殡仪馆馆长说，一名21岁未接种疫苗的女性在产后出现并发症后死亡。
A 21-year-old unvaccinated woman died after postpartum complications, funeral director said.
宾夕法尼亚州卫生官员周三报告了今年第六例与麻疹相关的死亡病例，该州正面临全国最严重的麻疹疫情。
Pennsylvania health officials on Wednesday reported a sixth measles-associated death this year, as the state confronts the nation’s largest measles outbreak.
州卫生部门表示，死者是杰斐逊县一名未接种疫苗的居民，其麻疹检测结果呈阳性。该部门以隐私法为由拒绝公布更多细节。
The state health department said the person was an unvaccinated resident of Jefferson County, who had tested positive for measles. It declined to release additional details, citing privacy laws.
负责处理该后事的殡仪馆馆长布伦达·舒梅克在接受采访时说，这名女性21岁，在家分娩后出现并发症，不得不经空中转运至匹兹堡地区的一家医院。舒梅克说，她于9月30日在医院去世，死亡证明上列出的主要死因是多系统器官衰竭、产后出血、急性肝功能衰竭和疑似麻疹。
The woman was a 21-year-old who suffered complications after giving birth at home and had to be airlifted to a Pittsburgh-area hospital, Brenda Shumaker, director of the funeral home who handled the arrangements, said in an interview. She died in the hospital on Sept. 30, Shumaker said, and the primary causes of death listed on the death certificate were multisystem organ failure, postpartum hemorrhage, acute liver failure, and suspected measles.
舒梅克补充说，这名女性来自阿米什社区。她说，孩子是她的第一个孩子，身体健康，目前由这名女性的家人照顾。
The woman was from the Amish community, Shumaker added. The child, her first, is healthy and being cared for by the woman’s family, she said.
舒梅克说：“她刚刚生下孩子。分娩是在家中进行的，助产士无法处理并发症。”
“She had just delivered her baby. It was a home birth, and the midwife was not able to handle the complications,” Shumaker said.
在纽约州报告30多年来首例与麻疹相关的死亡病例数日后，宾夕法尼亚州报告了最新死亡病例。据纽约州及当地官员称，刘易斯县一名未接种疫苗的儿童于周日在家里死亡。纽约州卫生官员周一报告了这一死亡病例，但没有透露该儿童的年龄或疫苗接种情况。
The report of the latest death comes days after New York reported its first measles-associated death in more than 30 years. An unvaccinated child in Lewis County died Sunday at the family’s home, according to New York state and local officials. New York health officials reported the death Monday, but did not disclose the child’s age or vaccination status.
宾夕法尼亚州这名女性的死亡情况公布之际，医生和州卫生官员一直在向联邦卫生部门寻求更多关于妊娠期麻疹的指导——近年来，妊娠期麻疹在美国已极为罕见，许多临床医生缺乏识别或处理这种病症的经验。
The circumstances of the Pennsylvania woman’s death come as doctors and state health officials have sought more guidance from federal health authorities about measles during pregnancy — a condition that had been so rare in the United States in recent years that many clinicians have little experience recognizing or managing it.
《华盛顿邮报》此前报道，美国疾病控制与预防中心（CDC）的科学家大约一个月前曾试图就怀孕期间感染麻疹的风险发布全国紧急警报，并为临床医生提供指导。该警报未获批准，原因尚不清楚。CDC的科学家转而一直在准备一份科学报告，这份报告将首次对当前疫情复燃期间孕妇感染麻疹的情况进行全国性统计。目前尚不清楚该报告将于何时何地发布。
Scientists at the Centers for Disease Control and Prevention sought about a month ago to issue an urgent nationwide alert about the risks of measles during pregnancy and provide guidance to clinicians, The Washington Post previously reported. The alert was not approved, for reasons that remain unclear. CDC scientists have instead been preparing a scientific report that would provide the first national accounting of measles during pregnancy during the current resurgence. It remains unclear when or where that report will be published.
“我们对宾夕法尼亚州的这起死亡事件感到悲痛，”美国卫生与公众服务部发言人埃米莉·希利亚德在一条短信中说。她说，CDC仍致力于支持该州应对持续的麻疹疫情。该机构已向宾夕法尼亚州提供400万美元的一次性紧急资金，以支持应对工作持续到明年。
“We are saddened to learn of this death in Pennsylvania,” Emily Hilliard, a spokeswoman for the Department of Health and Human Services, said in a text message. She said the CDC remains committed to supporting the state as it responds to the ongoing measles outbreak. The agency has provided Pennsylvania with $4 million in one-time emergency funding to support response efforts into next year.
自上个月以来，CDC的一名疾病调查员也一直与宾夕法尼亚州卫生官员合作，帮助该州利用先进的流行病学建模来估计疫情的真实规模，并更好地了解其发展轨迹。这项联邦任务原定更早结束，现已延长至周五。
A CDC disease investigator has also been working with Pennsylvania health officials since last month, helping the state use advanced epidemiological modeling to estimate the true extent of the outbreak and better understand its trajectory. The federal assignment, originally expected to end earlier, was extended through Friday.
宾夕法尼亚州上个月发布了全州范围的卫生警报，此前自该州疫情于4月底暴发以来，已有77名孕妇被诊断出感染麻疹。官员们警告医生立即报告疑似感染病例，并强调了麻疹对母婴的风险。怀孕期间感染麻疹可能导致孕妇出现严重疾病，并增加流产、早产和低出生体重的风险。该病毒还可能传染给胎儿，导致先天性麻疹。
Pennsylvania issued its own statewide health alert last month after 77 pregnant women had been diagnosed with measles since the state’s outbreak began in late April. Officials warned doctors to immediately report suspected infections and highlighted the risks to mothers and babies. Measles during pregnancy can cause serious illness in the mother and increase the risk of pregnancy loss, premature birth and low birth weight. The virus can also pass to a fetus and cause congenital measles.
宾夕法尼亚州卫生部门表示，截至周三，该州已在45个县记录了1467例病例。
Pennsylvania has recorded 1,467 cases across 45 counties as of Wednesday, the health department said.
这些死亡事件凸显了美国数十年来最严重的麻疹疫情所造成的日益沉重的代价，其背后是疫苗接种率下降，以及疫情集中在大量未接种疫苗人群所在的社区。
The deaths underscore the growing toll of the nation’s worst measles resurgence in decades, fueled by declining vaccination rates and outbreaks concentrated in communities with large numbers of unvaccinated people.
宾夕法尼亚州归类为与麻疹相关的六名死者居住在杰斐逊县、兰开斯特县和米夫林县，这些主要是乡村县。其中三人是兰开斯特县居民，两人住在杰斐逊县（包括周三宣布的那例），一人住在米夫林县。多起死亡涉及成年人。
The six people whose deaths Pennsylvania has classified as measles-associated lived in Jefferson, Lancaster and Mifflin counties, largely rural counties. Three were Lancaster County residents, two lived in Jefferson County, including the one announced Wednesday, and one lived in Mifflin County. Several deaths were in adults.
州官员周三表示，他们没有将另一例死亡归类为与麻疹相关。上个月，富兰克林县验尸官报告称，一名30岁未接种疫苗女性的死亡与麻疹有关。州卫生部门表示，其调查发现该病例不符合该州的定义。该定义要求死者在出现症状后30天内死亡，具有麻疹的临床证据和阳性实验室检测结果，且没有无关的死亡原因。
State officials said Wednesday they have not classified another death, a 30-year-old unvaccinated woman, reported last month by the Franklin County coroner as measles-associated. The health department said its investigation has not found that case meets the state’s definition, which requires a death within 30 days of symptom onset in someone with clinical evidence of measles and a positive laboratory test, with no unrelated cause of death.
关于全国麻疹死亡人数，仍然存在未解决的分歧。美国疾病控制与预防中心（CDC）周三更新其网站，将2026年麻疹死亡病例列为四例。宾夕法尼亚州已确认六例死亡，纽约州已确认一例。CDC表示，正与各州流行病学家合作，制定统一的麻疹死亡病例报告定义。
There continues to be an unresolved discrepancy over the national measles death count. The CDC updated its website Wednesday to list four measles deaths in 2026. Pennsylvania has confirmed six deaths and New York has confirmed one. CDC says it is working with state epidemiologists to develop a standardized definition for reporting deaths caused by measles.