New measles cases are associated with three clusters: CDC

A doctor preparing to give a shot

The agency urged people to take precautionary measures and consult a doctor about receiving a vaccine before visiting countries where the disease is spreading, including the Philippines, where more than 28,000 cases have been reported this year; Vietnam, where more than 18,000 suspected cases have been reported since October last year; and Thailand, where almost 2,000 cases have been reported this year.

This is the second-greatest number of cases reported in the USA since measles was deemed eliminated in 2000.

Another new order from the commissioner Tuesday mandates all unvaccinated children stay home from school, regardless of their school's vaccination rate, in two ZIP codes including Monsey, Chestnut Ridge and Spring Valley.

On Monday, a group of parents filed a lawsuit in Brooklyn state Supreme Court against the vaccination order, which they said was "arbitrary, capricious, contrary to law and in violation of petitioners' rights under the United States Constitution and New York State law".

"That's something that happens, and we don't know a lot about it", Krakow said.

Measles, which is highly contagious can be fully prevented through a two-dose vaccine.

New York City Mayor Bill de Blasio last week declared measles a public health emergency and ordered mandatory vaccinations for people living in Brooklyn's Williamsburg neighborhood where the disease is spreading.

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"What we know about this cluster is they all match each other", Lindquist said.

Those with symptoms should not go to school or work, and they should call their doctor before going to avoid potentially infecting others. Additionally, 1 or 2 out of 1,000 children who get measles will die as a result. And once the disease lands stateside, it has a better chance of gaining a foothold because vaccination rates have dropped in some places below 93 to 95 percent, the threshold required to protect the entire community.

In Michigan, at least, the close coordination between health officials and the religious community appears to have controlled the spread of the disease, which can cause severe complications including deafness, pneumonia, brain damage and death.

The measles cases in Rockland and in Brooklyn have been traced to unvaccinated members of the ultra-Orthodox Jewish community who traveled to Israel, where a measles outbreak is occurring.

Measles can be an extremely serious disease. "I think we eliminated the memory of that virus", Dr. Paul Offit of Children's Hospital of Philadelphia told NPR's Weekend Edition Sunday. But if you've been vaccinated, can you still catch the disease?

The Department of Health says if you're concerned with your vaccine status, you can contact your health care provider. Those 18 and older do not need prescriptions.

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