Measles Alert. Signs posted at The Vancouver Clinic in Vancouver, Washington, warn patients and visitors of a measles outbreak on Wednesday, Jan. 30, 2019. The outbreak has sickened 39 people in the Pacific Northwest, with 13 more cases suspected. At least one patient who was sick with the measles has come to this clinic for treatment since the outbreak began Jan. 1, 2019. (AP Photo/Gillian Flaccus)

A growing band of immunization detractors are driving a surge in measles cases from the Philippines to Washington State that threatens to derail efforts to wipe out the disease.

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