Maintenance in progress

the united states has lost its measles elimination status, with federal health officials acknowledging continuous endemic transmission sustained for over one year — the official threshold for loss of elimination. the underlying cause is the dismantling of state and local surveillance capacity through federal funding cuts. the country had maintained elimination since 2000; the reversion was not caused by a single outbreak but by the collapse of the infrastructure that would detect and contain one.

us public health monitoring and federal agency reporting