大多数县没有自己的卫生机构，且某些特定人群的疫苗接种率较低。宾夕法尼亚州正为麻疹病例的激增做准备，一些公共卫生官员担心，疾病从疫情中心向外扩散“只是时间问题”。
Most counties don’t have their own health agencies, and some specific population groups have low vaccination rates Pennsylvania is bracing for a wave of measles cases, with some public health officials concerned that it’s “only a matter of time” until the disease spreads beyond the outbreak’s epicenter.
上周，该州在39个县确认的943例病例中报告了第五例麻疹相关死亡。此次疫情正值美国公共卫生面临日益增长的疫苗怀疑论之际，尤其是由于颇具争议性的卫生部长小罗伯特·F·肯尼迪的巨大权力和影响力。
Last week the state reported its fifth measles-associated death amid 943 confirmed cases across 39 counties. The outbreak comes amid concerns that public health in the US has been hit by increasing vaccine skepticism, especially due to the power and influence of controversial health secretary Robert F Kennedy Jr.