• While many vaccine preventable diseases are at very low levels in the United States, only smallpox has been eliminated. Vaccines are why we are seeing lowe levels of infections in the United States. There are numerous examples where populations in the US have stopped or decreased vaccination rates and the disease rate soon rises. As an example, in numerous cases of measles outbreaks, it has been shown that people not vaccinated against measles had a 20 time increased risk of infection compared to people who had been vaccinated In the U.S. there is a Recommended Vaccine Schedule published annually that provides the recommended list of vaccines for children and adults to receive. These diseases are not seen as often anymore because vaccines work!n• We live in a global society. Traveling/relocating around the world happens every day. Many of these vaccine preventable diseases still occur frequently around the world. It is important that those who can be vaccinated, be fully immunized and on time with their immunizations to protect themselves, their families, and their community. n• For example in 2017 there have been outbreaks of Measles and Polio in Africa, Measles and Mumps in the U.S., Polio and Measles in Pakistan, and Whooping Cough and Measles in Southeast Asia. Additionally in 2014 a Measles Outbreak in Ohio was caused by unvaccinated Amish travelers returning from the Philippines.