由美国医疗保健联盟呈现的《大新闻》宾夕法尼亚州成为美国麻疹疫情的中心。宾夕法尼亚州周五记录了第六例与麻疹相关的死亡病例，该州正经历35年来最严重的可预防疫苗的疾病爆发。© 。据该县验尸官称，最新死亡病例是富兰克林县一名39岁未接种疫苗的女性，验尸官将死因归因于“可能由麻疹并发症引起的急性心脏事件”。
Presented by Coalition to Strengthen America’s Healthcare Healthcare Healthcare PRESENTED BY The Big Story Pennsylvania at the center of U.S. measles outbreaks Pennsylvania recorded its sixth measles-related death on Friday, as the state suffers its worst outbreak of the vaccine-preventable disease in 35 years. © Photo credit: AP Photo/Mary Conlon The state has tallied more than 1,100 cases, though experts think that number is likely much higher. The latest death was reported in a 39-year-old unvaccinated woman in Franklin County, according to the county coroner, who attributed the cause of death to “probable acute cardiac event due to possible complications of the measles.”
验尸官在一篇Facebook帖子中写道，该患者“有近期麻疹病史”，并补充说这符合州卫生部门对麻疹相关死亡的定义。宾夕法尼亚州州长乔什·夏皮罗（民主党）一直公开指责卫生部长罗伯特·F·肯尼迪 Jr. 导致麻疹疫苗接种率下降以及对疫苗安全的不信任。该州数月来一直坚称拥有自行应对疫情的资源，夏皮罗在8月表示他拒绝了肯尼迪提供的援助。
The patient had “a recent history” of having contracted measles, the coroner wrote in a Facebook post, adding that it meets the state health department’s definition of a measles-associated death. Pennsylvania Gov. Josh Shapiro (D) has been vocal about blaming Health Secretary Robert F. Kennedy Jr. for a decline in measles vaccinations and distrust in the safety of the shots. The state for months insisted it has the resources to combat the outbreak on its own, and Shapiro in August said he declined Kennedy’s offer of assistance.
地方努力正在见成效。根据州卫生部门统计，自疫情于4月下旬爆发以来，卫生中心工作人员在受影响社区的198个临时疫苗接种点已接种超过5,700剂麻疹、腮腺炎和风疹（MMR）疫苗。医疗提供者也看到前来接种MMR疫苗的居民兴趣激增。该州表示，在正常月份，宾夕法尼亚州医疗保健提供者大约会接种25,000剂MMR疫苗。
Local efforts have been paying off. According to state health department statistics, health center staff have administered more than 5,700 MMR vaccinations at 198 pop-up vaccination clinics in the affected communities since the outbreak began in late April. Providers have also seen a surge of interest from residents seeking MMR vaccinations. In a typical month, Pennsylvania health care providers administer approximately 25,000 doses of the MMR vaccine, the state said.
而在9月，他们接种了超过56,000剂。宾夕法尼亚州卫生官员表示，他们在整个疫情期间一直与疾病控制与预防中心（CDC）工作人员保持联系，并讨论了如何最好地利用CDC资源。
In September, they administered more than 56,000 doses. Pennsylvania health officials said they have been in contact with staff from the Centers for Disease Control and Prevention throughout the outbreak and have discussed how best CDC resources could be focused.
宾夕法尼亚州卫生部门在9月的一封信中启动了申请紧急Epi-Aid的流程——这是由疾病控制与预防中心（CDC）流行病学家组成的团队，可提供疫情应对支持——但前提是CDC必须公开承认该州的死亡人数。截至目前，该机构仅承认了两例死亡，但卫生与公众服务部发言人周二证实，宾夕法尼亚州已正式申请联邦援助。该发言人表示：“CDC将向宾夕法尼亚州部署额外支持，与州和地方卫生官员一起调查疫情，加强应对工作，防止进一步扩散。”
The Pennsylvania health department initiated the process to request emergency Epi-Aid — a team of CDC epidemiologists who can provide outbreak-response support — in a September letter to CDC, but only on the condition that the CDC publicly recognize the state’s death count. The agency to date has only recognized two deaths, but a Department of Health and Human Services spokesperson confirmed Tuesday that Pennsylvania has formally requested federal aid. “CDC will deploy additional support to Pennsylvania to work alongside state and local health officials to investigate the outbreak, strengthen response efforts, and prevent further spread,” the spokesperson said.
欢迎阅读《国会山报》的医疗保健通讯，我们是纳撒尼尔·韦克塞尔和约瑟夫·崔——每周我们将跟踪华盛顿如何影响您健康的最新动态。您是否是被别人转发了这份通讯？点击此处。
Welcome to The Hill’s Healthcare newsletter, we’re Nathaniel Weixel and Joseph Choi — every week we follow the latest moves on how Washington impacts your health. Did someone forward you this newsletter? here.