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There have been 971 cases of measles reported in the United States this year, the US Centers for Disease Control and Prevention said Thursday.This means 2019, which is not quite half over, now has the greatest number of cases in a single year in nearly three decades.The number of cases in 1994 was 963, which was lower than in 1992 when there were 2,237 cases."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 that vaccination prevents," said CDC Director Dr. Robert Redfield.Measles was eliminated in the United States in 2000, meaning it was no longer continuously transmitted in the country.Cases have been reported in 26 states this year so far.New York has been the largest contributor to this year's unfortunate milestone with nearly 700 cases of measles reported this year in the state. Most of those cases have been in Orthodox Jewish communities with low vaccination rates.Clark County in Washington state had the second-largest outbreak in the US this year with more than 70 cases reported. The county has low vaccination rates."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 1963 and accomplished in 2000, was a monumental task," the agency said in statement. "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."The elimination of the virus in the United States is attributed to widespread measles, mumps and rubella vaccination and a "strong public health infrastructure to detect and contain measles," according to the CDC."Your decision to vaccinate will protect your family's health and your community's well-being," Redfield said. "CDC will continue working with public health responders across our nation to bring this outbreak to an end."The cases in the Unites States are imported from international travel and then local outbreaks begin when the highly contagious illness spreads to those who are not immune to the virus from vaccination or having recovered from measles. With the busy summer travel season just about to get underway there's concern about continued importation of measles among vacationers.In communities with 95% or more of residents who are vaccinated against the virus, herd immunity works. That's when unvaccinated people are protected because so many of those around them are.Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases 2896

The Trump administration on Wednesday announced plans that could hold undocumented families detained together indefinitely, replacing the agreement that set a 20-day limit for holding children.The rule unveiled by acting Homeland Security Secretary Kevin McAleenan is part of the administration's aggressive effort to revamp immigration laws as the number of families and unaccompanied minors crossing the US-Mexico border has increased.In recent months, the administration has proposed rules that could make it more difficult for immigrants to get green cards, worked to end temporary protected status for migrants from certain countries and limit avenues to declare asylum.Under what is known as the Flores settlement, the government is required to release a minor from a non-licensed facility as expeditiously as possible, which has been set at 20 days.McAleenan said the rule is meant to reduce the number of families trying to enter the US."By closing this key loophole in Flores, the new rule will restore integrity to our immigration system and eliminate the major pull factor fueling the crisis," he said at a news conference Wednesday.The proposal would give the government new licensing authority, allowing the use of either a state license or Immigration and Customs Enforcement detention standards, according to a DHS official, meaning families can be kept longer than 20 days.The regulation is certain to face legal challenges and must also be examined by the judge who oversees the Flores settlement. It will take effect 60 days after it is formally published later this week."This is yet another cruel attack on children, who the Trump administration has targeted again and again with its anti-immigrant policies," said Madhuri Grewal, policy counsel for the American Civil Liberties Union. "The government should not be jailing kids, and certainly shouldn't be seeking to put more kids in jail for longer."There has been a major influx of families and children apprehended at the southern border in recent months. Already this year, more than 430,000 family members have been arrested for crossing the southern border illegally, compared to around 100,000 for all of last year. 2205

The Trump administration on Wednesday will announce two executive orders aimed at freeing up more pipelines to supply the United States with oil and gas. The orders could give the federal government more power over states in approving energy projects.The United States is producing more oil and gas than any point in its history, in large part because of the shale boom in the Permian Basin in West Texas. But producers have trouble getting all of that supply to customers due to constraints on the number of pipelines.Canadian oil is also a problem, because Canada has run out of pipelines to send oil to the United States.Several states have invoked the Clean Water Act to delay approval of sections of pipelines, arguing that the pipelines will cause environmental damage.New York, for example, rejected a natural gas pipeline three years ago that state officials said failed to meet water quality standards. Developers still want to build that pipeline, which was supposed to transport natural gas throughout markets in the Northeast.One of the executive orders will direct the Environmental Protection Agency to revise the way states can consider the Clean Water Act when deciding whether to approve pipelines, according to a senior administration official.The official told reporters Tuesday night that there are "a lot of problems" with the way the Clean Water Act is being interpreted, adding that the administration expects the executive order to "alleviate" some of those issues.A second executive order is aimed at making cross-border energy infrastructure approval more streamlined. It says that any decision to issue or deny a cross-border permit shall be made solely by President Donald Trump.That executive order isn't limited to pipelines, but would cover other kinds of energy infrastructure projects, too. It comes amid controversy over the Keystone XL Pipeline, which is operated by TransCanada and which would bring Canadian oil into the United States. The Obama administration opted to shut down that pipeline, but the Trump administration has sought to reopen it. An official said Tuesday that the new executive order would affect "future" permitting for energy projects at the border.As energy prices have risen over the past several months, Trump has called on OPEC, the oil cartel led by Saudi Arabia, to help reduce the price of oil in the United States. Oil prices have risen because of a variety of factors including fighting in Libya, sanctions against Venezuela and Iran, and the inability of United States energy producers to deliver their vast supply to US customers.It is unclear if the executive order will have its intended, if any, impact. Many states are embroiled in bitter legal disputes with the Trump administration, and the executive order is unlikely to settle any of those disputes. 2838

Three relatives of an 11-year-old girl who gave birth in the bathtub of her suburban St. Louis home are facing criminal charges. An adult female and adult male are charged with child endangerment. A 17-year-old male is charged with incest as well as statutory rape and statutory sodomy of a child younger than 12. All three live in St. Charles. Police started investigating after the adult male relative brought an infant to a hospital on Feb. 11. Charging documents say the baby still had the umbilical cord and placenta attached and had a body temperature of just 90 degrees.During questioning, the teen told police he had sex with the girl about 100 times but did not know she was pregnant, according to charging documents.The woman, who was charged Tuesday, is accused of failing to provide the girl medical care when she gave birth. 849

There was no warning. One moment passengers were sitting at a piano bar on their huge cruise ship slipping through the water off the East Coast and seconds later the ship started tilting.And tilting.And tilting.It went from curious to scary as bottles crashed off shelves and furniture began to slide across the floor.The Norwegian Cruise Line's Escape, a passenger ship capable of cruising with 6,000 people, was pushed suddenly Sunday night by a gust of wind about 115 mph, a burst similar to the wind of a Category 3 hurricane.Several passengers and crew members were injured, the company said Tuesday without giving specific numbers or detailing the nature of injuries. Medical teams on board tended to the injured.About a dozen ambulances were at the port when the ship arrived at Port Canaveral, Florida, on Tuesday morning, 843

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