According to today's Wall Street Journal, the United States had its largest outbreak of measles for nine years in May of 2005. Indiana reported 34 cases in one outbreak (there were only 27 cases among all U.S. residents in 2004). Interestingly, all but one of the patients were out of the same church and 20 of these were home-schooled children. A 17-year-old girl in the church had taken a mission trip to an orphanage in Romania, had contracted the measles there, and had attended a church-wide gathering the day after she returned to the States. Most of the children who caught the measles had not been vaccinated.