Our hearts are heavy thinking about the devastating consequences of the measles virus and the ongoing outbreak in Texas.  The measles vaccine is so effective that measles was once victoriously considered eradicated in the United States and only the most grey-haired physicians at Pediatric Associates have seen a case of the disease in their careers.  Unfortunately, vaccine misinformation has been contributing to declining vaccination rates making more communities vulnerable to the spread of this infection which can lead to long term disability and death.  Fortunately, there are not currently reported cases in Charlottesville, but it feels more and more likely as the number of cases of this extremely infectious disease continues to rise.

Measles is highly infectious- it can live suspended in the air or on surfaces for 2 hours and does not require close contact to transmit.  9 out of 10 unprotected individuals who are exposed to measles will become infected.  Measles starts like many other childhood illnesses with cough, runny nose, and red eyes and can begin as much as 21 days after being exposed to the virus.   The hallmark rash appears in the second phase of the illness and starts at the head before spreading down the body.  Complications of measles are common and include pneumonia, brain swelling, deafness, intellectual disability, and death.

Because the MMR vaccine has been a common target for vaccine critics, an enormous amount of additional resources have gone into ensuring its safety in addition to its efficacy.  Claims of a link to autism have been exhaustively disproven, and pediatricians are aligned in our recommendation for this lifesaving vaccination.  Just one dose offers 95% protection, while a second dose brings it up to 99%.  The first dose is routinely given at the 12 month well visit, but is safe to give an additional dose as early as 6 months for travelers going to areas affected by an outbreak.  The second dose is routinely given between ages 4 and 5.

If you are concerned that your child may have been exposed to measles or may be showing signs of measles, it is important to call right away to discuss your concerns over the phone in order to arrange a specialized evaluation to prevent exposure of other individuals to the virus.  As always if you have other questions related to measles or the risk to your family, please reach out to your provider.