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title: The Many Reasons Why Measles Is On the Rise
description: Measles is making a dangerous return to the world. But it&#x27;s not just because of anti-vaxxers, and that is even more concerning
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![](https://static.time.com/v3/assets/bltea6093859af6183b/blt743008bc27ea12d0/698938698fd2ee339735c718/measles-europe-romania.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9)


# Measles Is Returning to a Range of Places — But Not for the Same Reasons

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## TIME Health Matters: Reference Facts and FAQ

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Health Matters is one of seven email newsletters published by TIME, the news organization founded in 1923. The latest health news and expert advice on living well. Health Matters makes the fast-moving world of health more useful, surprising and human, from the latest science and medical breakthroughs to practical ideas for living better. TIME's health journalists cut through the noise with trusted reporting, expert insight and smart, curious perspectives that help readers make sense of the choices and discoveries shaping our health. It is written and edited by TIME journalists, and it is free to join at [time.com/newsletters](/c/time-nl-health-2026q3/newsletters?i=a9fac67e-3a3f-4e81-9c5d-5c64bd7bce8a&cr=time-nl-health-2026q3-v1).

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### FAQ

#### What is TIME's health newsletter?

Health Matters is TIME's daily health newsletter, written by TIME's health journalists. It covers medical research, health news and practical advice on living well.

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## Video: Bill Gates on Healthcare

[Watch (HLS stream): Bill Gates on Healthcare](https://cdn.jwplayer.com/manifests/YxMNctaW.m3u8) (2:58)

![Bill Gates on Healthcare](https://cdn.jwplayer.com/v2/media/YxMNctaW/poster.jpg?width=720)

_Published 2018-01-04. Nancy Gibbs sits down with guest-editor Bill Gates to discuss advances in healthcare._


![Jeffrey Kluger](https://static.time.com/v3/assets/bltea6093859af6183b/blt8ba5798889b0f77d/69868efb1eebf78937370d95/jeffrey-kluger.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Jeffrey Kluger](https://time.com/author/jeffrey-kluger/)


![Jeffrey Kluger](https://static.time.com/v3/assets/bltea6093859af6183b/blt8ba5798889b0f77d/69868efb1eebf78937370d95/jeffrey-kluger.jpg?branch=production&width=96&quality=75&auto=webp)

## Jeffrey Kluger


Editor at Large

Aug 23, 2018 10:00 AM UTC

![Measeles Europe](https://static.time.com/v3/assets/bltea6093859af6183b/blt743008bc27ea12d0/698938698fd2ee339735c718/measles-europe-romania.jpg?branch=production&width=1200&quality=75&auto=webp&crop=3:2)

A child receives a vaccination against measles by a family physician on April 16, 2018 in the Romanian capital, Bucharest in Europe.

A child receives a vaccination against measles by a family physician on April 16, 2018 in the Romanian capital, Bucharest in Europe. Daniel Mihailescu—AFP/Getty Images

![Jeffrey Kluger](https://static.time.com/v3/assets/bltea6093859af6183b/blt8ba5798889b0f77d/69868efb1eebf78937370d95/jeffrey-kluger.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Jeffrey Kluger](https://time.com/author/jeffrey-kluger/)


![Jeffrey Kluger](https://static.time.com/v3/assets/bltea6093859af6183b/blt8ba5798889b0f77d/69868efb1eebf78937370d95/jeffrey-kluger.jpg?branch=production&width=96&quality=75&auto=webp)

## Jeffrey Kluger


Editor at Large

Aug 23, 2018 10:00 AM UTC

By now, measles ought to be optional. As long as parents are conscientious and governments are competent, no child has to contract the sometimes fatal disease again. But across Europe and in the U.S., that’s not what’s happening.

According to the World Health Organization (WHO), there were more than 40,000 cases of measles–including 37 deaths–across Europe in just the first six months of 2018\. That’s a huge jump: in all of last year, there were 23,927 cases, and only 5,273 the year before. More than half of those 2018 cases were found in Ukraine, while six other countries (Serbia, France, Italy, Russia, Georgia and Greece) have each topped 1,000 cases. The U.S. numbers are less alarming–107 cases, across 21 states and the District of Columbia–but they too represent an uptick over the past few years, if still a long way from the 667 cases in 2014.

The question remains why, more than half a century after the first measles vaccine was licensed, we still must battle these epidemic wildfires. Just as the numbers vary from place to place, so do the answers.

In the U.S., much of the problem can be traced to a fraudulent 1998 study by Andrew Wakefield, a British doctor who has since been stripped of his license to practice medicine. After he linked the measles-mumps-rubella vaccine to autism, the lie was spread in the U.S. by celebrities like Jenny McCarthy. Although 20 years of study have established that no such link exists, vaccination rates plummeted in the U.K.–as well as in the U.S. and elsewhere–and have not fully recovered.


In Ukraine, the problem is of more recent vintage. In 2008, the nation’s vaccination rates were as high as 95%–the level needed to establish herd immunity, or the ability of a well-vaccinated public to protect the unvaccinated handful by denying the virus any carriers. By 2016, the number was down to just 31%, partly as a result of war and unrest. Making things worse, by law, government-purchased vaccines have been available only to children, leaving adults exposed.

In Italy, a bad situation–more than 2,000 cases from January through June–was made worse in August, when the upper house of Parliament halted mandatory vaccinations for kids entering nursery school or pre-K. The move was seen as an anti-establishment gesture by a populist government, but it came at a public-health price.

Across Europe, WHO is working with governments to step up immunization rates. Ukraine especially is making progress, with a push to vaccinate all children when they reach the prescribed age and to double back and get the kids who had been missed. Free vaccines are now also available to at-risk adults.


Nearly all vaccines work–but only if adults make smart decisions for dependent children. When the adults fail, no matter where that happens, it’s the kids who pay.

_This appears in the September 03, 2018 issue of TIME._


## Transcript

You've focused on health at the outset when you and Melinda were launching your foundation. Our global health work has exceeded our expectations. Its been amazing that you can make vaccines cheap, you can get them out to more children. The achievement of childhood survival is one on the The most amazing human achievements. And what turned out to be harder than you bargained for? Well in health, HIV was a huge crisis when we got into this. The soonest we get a vaccine, is probably eight years from now. And so that's been far more difficult than we expected, and we need innovation which I know will come but it's been slower than we've hoped for.

Investing in the health and wellbeing of people in a poor country pays dividends far beyond that country's borders. You've been very outspoken about The importance of foreign aid as not just on moral grounds but practical economic, national security grounds. What's the argument you made to the unemployed worker in Ohio about why this is money that the government should be spending? Well, the development need we provide helps. Stabilized the world and lift these countries up so they can be self- sufficient. And our aid is less than 1 % to the US budget. The payback to US foreign aid, getting rid of small pox, on the verge of getting rid of polio.

Lifting countries like South Korea, there was a huge [ UNKNOWN ] up. So now it's a substantial, a donor. The impacts have been phenomenal. Well, you also touched on, about keeping epidemics in check before they spread. Of all the major bad things, That could happen, a nuclear war, asteroid, trogonicus quid, the one that's the most scary is the big epidemic, helping poor countries so they would detect it early and they would have the capacity to stop it when the numbers are very very small, is advantageous to the entire world In the case of Ebola, because it wasn't caught early, the U. S. had to spend a lot of money, including deploying the U.

S. military, lots of CDC people went in and did heroic work. So it's a big success, but there will be many more like that that could be worse, that is the speed of infection Of a flu is 20 times faster than Ebola. So it could go global if you took this long to figure out what was going on, as we did with Ebola. So it's an investment for the world that prevents pandemics coming to the United States. [ MUSIC ]

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