Measles outbreak associated with adopted children from China--Missouri, Minnesota, and Washington, July 2013.

On July 5, 2013, CDC was notified of two cases of laboratory-confirmed measles in recently adopted children from an orphanage in Henan Province, China. To find potentially exposed persons, CDC collaborated with state and local health departments, the children's adoption agency, and airlines that carried the adoptees. Two additional measles cases were identified, one in a family member of an adoptee and one in a third adopted child from China. To prevent further importation of measles, CDC worked with health officials in China, including "panel physicians" contracted by the U.S. Department of State to conduct the overseas medical examinations required for all immigrants and refugees bound for the United States. The following measures were recommended: 1) all adoptees examined at panel physician facilities should be screened for fever and rash illness, 2) measles immunity should be ensured among all adoptees from Henan Province who are scheduled for imminent departure to the United States, and 3) all children at the orphanage in Henan Province should be evaluated for measles. This report summarizes the results of the outbreak investigation and underscores the importance of timely routine vaccination for all international adoptees.

Study on the Mechanical and Toughness Behavior of Epoxy Nano-Composites with Zero-Dimensional and Two-Dimensional Nano-Fillers.

The mechanical properties of epoxy resin can be enhanced by adding nanofillers into its matrix. This study researches and compares the impacts of adding nanofillers with different dimensions, including two-dimensional boron nitride and zero-dimensional silica, on the mechanical and toughness properties of epoxy resin. At low fractions (0-2.0 wt%), 2DBN/epoxy composites have a higher Young's modulus, fracture toughness and critical strain energy release rate compared to SiO2/epoxy composites. However, the workability deteriorated drastically for BN/epoxy composites above a specific nanofiller concentration (2.0-3.0 wt%). BN prevents crack growth by drawing and bridging. SiO2 enhances performance by deflecting the crack direction and forming voids. Additionally, the dimension and content of nanofiller also influence glass transition temperature and storage modulus significantly.