DOCTOR'S BLOG

Measles outbreak 

i 2019 Michigan Measles Outbreak – March 27, 2019 Update from MDHHS

​​
The Michigan Department of Health and Human Services (MDHHS) announced that, to date, 22 cases of measles have been confirmed since the first case became ill on March 10, 2019. That individual arrived in Michigan after having spent time in New York City, the site of an ongoing outbreak in the Orthodox Jewish community. No deaths or hospitalizations have been associated with the Michigan outbreak. To date, all of the Michigan cases have been residents of Oakland and Wayne counties.

What is Measles:

-Measles is transmitted by airborne particles, droplets, and direct contact with the respiratory secretions of an infected person;
-Measles virus can remain infectious in the air for up to two hours after an infected person leaves an area;
-Symptoms usually appear 10 to 12 days after exposure to measles, and in some cases, symptoms can start as early as seven days or as late as 21 days following exposure;
Early symptoms include fever, cough, runny nose, and red, watery eyes;
Koplik spots, small, white spots (often on a reddened background) occur on the inside of the cheeks early in the course of measles. Rash and fever are the defining symptoms of measles and usually occur four days following the early symptoms. The rash usually starts on the face and proceeds down the body and can persist for several days;

Infected individuals are contagious from four days before rash onset through the fourth day after rash appearance;
Any susceptible (unvaccinated) person can contract the measles;
People at high risk for severe illness and complications from measles include:
Infants and children aged younger than 5 years
Adults aged 20 years or over
Pregnant women
People with compromised immune systems, such as from leukemia and HIV infection

Measles Prevention:

Promote routine vaccination with MMR vaccine. One dose of MMR vaccine is approximately 95% effective at preventing measles; two doses are approximately 97% effective;

There are large outbreaks of measles in Europe and Israel, as well as in countries in South America, Africa, and Asia; Travelers to these regions should get MMR vaccine.
Adequate vaccination of persons who travel outside the U.S. is two doses of MMR.
Infants aged 6 through 11 months should also be vaccinated with one dose of MMR prior to international travel;

What you should do:

Isolate the patient immediately - use a negative pressure room if available;
Avoid exposure to other people;

Contact the healthcare professional immediately.