This data reflects a almost 8-fold increase in measles cases in the Philippines.

Vancouver Coastal Health says the infected person is a minor and caught the disease locally, whereas the first case was acquired overseas.

In another statement on Wednesday, DoH said they will sign an agreement with DepEd to formalize their collaboration in immunizing school-aged children.

The first case, acquired overseas, was confirmed on Saturday but past the point of being infectious. Hayden said there is no clear link between the two cases. Her health authority's region includes Vancouver, Richmond, the North Shore and the Sunshine Coast.

"When our region or community faces an outbreak of any sort, we communicate with students, faculty and staff with as much information as possible to keep everyone informed of what is happening and what can be done to prevent further contamination", said Tara Sprehe, dean of academic foundations and connections at Clackamas Community College. "We would be much less concerned about it if we knew exactly where it came from".

The health authority last released a public measles alert in September, after an infected person attended the Skookum Festival.

The province of Negros Occidental has the highest number of suspected cases (144), followed by Antique (101), Bacolod City (54), Iloilo (20), Capiz (15), Aklan (12), and Iloilo (eight). Health officials are urging residents to get immunized. Four of those states - Colorado, Oregon, Texas, and Washington - allow for philosophical exemptions.

People who are infected with the disease can spread it before they are aware that they have been infected.

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It can cause complications including pneumonia, inflammation of the brain, seizures, deafness, brain damage and death.

Infection does not require close contact and measles can survive in close areas, such as a bathroom, for up to two hours after an infected person has left.

Before routine vaccinations became the norm, Melnick said 400 to 500 people were dying of measles each year in the United States in the early 1960s, and while he told NPR he didn't "want to point the finger at anybody", I have no problem doing so. "They are the sources of outbreaks and the best solution to this is to reduce the number of people who can cause them", she said.

People born before 1994 or who grew up outside of B.C. may need a second dose.

The World Health Organization named "vaccine hesitancy" one of its top 10 threats to global health in 2019.

The CDC attributes measles outbreaks, both recent and the ones in years past, to many people from the USA traveling to countries with more measles cases than usual, as well as small pockets of unvaccinated people in the US itself. People who have never received a measles vaccine are susceptible to the disease, which can be deadly.

Data obtained by Rappler from the DOH's epidemiology bureau showed there had been 87 deaths due to measles from January 1 to February 11 this year. The state's immunization program provides mandatory vaccines for free. Additionally, 47 states allow for religious exemptions from the vaccine. With both doses three out of 100 get measles, but according to the CDC it is much milder and less likely to spread.