Federal health officials said today that there have been at least nine outbreaks of rubella in Amish communities in at least four states. The Centers for Disease Control said that more than 400 cases of rubella have been reported since the start of the year in Amish communities in Michigan, New York, Ohio and Tennessee. In addition, at least six Pennsylvania counties have confirmed rubella cases among Amish people, “suggesting widespread rubella activity” among the Amish in that state, the agency said.

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