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To the Editor:—
In the article "Rubella Epidemic on St. Paul Island in the Pribilofs, 1963," (JAMA191:619-623 [Feb 22] 1965), a previous measles epidemic 22 years earlier was mentioned. I was the physician stationed at St. Paul Island during the measles epidemic which occurred during March, April, and May of 1941.The epidemic was introduced from Unalaska by a native woman, a boat passenger, who wore dark glasses and a face veil on debarking to conceal a measly rash on her face. The erythematous disease then ran like wildfire among the 300 native Aleuts who lived in the island village. The main complaints were rash, fever, and malaise. The throats resembled those with measles ( rubeola) in the United States, many having Koplik's spots. Adenopathy was usually absent or mild. Coryza and cough were usually absent.A rash was present in all patients seen. In about one third of
Migliore AD. Measles in the Pribilof Islands. JAMA. 1965;193(2):170. doi:10.1001/jama.1965.03090020084036