The onset of measles vaccination in England and Wales in 1968 coincided with a marked drop in the temporal correlation of epidemic patterns between major cities. We analyze a variety of hypotheses for the mechanisms driving this change. Straightforward stochastic models suggest that the interaction between a lowered susceptible population (and hence increased demographic noise) and nonlinear dynamics is sufficient to cause the observed drop in correlation. The decorrelation of epidemics could potentially lessen the chance of global extinction and so inhibit attempts at measles eradication.The combination of practical importance and theoretical interest has made measles in urban populations one of the most studied epidemiological systems, but spatial and stochastic effects remain less well explored (1). Practically, the continuing failure of mass vaccination campaigns to eradicate measles in developed countries and the importance of measles mortality among children in developing countries has led to continuing interest. Theoretically, recent work showing that nonlinear dynamics can reduce the extinction rate of spatially subdivided populations (2, 3) may be testable with the body of theory and data gathered to evaluate the persistence of measles and other childhood infections under mass vaccination (4-7).The basic dynamics of measles epidemics have been extensively studied (8-13). Large measles epidemics exhaust a pool of susceptible children, who gain lifelong immunity after having the disease; the interepidemic period is determined by the severity of the epidemic and the length of time taken to build up the pool of susceptibles again from new births. The seasonal pattern of aggregation of children in schools is also important in determining the size and pattern of epidemics (14-16). Furthermore, seasonality strongly influences the recurrent epidemic behavior of measles, where there is strong evidence for nonlinear (and possibly chaotic) effects (17-23).In small isolated communities, large epidemics are often followed by extinction of disease as the chain of transmission breaks down (8,24,25). The critical community size (8,24,26), the threshold population size above which measles can persist through interepidemic troughs, may depend on the spatial structure and connectedness of the regional population. The persistence behavior of measles is of particular interest in connection within the eradication of a disease by mass vaccination. Most theoretical estimates focus on the invasibility threshold, the level of control at which a disease will not only go extinct but also be unable to reinvade the population (13). One can also locally eradicate infection simply by driving it below its persistence threshold, the point at which the disease is likely to go extinct during the troughs between epidemics (27). The persistence threshold is greater than the invasibility threshold and hence easier to reach, but eradication through local extinction is fragile; reintroduction of the disease sparks a new epidemic, which...