疾管署在疫情爆發之際尋求標準化的麻疹死亡通報機制
CDC seeks standard measles death reporting amidst outbreaks
Updated at: September 20, 2026 at 03:45 AM
截至2026年9月中旬，美國疾病管制與預防中心（CDC）正於全國性麻疹爆發期間，處理一項複雜的通報挑戰。
As of mid-September 2026, the U.S.
面對47個轄區內超過3,400例確診病例，該機構面臨壓力，需統一追蹤與麻疹相關死亡案例的方式。
Centers for Disease Control and Prevention (CDC) is navigating a complex reporting challenge amid a nationwide measles outbreak.
爭議源於方法論的轉變：CDC從使用追蹤即時疫情的「國家法定傳染病監測系統」（NNDSS），轉而採用「國家衛生統計中心」（NCHS）的數據。
With over 3,400 confirmed cases across 47 jurisdictions, the agency faces pressure to unify how it tracks measles-related fatalities.
此變更造成了統計上的落差，例如賓州所通報的死亡案例，未總是被納入聯邦統計數據中，因為NCHS主要追蹤長期死亡率，而非急性疾病指標。
The controversy stems from a shift in methodology: the CDC moved from using the National Notifiable Diseases Surveillance System (NNDSS)—which tracks real-time outbreaks—to data from the National Center for Health Statistics (NCHS).
公共衛生專家認為，此作法不適於即時監測。
This change has caused a discrepancy where state-reported deaths, such as those in Pennsylvania, do not always appear in federal tallies because the NCHS primarily tracks long-term mortality rather than acute disease markers.
因此，CDC正與州與領土流行病學家委員會（CSTE）合作，為「麻疹死亡」定義建立標準規範。
Public health experts argue this approach is ill-suited for real-time surveillance.
此舉至關重要，明確的通報對於維護公眾信任，並確保地方衛生部門獲得管理疫情所需的聯邦資源是不可或缺的。
Consequently, the CDC is now collaborating with the Council of State and Territorial Epidemiologists to create a standardized definition for what constitutes a 'measles death.'
界定死亡是「因」麻疹還是「與」麻疹共存，仍是當前持續努力的關鍵步驟。
This move is vital, as clear reporting is essential for maintaining public trust and ensuring local health departments receive the federal resources necessary to manage outbreaks.
