1 Hotez P.J. 2019. America and Europes new normal: the return of vaccine-preventable diseases.

2 Olive JK

Hotez PJ

Damania A

Nolan MS 2018. The state of the antivaccine movement in the United States: A focused examination of nonmedical exemptions in states and counties.

3 Centers for Disease Control and Prevention

Measles cases and outbreaks.

3 Centers for Disease Control and Prevention

Measles cases and outbreaks.

Hotez and colleaguesrecent article highlights the increasing frequency of vaccine-preventable disease cases in Europe and the USA caused by very visible anti-vaccine movements.The most troubling aspect of this development is the global increase in measles cases. From Jan 1, 2019, to April 26, 2019, the USA reported 704 confirmed measles cases spanning 22 states, compared with 372 reported cases in 2018, 120 in 2017, 86 in 2016, 188 in 2015, and 667 in 2014.Therefore, only 4 months into 2019 the number of cases reported is already the highest since measles was declared officially eliminated in the US in 2000.