Measles cases in the U.S. have reached 704 in 22 states – the highest mark in 25 years and also for this century.

And the milestone is a disappointment for health officials who declared the disease eliminated in the U.S. in 2000 – the Centers for Disease Control and Prevention reported.

It’s reported this number is the highest total of U.S. measles cases since 1994; the previous highest total since 2000 was 667 cases in 2014. At no other point in this century did the amount climb above 400.

This century’s record was hit as of April 26, which means the U.S. figure will only increase even if outbreaks slow in some communities.

As the number of cases continues to increase, Food and Drug Administration officials are taking unusual steps. Peter Marks, director of the FDA’s Center for Biologics Evaluation and Research, said measles has again emerged as a public health threat.

He added that it is an “urgent public health priority” to monitor measles, mumps and rubella and raise awareness about the importance of immunization.

New York and Washington state have reported the largest outbreaks. But many other states also have cases as Georgia, Maryland, Michigan, New Jersey, California, Texas, and others.

Measles is caused by a highly infectious virus spread through coughing and sneezing and can easily circulate among clusters of un-vaccinated children or adults.

It’s reported that it typically kills one to two people per 1,000 cases and can also cause long-term health damage.

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