evidence: In 2022, there were an estimated 136,000 measles deaths globally, mostly among unvaccinated or under vaccinated children under the age of 5 years.[110] In February 2024, the World Health Organization said more than half of the world was at risk of a measles outbreak due to Covid-19 pandemic-related disruptions in that month. All the world regions have reported such outbreaks with the exception of the Americas, though these could still be expected to become hotspots in the future. Death rates during the outbreaks tend to be higher among poorer countries but middle income nations are also heavily impacted, according to the WHO.[111] [...] - ^ a b c Gastañaduy PA, Budd J, Fisher N, Redd SB, Fletcher J, Miller J, et al. (October 2016). "A Measles Outbreak in an Underimmunized Amish Community in Ohio". The New England Journal of Medicine. 375 (14): 1343–1354. doi:10.1056/NEJMoa1602295. PMID 27705270.