Measles: What you need to know

More than 200 cases of measles have been confirmed nationwide since late January. As those numbers continue to rise, so do questions about the measles, its transmission and vaccination.

It’s important to know that as of March 13, there is only one reported case in Kansas. Staying informed and up-to-date on vaccinations is key to protection.

What is the measles?

The measles is a highly contagious viral infection that is primarily transmitted through airborne droplets when an infected person coughs or sneezes. These droplets can remain in the air for up to 20 minutes, allowing the virus to spread.

Why is measles re-emerging?

Measles was declared as eliminated in the United States in 2000 due to widespread vaccination. Outbreaks are now occurring due to declining vaccination rates. Even a small decrease in vaccination coverage can lead to rapid transmission.

Am I protected against measles?

The CDC considers you protected from measles if you have written documentation (records) showing at least one of the following:

• You received two doses of measles-containing vaccine, and you are:
  • A school-aged child in grades K-12
  • An adult who will be in a setting that poses a high risk for measles transmission, such as college students, healthcare personnel and international travelers
  • You received one dose of measles-containing vaccine, and you are:
    • A preschool-aged child
    • An adult who will not be in a high-risk setting for measles transmission
    • A laboratory confirmed that you had measles at some point in your life
    • A laboratory confirmed that you are immune to measles
    • You were born before 1957

I was vaccinated in the mid-1960s. Was the vaccine I got at that time effective?

One group that may be at risk is adults who were born between 1963, when the first measles vaccine was approved, and 1968. During that period, some children received an inactivated (killed) measles vaccine that was less effective than the live vaccine.

If you think that you may have receive the inactivated vaccine or you aren’t sure, contact your primary care provider for guidance.

What if I don’t have vaccination documentation? Can I find out if I’m immune?

Yes! Contact your primary care provider. They can order a blood test called a titer to see if you are immune. Results are returned in about 24-48 hours. Testing is relatively inexpensive and may be covered by insurance.

You can be tested at LMH Health for measles immunity only ($18.20) or for immunity to both measles and mumps ($35). To see if insurance will cover the cost, contact your insurance carrier and provide the following codes:

• Measles IgG (CPT 86765)
• Measles/Mumps IgG (CPT 86735)

What if I’m not immune? Can I get a vaccine or booster?

The MMR (measles/mumps/rubella) vaccine is widely available. You can receive it from your primary care provider, Lawrence-Douglas County Public Health, and a number of pharmacies. Contact your preferred provider to schedule an appointment.

Are there people who should not get a vaccine or booster?

Yes. The MMR is a live vaccine, meaning that it uses a weakened form of the germs that cause disease. You should always talk to your primary care provider before getting a vaccine. It may not be appropriate for people who have weakened immune systems (immunocompromised), take certain medications or who have had an organ transplant.

What if I’m pregnant?

If you are pregnant or may become pregnant in the next month, you should not receive the MMR vaccine. If you are pregnant and exposed to measles, contact your healthcare provider immediately.

What are the symptoms of measles?

Measles isn’t just a rash. It’s a very contagious disease that can be dangerous, especially for babies and young children. Symptoms appear 7 to 14 days after contact with the virus and usually begins with:

• High fever (may spike to more than 104 degrees)
• Cough
• Runny nose
• Red, watery eyes

If I think I’ve been infected or exposed, what should I do?

Symptoms appear 7 to 14 days after contact with the virus. If you think you have the measles, call your healthcare provider and avoid public places. Do not walk into the clinic without first speaking with them and getting directions. Measles is extremely contagious, so you should not be sitting in the waiting room.

Anyone who suspects they have been exposed to the measles or has symptoms should make an appointment with their healthcare provider.