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According to CDC, Unvaccinated U.S. residents traveling internationally are at risk for acquiring measles, there are 44 Measles cases directly imported from other countries and 34 were the U.S. U.S. residents who are unvaccinated if traveling internationally are at risk of acquiring measles. (CDC.2019). Although Measles was declared and no longer endemic in the United States since 2020, Measles is still a very common disease in some regions of the world such as in Africa, Asia, Europe, and the Pacific. During the Measles outbreak, if any U.S.resident wants to travel over the countries where there is a measle outbreak or high risk of measles exposure, a new policy should travel restriction requiring that U.S. resident or foreigner display their vaccination record to prove if they are already vaccinated before they are departure in some regions where there is a measles outbreak. If they are unvaccinated or they are unable to show any approved evidence for vaccination, under section 361 of the Public Health Service Act, the U.S. Secretary of Health and Human Services is authorized to take measures to prevent the entry and spread of communicable diseases from foreign countries into the United States and between states(PHAS), A isolation or quarantine order may issue in order to prevent the spread of measles outbreak in the United States.

Measles can be prevented with measles-containing vaccine, MMR vaccine is approximately 93%-97% effective at preventing measles. (CDC 2019) In order to provide more protection on Children, there is a policy called The Vaccine for Children (VFC), also known as section 1928 of the Social Security Act, the Vaccines for Children program is an entitlement program (a right granted by law) for eligible children, age 18 and younger. This plan was created by the 1993 Comprehensive Budget Reconciliation Act and was first implemented in 1994. (CDC 2019) The VFC plan aims to ensure that qualified children will not contract vaccine-preventable diseases because they cannot pay for vaccines and vaccines. These vaccines protect babies, young children, and adolescents from 16 diseases included Measles(CDC 2019). With the support of the VFC program, a large number of illnesses, hospitalizations, and deaths prevented by childhood immunization. Because of sustained high coverage, many vaccine-preventable diseases are now uncommon in the United States. Measles was declared no longer endemic in the United States in 2000. (CDC 2018)

A similar policy exists in Frenc In french, From 2018, the French Ministry of Health will expand the three types of vaccines (diphtheria, tetanus, and polio) required for children under the age of two to eleven, with additional additions including hepatitis B, pertussis and measles. The cost of vaccination is borne by social security, and those who have not been vaccinated are not allowed to attend school. (MAOFINF, 2019)

However, Vaccines at no cost for eligible children is only available through VFC-enrolled doctors(CDC,2016), if your doctor is not a “VFC participating provider,” parent need to take their child to their local health department or to their community or rural health center clinic for these free or low-cost vaccines. A new policy we make is to provide vaccines free of charge in all medical offices. diting the current VFC policy to instate a temporary mandate where all medical offices must offer the MMR vaccinations at no cost, no questions asked, and regardless of circumstance during the measles outbreak.

https://www.cdc.gov/measles/about/history.html (cdc, measles HISTORY)

https://www.cdc.gov/measles/vaccination.html (CDC,VACCINE FOR MEASLES

https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6316a4.htm ( Benefits from Immunization During the Vaccines for Children Program Era — United States, 1994–2013)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394317/ Mandatory vaccination of infants in France: Is that the way forward?

https://www.cdc.gov/vaccines/programs/vfc/(cdc,2016)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6906342/#bibr18-0046958019894098

https://www.hhs.gov/answers/public-health-and-safety/who-has-the-authority-to-enforce-isolation-and-quarantine/index.html

https://www.aappublications.org/news/2019/06/17/measles061719