographic area. The CDC said that the majority of cases involved large and close-knit Orthodox Jewish communities in New York, which accounted for 75 percent of cases during 2019. These cases threatened the elimination status of measles in the United States.During January 1–October 1, 2019, a total of 1,249 measles cases, according to CDC. Of the 1,249 cases, 89 percent were unvaccinated or had an unknown vaccination status."Undervaccinated, close-knit communities are not unique to the United States and exist around the world," the CDC said in a release. "These communities are at high risk for outbreaks of vaccine-preventable diseases, which threaten the health and safety of vulnerable persons within, as well as outside of, these communities. "Therefore, public health authorities need to identify pockets of undervaccinated persons to prevent these outbreaks, which require substantial resources to control. A preventive strategy to build vaccine confidence is important, especially one that uses culturally appropriate communication strategies to offset misinformation and disseminate accurate information about the safety and importance of vaccination in advance of outbreaks." 1614

The Justice Department has informed plaintiffs in the census case that it plans to print the 2020 census without a question about citizenship status."We can confirm that the decision has been made to print the 2020 Decennial Census questionnaire without a citizenship question, and that the printer has been instructed to begin the printing process," Kate Bailey, a trial attorney with the Justice Department, wrote in an email to other attorneys involved in the case on Tuesday.The notice, which was confirmed by the Justice Department, follows the Supreme Court ruling last week that blocked the question from appearing for now, but left the door open for the administration to present a new rationale.The court described Commerce Secretary Wilbur Ross' explanation for including the question as "contrived" and "incongruent with what the record reveals about the agency's priorities and decision-making process."The process of preparing a new justification was expected to take months, including a lengthy court review that could return to the Supreme Court, delaying the process of printing hundreds of millions of forms and other materials and preparing for the count.The government missed its Monday deadline to send the forms for printing."This is a victory on the eve of the Fourth of July we are celebrating equal justice for all. Everyone should be counted," New York Attorney General Letitia James said. 1426

The Office of Refugee Resettlement, which is charged with caring for unaccompanied migrant children, is "scaling back" or canceling activities at shelters, citing the need for more resources.A swell of migrants crossing the southern border has overwhelmed the agency's facilities, which house unaccompanied children until they are placed with a sponsor in the United States. The shelters provide schooling and activities for the children during their stay, but the increase of children arriving to the border has strained the department's resources."This week, ORR instructed grantees to begin scaling back or discontinuing awards for (unaccompanied minors) activities that are not directly necessary for the protection of life and safety, including education services, legal services, and recreation," Evelyn Stauffer, spokeswoman for the Department of Health and Human Services' Administration for Children and Families, said in a statement.The Washington Post 975

The center of Hurricane Dorian made landfall at 8:35 a.m. Friday over Cape Hatteras, North Carolina, with maximum sustained winds near 90 mph, according to the National Hurricane Center.Overnight, the storm lashed parts of North Carolina and Virginia with rain, storm surges and strong winds as it brushed up against the coast as a Category 1 storm.Before it lost some of its strength early Friday, Dorian caused flooding in parts of the Carolinas and spawned a number of tornadoes, officials said. More than 387,000 people were left in the dark in South Carolina, North Carolina and Virginia, 606

The countdown to Christmas is on, but for some people the holidays bring stress and loneliness."My grandma died years ago, but it like always hit us around the holiday because she always made our holiday better," said Tynisha Trice of Milwaukee."The most holiday blues I get is wanting to do nice stuff for my family but not be able to really afford it," Lainey Koch said.People can suffer from stress, anxiety and depression throughout the year, but those feelings can intensify around the holidays."When you're not feeling like celebrating, having the feelings of anxiety and depression are more acute and you feel more different than the society around you, so it makes suffering from that more isolating," said Rachel Henrichs, a clinical instructor at UW-Milwaukee's College of Nursing, "I would encourage people to reach out and let other people that care about them know."For Trice, baking pies like her grandma did around the holidays helps her continue to cope with her loss. Koch, an artist, said she enjoys making handmade gifts instead of buying them.Henrichs advised practicing self care. It could be taking a walk, talking with a friend or getting a massage.She also suggested if you are trying to help someone acknowledge how they are feeling."Be patient with them, be present with them. That's very helpful," said Henrichs.If you experiencing a crisis or need help, calling 211 is good place to start. 1430

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