美国疾病控制与预防中心主任埃里卡·施瓦茨博士周二对路透社表示，即使美国本月失去麻疹消除国，美国疾控中心对麻疹疫情的应对也不会发生根本性变化。
The US Centers for Disease Control and Prevention will not fundamentally change its response to measles outbreaks even if the US loses its measles elimination status this month, CDC Director Dr Erica Schwartz told Reuters on Tuesday.
泛美卫生组织召集的全球卫生专家将在未来几天内确定，美国是否失去了其官方认定的麻疹消除国地位。这是美国自2000年以来保持的一项来之不易的公共卫生成就。
Global health experts convened by the Pan American Health Organization will determine in the coming days whether the US has lost its official measles-free status, a hard-won public health achievement it has held since 2000. Many disease experts say that is likely to be the case as the country battles the highest number of infections in more than three decades.
许多疾病专家表示，情况很可能如此，因为美国正面临超过三十年来的最高感染人数。自2025年初特朗普政府上任以来，数千名美国人已感染麻疹。施瓦茨表示，她预计泛美卫生组织将在下周初做出决定。
Thousands of Americans have contracted measles since early 2025, when the Trump administration took office. Schwartz said she expected a PAHO decision by early next week. "Let's say we did lose our measles elimination status.
“就算我们失去了麻疹消除国地位，我们也将继续做今天所做的完全相同的事情，即与各州合作，”施瓦茨在一次采访中表示。
We're going to be doing the same exact thing that we've been doing today, which is working with the states," Schwartz said in an interview.
美国疾控中心将确保“我们全力帮助各州提高对麻疹的认识，强调，再次强调，预防麻疹的第一种方法是接种MMR（麻疹、腮腺炎和风疹联合疫苗）疫苗，”她表示。
The CDC will make sure "we are leaning in to help them provide awareness about measles, emphasizing, reemphasizing that the number one way to prevent measles is the MMR (combined measles, mumps and rubella) vaccine," she said.
施瓦茨去年八月获确认担任美国疾控中心主任，她继承了一场自去年以来不断恶化的猛烈麻疹疫情。2026年已有近5200例确诊病例——而2025年全年为2289例——自去年初以来，州卫生部门已报告11例死亡病例。
Schwartz, confirmed as CDC director in August, inherited a raging measles outbreak that has worsened since last year. There have been nearly 5,200 confirmed cases in 2026 — compared to 2,289 for all of 2025 — and 11 deaths reported by state health departments since early last year.
负责监督美国疾控中心及其他卫生机构的卫生部长小罗伯特·肯尼迪多年来一直对MMR疫苗的安全性和有效性表示怀疑。作为美国最高卫生官员，他一直试图减少儿童免疫接种的数量。医学专家表示，他的言论和行为助长了疫苗接种率的下降。
Health Secretary Robert F. Kennedy Jr., who oversees the CDC as well as other health agencies, has for years cast doubt on the safety and efficacy of the MMR vaccine. As the nation's top health official, he has sought to reduce the number of childhood immunizations. Medical experts have said his rhetoric and actions have fueled falling vaccination rates.
Schwartz指出，“紧密团结的社区”是美国麻疹感染的主要来源。几个疫情爆发源于疫苗接种率低于一般人群的宗教群体，包括宾夕法尼亚州的阿米什人。
Schwartz pointed to "closely knit communities" as the primary source of US measles infection. Several outbreaks have originated among religious groups where vaccination rates are lower than in the general population, including the Amish in Pennsylvania.
“这些社区通常不会给孩子们接种疫苗……他们的家庭在20到30年前就做出了关于MMR疫苗的决定，而我们现在才看到这些决定的结果。”Schwartz说，“真正的重点在于，我们为什么不深入这些紧密团结的社区，确保他们明白预防麻疹的第一种方法就是MMR疫苗。”今年8月，在Schwartz被确认后不久，美国总统特朗普和肯尼迪发布了一项行政命令，呼吁将MMR疫苗拆分为三剂单独的疫苗。制药公司表示这需要数年时间，而医生则称这将给家庭带来更多困惑。
"These communities typically don't vaccinate their children... their families were making decisions about the MMR vaccine 20 to 30 years ago and we're just now seeing the results of those decisions," Schwartz said. "The real focus is why are we not leaning in on these close-knit communities to make sure that they understand that the number one way of preventing measles is the MMR vaccine." In August, shortly after Schwartz was confirmed, President Donald Trump and Kennedy unveiled an executive order that called for breaking up the MMR vaccine into three separate shots. Pharmaceutical companies said that could take years, while doctors said it would sow more confusion among families.
Schwartz还驳斥了有关肯尼迪及其高级副手施压于她或该机构的说法。她说自己每天与肯尼迪保持沟通。
Schwartz also pushed back on reports that suggested Kennedy and his top deputies had applied pressure on her or the agency. She said she is in communication with Kennedy every day.
“对我来说很清楚的是，部长已经认识到我是CDC的主任，这些决策以及CDC的工作方向都落在我的肩上。”Schwartz说，“归根结底，他认识到我坐在这把椅子上，是因为CDC需要一个领导者。”
"What has been very clear to me is that the secretary has recognized that I am the director of the CDC, and these decisions and the focus of where we're going with the CDC rests on my shoulders," Schwartz said. "At the end of the day, he recognizes that the reason why I'm sitting in this chair is because the CDC needs a leader."