Understanding measles and the current outbreak
Measles was a typical childhood sickness years in the past. At the starting of this century, measles had been declared eradicated from the nation. But now, measles, one among the most contagious illnesses to unfold, is returning at a record pace as 17 states have reported measles instances in 2024.
“There are many viruses that are either not contagious or sort of contagious,” says Sarah Scherger M.D., pediatrician at Mayo Clinic Health System in Austin and chair of Pediatrics for Mayo Clinic Health System. “Measles is aerosolized and is super contagious, and can live on surfaces for up to two hours after first contact.”
According to the Centers for Disease Control and Prevention (CDC), measles signs seem seven to 14 days after contact with the virus. Measles sometimes begins with these signs:
- High fever (might spike to greater than 104 F)
- Cough
- Runny nostril (coryza)
- Red, watery eyes (conjunctivitis)
Tiny, white spots referred to as Koplik spots might seem inside the mouth two to 3 days after signs start. Measles rash seems three to 5 days after the first signs.
Measles is most harmful for kids as much as the age of 5 and immunocompromised adults over 65.
“We talk about high fevers and rashes, and that’s uncomfortable,” explains Dr. Scherger. “Unfortunately, approximately 1 in 1,000 people can get encephalitis, which is an infection in your brain causing the potential for permanent brain damage.”
Statistics additionally present that 1 to 3 out of each 1,000 kids who turn out to be contaminated with measles will die from respiratory or neurologic issues.
“It’s hard for physicians and nonmedical people in the United States to diagnose because we don’t see many cases,” explains Dr. Scherger. “We know there are circulating viruses and bacteria that we vaccinate against regularly. If we have pockets where people are not being vaccinated, or vaccine rates continue to fall across the entire country, that’s when we will see more outbreaks like this occur.”
Vaccination
The handiest method to forestall measles is by vaccination. The vaccine is primarily administered as the mixture measles-mumps-rubella (MMR) vaccine and measles-mumps-rubella-varicella (MMRV) vaccine. The CDC recommends routine childhood immunization for MMR vaccine beginning with the first dose at 12 by means of 15 months of age, and the second dose at 4 by means of 6 years of age, or no less than 28 days following the first dose.
The MMRV vaccine can be accessible to kids 12 months by means of 12 years of age. People who’re born throughout or after 1957 who would not have proof of immunity in opposition to measles ought to get no less than one dose of MMR vaccine.
“We need to not go back there, so it’s important to make sure you and your children are vaccinated,” says Dr. Scherger. “Ninety percent of people have the potential of becoming infected if they’re not vaccinated.”
One dose of MMR vaccine is roughly 93% efficient at stopping measles; two doses are roughly 97% efficient. Almost everybody who doesn’t reply to the measles element of the first dose of MMR vaccine at age 12 months or older will reply to the second dose.
Dr. Scherger says in case you ever have any questions on measles or vaccinations, have a dialog together with your main care clinician.
“I have talked to people through various options, and I’ve talked to people about their concerns. I know we’re all here, pediatricians and family doctors, for the benefit of your child,” says Dr. Scherger.
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Media contact: Rick Thiesse, Mayo Clinic Health System Communications