The Americas, led by Canada, is on brink of losing measles-elimination status

> the province’s Chief Medical Officer of Health Kieran Moore reported that cases were being disproportionately seen in Mennonite, Amish, and other Anabaptist communities.

These communities are more than "anti-vaxx." Likely the vaccination rate in most of Canada is sufficient to make R0 < 1, but in these communities that eschew modern anything and have a near-zero vaccination rate, it's now endemic.