These steps by Allina Health are common when it comes to dealing with outbreaks including the flu, taking steps they say protects the health of their entire community. They've been successful: The vaccination rate has plunged. Children's Minnesota has extended their winter visitor restrictions with modifications because of the measles outbreak.
Most of the confirmed cases has occurred in children ages 0-17. "Measles threatens the entire community, healthy people and sick people".
That means a lot more community outreach. "They've dropped to about half of that", Johnson said. "I don't feel responsible at all". Actually, he uses the verb "exploit". "Autism is forever, '" he said.
"Minnesotans rightly expect a rapid and effective response to these threats, but current state funds lack the flexibility needed to deal with emergent disease threats".
A clinic in Minneapolis alerts patients to a measles outbreak in the area. When Somali parents sought answers to explain autism, anti-vaccine activists were delighted to fill in the information gap. Statistically, there is no difference between the two rates.
A former British doctor, Andrew Wakefield, lost his medical license for falsifying a study that he said showed the link, but he has been touring the USA with his message and has visited Minnesota several times, health officials said. "We have a vaccine that can prevent measles, and yet we're seeing this widespread transmission". The first dose offers good protection, and the second dose provides extra security.
Meanwhile, an outbreak of suspected measles has added to the burden of disease on the drought-affected people in Somalia.
The outbreak has prompted Minnesota health officials to expand their guidelines for vaccinations. But it was not a benign one.
An autism rights advocate has called on the Minister for Health to introduce legislation to end the scaremongering of parents not to vaccinate their children following the screening of a controversial anti-vaccine documentary in Dublin.
Measles can also kill.
Immunisation rates plummeted, and last month the first cases of measles appeared.
The claims were made by disgraced former doctor Andrew Wakefield who was struck off the medical register in 2010 for offences relating to dishonesty and failing to act in the best interests of vulnerable children. This time, officials identified 44 people who were diagnosed with the disease, and discovered that only two of them had received a vaccine.
Children have to be vaccinated to go to school in Minnesota, but the state does allow parents who have philosophical objections to opt out. Prior to widespread vaccination, the United States saw 3 to 4 million cases each year.
"These groups continue to fabricate and promote alternative facts that have no bearing on reality", Johnson said.
For parents concerned about the cost of immunizations, the Minnesota Vaccines for Children Program provides free or low-priced vaccines for eligible children through age 18. Their father, who is 33 and studying mechanical engineering while working as a mechanic, wants to wait.
"No one is suggesting for a second that [autism in the community] is not an important problem".
The study he cites is real; it was published in the British medical journal The Lancet in 1998. Her children are getting all their shots, and on time.
"At that point, the anti-vaccine groups just really started targeting the community", she said.