Tag Archives: measles

Measles—an emerging travel trouble

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A big part of your checklist as you prepare for a trip overseas: Make sure you’re up to date on your measles vaccination. (Courtesy Spectrum Health Beat)

By Robert Preidt, HealthDay


Due to waning vaccination levels in some areas, measles outbreaks are back with a vengeance.


But many globe-trotting Americans may not realize the problem is worldwide. Therefore, making sure your measles vaccination is up to date is paramount before jetting off.


In fact, U.S. outbreaks of measles “are usually started by foreign travelers importing the virus to the U.S.,” according to Dr. Len Horovitz. He’s a specialist in pulmonary illnesses at Lenox Hill Hospital in New York City.


“This is exacerbated by lack of vaccination in many foreign countries,” Horovitz said. And according to a regularly updated list of measles “hotspots” from the U.S. Centers for Disease Control and Prevention, “this is clearly a global epidemic,” he said.


“Asia, Africa and the Middle East lead the list, but in Europe the Ukraine and Romania have had reports of outbreaks,” Horovitz noted. “Also included on the outbreak list are Poland, the Czech Republic, Slovakia, France, Bulgaria and Lithuania.”


Besides ruining a dream vacation, measles is very contagious and can be spread quickly to others, experts warn. And even if you think you got the shot in childhood, it’s smart to check and see if your immunity has waned, Horovitz said.


That’s especially true for some of the baby boomer generation.


“It’s well-known that vaccines between 1963 and 1967 were less effective and immunity can fade over the age of 50, even if you’ve had the disease,” Horovitz explained. “So one cannot assume immunity to measles, mumps or rubella in any adult.”


A simple blood test can gauge your immunity.


Horovitz said he’s been “testing patients for immunity in the last 10 weeks. All are adults and I’ve uncovered two or more patients each week who need booster vaccination. That’s 23 non-immune adults so far in a solo practice.”


According to Horovitz, one large commercial lab that tests for immunity to measles, mumps and rubella found that as many as 9%-13% of specimens lacked immunity to one or more of the three viruses.


So while getting kids vaccinated is crucial, “there’s also clear evidence that there is a significant number of non-immune adults in the U.S.,” Horovitz said.


Meanwhile, the measles situation in the United States continues to be dire.


“The 2018-2019 measles epidemic has been documented as one of the worst on record since 2000,” Horovitz said. “In April 2019, the CDC reported 695 cases in 22 states. The largest outbreaks were in Washington state and New York State.” He pointed out that 2018 saw a 300% increase in cases.


Some patients should not receive measles vaccination (including those with multiple sclerosis), so it’s better to assess a patient’s need for re-vaccination rather than just giving a booster to any patient requesting it or traveling to a country where measles is common, Horovitz said.


“A simple blood test with 24-hour turnaround time will reveal the immune status and need for vaccination. Patients who don’t require a booster should not be vaccinated, but a surprising number will require it,” he said.


Reprinted with permission from Spectrum Health Beat.



School News Network: Health Department has one word for measles: vaccinate

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While the recent measles scare may be over, the issues for parents, schools and communities remain. (Supplied)

By Cris Greer
School News Network


With all the national and local news swirling about measles making a comeback in the United States, SNN spoke to the Kent County Health Department for some facts. Steve Kelso, marketing and communications manager for the Kent County Health Department, has one important tip.

“Get vaccinated,” Kelso said. “A lot of people think that measles is a harmless childhood disease. It is not. It can be deadly. I think a lot of people living today have never seen the impact of measles, diphtheria or polio and we tend to think of them as yesterday types of issues.”

From January 1 to June 6 this year, 1,022 individual cases of measles were confirmed in 28 states, according to the Centers for Disease Control and Prevention. This is the greatest number of cases reported in the United States since 1994. Measles was declared eliminated in 2000.

Yet there were 44 confirmed cases in Michigan this year, all on the east side, mainly in Oakland County.

Many thanks to Kent County Health Department for sponsoring SNN

There are currently no cases in Kent County, but in early spring there was a visitor for a short period of time who was later diagnosed with measles. Exposure chances here were minimal. Those who may have come in contact with this visitor were notified.

“Some people are excluded (from vaccinations), some have legitimate medical contraindications, but almost everyone should be vaccinated,” Kelso said.

Mary Wisinski, immunization program supervisor for the Health Department, explained, “People who can’t get vaccinated due to illness or disease may have a more severe case of the disease. It is important to vaccinate those around them to protect the vulnerable from getting sick.”

Wisinski said if a child has a true medical condition that prevents him or her from getting a vaccination, the parents would need a medical waiver from the physician to meet Michigan school requirements. Any other reason means parents would need a waiver from the Health Department, which requires them to meet with a staff person to learn about vaccinations and voice their concerns. More information on non-medical waivers.

School Preparedness

Although measles cases were contained to the East side of the state, how should schools prepare in Kent County for the fall?

“Schools need to be aware of the vaccination status of all their students,” Wisinski said. “In the event of a vaccine-preventable disease in the school, the health department works with the individual school to verify the case, help with a parent letter if needed, and give advice about exclusion.

“Teachers and parents both want information on vaccine schedules, vaccine safety and signs and symptoms of the disease. Parents can get their questions answered from their health-care provider or the local Health Department.

“We work with schools to send information out to parents about vaccines during kindergarten roundup and end-of-the-year communications.”

Wisinski advised parents to make appointments for necessary vaccines sooner rather than later.

MMR Vaccine

The best protection against measles, according to the Health Department, is the MMR vaccine. This vaccine gives long-lasting protection against all strains of measles. For the best protection, a child needs two doses of MMR:

  • The first dose at 12 through 15 months of age
  • The second dose at 4 through 6 years
  • Infants traveling internationally should receive one dose if they are 6-11 months of age.



More information is available in these documents from the CDC: Measles Signs and Symptoms and Are You Protected?

The Kent County Health Department has the MMR vaccine available at all four of its clinic locations, by appointment only. For more info, call 616-632-7200 or contact your primary healthcare provider.

Visit AccessKent for more local and Michigan information.

For more stories on local schools, visit the School News Network at www.schoolnewsnetwork.org.

Vaccinations Aren’t Just for Kids

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Courtesy of Cherry Health

By Mary Menchinger, BS, RN-BC, Director of Nursing

 

There are several reasons people may need to be vaccinated against a disease as an adult:

  • They weren’t vaccinated as a child
  • The childhood vaccine may have worn off
  • The vaccine isn’t needed until later in life
  • The vaccine changes on a regular basis

Influenza (Flu)

Different strains of flu affect people every year. That’s one reason you need to get a flu shot annually. Each year the vaccine is designed to protect against the types of influenza virus expected to be most common. Getting a flu shot helps keep you healthy during the flu season which can start as early as September and last through May.

 

Tetanus

Tdap is a vaccine that protects against:

  • Tetanus
  • Diphtheria
  • Pertussis

Most people are vaccinated against these diseases in childhood. However, the protection can wear off.

 

Varicella (Chickenpox)

If you never had chickenpox as a child you may want to get the varicella vaccine. Chickenpox can be a serious illness in adults. Talk to your provider to see if it is a good choice for you.

 

MMR (Measles, Mumps, Rubella)

If you were born in 1957 or later you need at least one dose of this vaccine. Consult with your provider to determine if you need to get an adult MMR.

 

Pneumococcal

All adults over 65 are strongly urged to get this vaccine. It is also recommended for adults under age 65 with certain health conditions:

  • Long-term health problems
  • Compromised immune system
  • Asthma
  • A history of smoking

Hepatitis vaccines

Vaccine are available to protect people against hepatitis A and hepatitis B. These vaccines are generally offered to adults who work or live with high risk individuals.

 

Herpes Zoster (Shingles)

According to the Centers for Disease control and Prevention (CDC), one in every three Americans will develop shingles. Shingles is caused by a return of the virus that causes chickenpox. The one-time vaccine is recommended for adults over age 60. You should get the shot even if you had chickenpox as a child.

 

Talk to your provider to make sure you are up-to-date on the vaccines that are right for you. At a minimum, almost everyone needs a flu vaccine once a year. 

 

Getting immunized is a lifelong, life-protecting job.

 

Reprinted with permission from Cherry Health.

For school kids, vaccines are key

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The best way to treat diseases is to prevent them in the first place. (Courtesy Spectrum Health Beat)

By Robert Preidt, HealthDay

 

Be sure to put vaccinations on your children’s back-to-school lists, whether they’re just starting school or heading off to college, experts say.

 

By protecting infants, children and teens from serious diseases, vaccinations also protect families, schools and communities.

 

“The best way to treat diseases is to prevent them in the first place, and the diseases on the vaccine schedule are all preventable for the vast majority of our population,” said David Kimberlin, vice chair of pediatrics at the University of Alabama at Birmingham.

 

“The scientific evidence and public health statistics are comprehensive and compelling—properly scheduled and dosed vaccines are safe and effective, and they’re the reason we don’t see diseases like measles or whooping cough running rampant across our country,” Kimberlin said in a university news release.

 

Kimberlin is the American Academy of Pediatrics’ liaison to the U.S. Centers for Disease Control and Prevention’s advisory committee on immunization practices.

 

Immunization requirements vary by state. All have a minimum requirement for dosing each school year to attend public schools. Many require an updated immunization certificate before a child enters any public school or child care center.

 

Here’s what else you should know:

  • All 50 states and the District of Columbia require vaccinations for diphtheria, tetanus and pertussis, polio, measles and rubella.
  • 49 states and D.C. also require mumps vaccination.
  • 48 states and D.C. require varicella (chickenpox) vaccination. (Montana and Pennsylvania do not).
  • 45 states and D.C. require hepatitis B vaccination to enter kindergarten. (Alabama, Maine, Montana, North Dakota and South Dakota do not).
  • Some states require Hib (Haemophilus Influenzae Type b); PCV (pneumococcal); flu and hepatitits A vaccines to enter kindergarten.

Insurance covers school vaccinations. If you don’t have insurance, your state health department can direct you to services that offer low-cost and/or free immunizations, said Dr. Rachael Lee, an assistant professor in the university’s division of infectious diseases.

 

Vaccinations are available at doctor offices, pharmacies, health centers and local health departments.

 

College students require specific vaccinations and should check with their school to learn which ones they need, university experts said.

 

Life-threatening infections such as meningococcal disease are more common among college-age people, but can be prevented through full vaccination, the experts said.

 

Reprinted with permission from Spectrum Health Beat.