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An outbreak of measles has been reported from Hawaii. The State Department of Health has confirmed one further cases in Maui, making a total of 10 cases in Hawaii; 4 in Maui and 6 in Kauai.
It should be confirmed that children have received their recommended doses of MMR at 12-15 months of age and again pre-school around 3 years 6 months, while unimmunised adults who have not had the disease themselves may consider vaccination if thought to be at risk. Two doses of MMR vaccine are required to give adequate protection.