Prim Care 2020 Sep 22;47(3):467-481. Epub 2020 May 22.
Department of Family, Community, and Preventive Medicine, Drexel University College of Medicine, 10 Shurs Lane, Suite 301, Philadelphia, PA 19127, USA. Electronic address:
Outbreaks of vaccine-preventable diseases are becoming more common in the United States. Outbreaks of some diseases, such as measles, can be attributed to decreasing vaccination rates. Clinicians need to be aware of the vulnerabilities in their communities. Detection of an outbreak requires familiarity with signs, symptoms, and laboratory findings for these now unusual diseases. Clinicians also need to work with public health officials to identify, treat, and limit the spread of these infections. This article describes the populations most at risk from illnesses associated with sporadic outbreaks, with information on diagnosis, treatment, and ways to limit the spread of infection.