宾州麻疹暴发中两名婴儿死亡细节公布


2026-09-09T20:57:00-0400 / 哥伦比亚广播公司/美联社

宾州一名验尸官周三证实,上月该州两起与麻疹相关的死亡病例均涉及婴儿,其中一名婴儿的死因正是麻疹病毒本身。

兰开斯特县验尸官斯蒂芬·迪亚曼托尼博士表示,他已将自己的结论告知美国疾病控制与预防中心。不过疾控中心官员尚未说明是否会将这两起死亡归类为与麻疹相关,该机构官网仍对这两起死亡事件附有免责声明。

迪亚曼托尼称,伊万·米勒于8月14日出生后不久因脾脏破裂去世。

玛丽·斯托尔茨富斯去世时仅6周大,于8月18日在自家离世。她出生时就患有先天性遗传缺陷,导致其极易受到感染。迪亚曼托尼告诉美联社,麻疹感染是她的致死原因。

他表示,此次公布相关信息是为了回应福克斯43号台WPMT-TV根据州知情权法提出的信息公开请求。

两名婴儿的死因存在差异

迪亚曼托尼的办公室未对这名女婴进行尸检,他表示,死因为其主治医生所判定。

她出生时患有被称为“阿米什致死性小头畸形”的疾病,会导致头部异常偏小以及大脑发育不全。患有该疾病的儿童通常存活时间不超过6个月。

工作人员对这名男婴进行了尸检,判定其死因为脾脏破裂。迪亚曼托尼称,脾脏破裂的确切原因和发生时间仍在调查中。

这名男婴感染了麻疹,死亡证明上将麻疹列为促成死亡的因素之一。但迪亚曼托尼表示,麻疹并非导致脾脏破裂的原因,之所以标注麻疹,仅因为它被认为是男婴去世前“存在的重要健康状况”。

两名婴儿都未到接种疫苗的年龄。首剂麻疹疫苗通常在婴儿约1岁时接种。

两起死亡事件引发过度关注

相关死亡细节受到了不同寻常的全国性审视,并成为宾州州长乔希·夏皮罗(民主党)与特朗普政府官员之间激烈政治斗争的焦点。

宾州官员上月公布了这两起死亡事件,夏皮罗强调,接种疫苗本可以避免这两起悲剧。

此后不久,曾多次就现有疫苗发出警告的特朗普政府任命的卫生部长小罗伯特·F·肯尼迪抨击夏皮罗,并暗示这些死亡“甚至可能完全是编造的”。

肯尼迪的言论与他去年的表态如出一辙,当时美国记录了3起与麻疹相关的死亡病例。肯尼迪曾质疑其中一名去世儿童的死因是否真为麻疹。

在7月接受《玛格丽特·布伦南与本周》采访时,去年夏天因抗议辞职的四名疾控中心高级官员之一、前疾控中心首席医疗官黛布拉·乌里博士表示,肯尼迪及其盟友一直在搜罗麻疹病例的回顾性数据,并发布“并非基于科学或现实,而是为了实现早已确定的议程”的信息。

卫生部长负责监管疾控中心,一些公共卫生专家担忧,当公共卫生数据与肯尼迪的观点相悖时,疾控中心是否仍能可靠地发布相关信息。

“坦率地说,人们不应信任疾控中心发布的信息,”美国公共卫生协会执行主任乔治·本杰明博士上周告诉美联社,“人们都在质疑他们的动机。”

疾控中心官网仍未提及两起死亡事件

疾控中心麻疹专题网页出现的一些异常修改加剧了这种担忧。该网页曾一度标注有两起与麻疹相关的死亡病例,但随后被修改为称,疾控中心在审查更多信息之前,不会将这两起死亡纳入统计。

该网页上一次更新是在周五,目前的表述为:“疾控中心将在获取更多可用信息并完成相关审查后更新报告内容。”网页上列出了2025年的3起麻疹死亡病例,但2026年无相关记录,仍未提及宾州的两起死亡事件。

肯尼迪上周在社交媒体发文时,承认了迪亚曼托尼关于其中一名婴儿死于麻疹的结论。

与此同时,宾州的麻疹暴发疫情仍在持续扩大,州官员周三表示,今年该州37个县已报告至少624例确诊病例。

“我在宾州行医已有26年,”圣路加儿科主席詹妮弗·扬科博士上月告诉哥伦比亚广播公司费城分社,“这是有史以来最严重的一次。我亲眼目睹了一场我不愿看到的局面。”

美国曾通过维持高疫苗接种率在2000年实现本土麻疹传播的消除,但近年来疫苗接种率已降至可防止疫情暴发所需的95%覆盖率以下。与此同时,麻疹感染病例近年来持续激增。

卫生专家指出,疫苗接种率下降是麻疹等可预防性传染病病例增加的主要原因。绝大多数确诊病例都发生在未接种疫苗的人群中,疫情在疫苗接种率较低的社区蔓延。

今年11月,国际卫生官员将开会评估美国和墨西哥是否已丧失无麻疹状态认证。

Coroner releases details on 2 infant deaths in Pennsylvania measles outbreak

2026-09-09T20:57:00-0400 / CBS/AP

The two measles-related deaths in Pennsylvania last month involved infants, and the virus itself caused one of the deaths, a Pennsylvania coroner confirmed Wednesday.

Lancaster County’s coroner, Dr. Stephen Diamantoni, said he told the U.S. Centers for Disease Control and Prevention of his conclusions. CDC officials, however, have not said whether they will count either death as measles-associated, and the agency’s website still carries a disclaimer about them.

Ivan Miller died on Aug. 14 shortly after his birth of a ruptured spleen, Diamantoni said.

Mary Stoltzfus was 6 weeks old when she died Aug. 18 at her home. She was born with a genetic birth defect that left her highly vulnerable to an infection. A measles infection killed her, Diamantoni told The Associated Press.

He said he was releasing the information in response to a state right-to-know law request by WPMT-TV, Fox 43.

The causes of death differed

Diamantoni’s office didn’t perform an autopsy on the girl. The cause of death was determined by the doctors caring for her, he said.

She had been born with a condition called Amish lethal microcephaly that causes an unusually small head and underdeveloped brain. Children with the condition typically live 6 months or less.

His office did an autopsy on the boy and determined he died from a ruptured spleen. Exactly how and when that happened is still under investigation, Diamantoni said.

The boy was infected with measles, which is listed on the death certificate as a contributing factor. But Diamantoni said measles did not contribute to what happened to the spleen, and that measles is noted only because it was considered “a significant condition” that the boy had at the time of death.

Neither was old enough to be vaccinated. The first dose is typically given at around 1 year of age.

The deaths have received outsized attention

Details of the deaths have come under unusual national scrutiny and became the focus of a furious political battle between Pennsylvania’s Democratic governor, Josh Shapiro, and officials in President Trump’s administration.

Pennsylvania officials announced the deaths last month, with Shapiro stressing that vaccinations could have averted the deaths.

Soon after, Health Secretary Robert F. Kennedy Jr., a Trump administration appointee with a history of raising alarms about established vaccines, attacked Shapiro and suggested the deaths “may even have been altogether fabricated.”

Kennedy’s statements echoed ones he made last year, when three measles-related deaths were recorded. Kennedy questioned whether one of the children who died was killed by measles.

In an interview with “Face the Nation with Margaret Brennan” in July, former CDC Chief Medical Officer Dr. Debra Houry, one of four senior CDC officials who resigned in protest last summer, said Kennedy and his allies sought backward-looking data on measles cases and were pushing out information “not based on science or reality, but trying to answer an agenda that was already in place.”

The health secretary oversees the CDC, and some public health experts have voiced concern about whether the CDC can still be counted on to post public health data that clashes with Kennedy’s worldview.

“Frankly, the CDC is not to be trusted in sharing information,” Dr. Georges Benjamin, executive director of the American Public Health Association, told The Associated Press last week. “People are questioning their motives.”

CDC website still doesn’t show the deaths

That worry was fueled by some unusual edits to the CDC’s measles webpage. At one point, the webpage noted two measles-associated deaths but then was changed to say that the CDC was not counting the two deaths until it reviewed additional information.

The page, which was last updated Friday, now says, “CDC will update its reporting as additional information becomes available and relevant reviews are completed.” There are three measles deaths listed for 2025, but none for 2026. It still doesn’t reflect either Pennsylvania death.

In a social media post last week, Kennedy acknowledged Diamantoni’s conclusion that one of the deaths was due to measles.

Meanwhile, Pennsylvania’s measles outbreak continues to expand, with at least 624 cases across 37 counties this year, state officials said Wednesday.

“I’ve been practicing in Pennsylvania for 26 years,” Dr. Jennifer Janco, chair of St. Luke Pediatrics, told CBS News Philadelphia last month. “This is the worst it’s ever been. I have a front row seat to a show I don’t want.”

The U.S. eliminated the domestic spread of measles in 2000 by maintaining high vaccination rates, but they have fallen in recent years to below the 95% coverage needed to prevent outbreaks. Meanwhile, measles infections have been surging in recent years.

Health experts have pointed to a decline in vaccination rates as the main reason for increases in preventable infectious diseases like measles. The vast majority of cases have been in people who were unvaccinated, and outbreaks have spread in communities with lower vaccination rates.

In November, international health officials will meet to determine if the U.S. and Mexico have lost their measles-free status.

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