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Four measles cases have been confirmed in unvaccinated individuals in Navajo County, Arizona, after international travel exposure.

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Arizona has been working for herd immunity of 95% against the measles virus. In Navajo County, it’s only at 80%, and Pima County is at 93%. For some reservations across the state, it’s even lower.

According to the Navajo County Public Health Services District, the individuals were not immunized and have a recent history of international travel.