Dramatic changes in patterns of epidemics have been observed throughout thi
s century. For childhood infectious diseases such as measles, the major tra
nsitions are between regular cycles and irregular, possibly chaotic epidemi
cs, and from regionally synchronized oscillations to complex, spatially inc
oherent epidemics. A simple model can explain both kinds of transitions as
the consequences of changes in birth and vaccination rates. Measles is a na
tural ecological system that exhibits different dynamical transitions at di
fferent times and places, yet all of these transitions can be predicted as
bifurcations of a single nonlinear model.