Measles

Young child with a case of measles. The shirt is pulled off one should to show a measles rash.

The United States is experiencing a surge in measles cases in multiple states, including Kansas. Measles is a highly contagious viral infection that can cause serious complications like pneumonia (a serious lung infection) and encephalitis (swelling of the brain). It spreads through the air by breathing, coughing, or sneezing. You can get measles just by being in a room where a person with measles has been. This can happen up to two hours after that person has left.

The best prevention for measles is to get vaccinated. Two doses of the measles, mumps and rubella (MMR) vaccine is about 97% effective at preventing measles. One dose is about 93% effective. The MMR vaccine is available at most doctor's offices, pharmacies and at JCDHE's Olathe and Mission walk-in immunization clinics.

Measles FAQs

What is measles?

Measles is a highly contagious viral infection that typically causes a rash and fever. Measles can be dangerous, especially for babies and young children under 5. Adults over 20 years of age, pregnant women and people with compromised immune systems are also more likely to suffer from measles complications. Severe complications can include pneumonia (a serious lung infection), encephalitis (swelling of the brain), deafness, and other long-term consequences. In rare cases, measles can be deadly. About 1 in 5 people in the United States who get measles may be hospitalized.

Measles was declared eliminated from the U.S. in 2000 thanks to a highly effective vaccination program. However, the U.S. is at risk for losing this status due to ongoing outbreaks nationwide. Measles remains common in many parts of the world. Outbreaks can occur in the U.S. if measles is brought into the country by unvaccinated travelers, including both Americans and foreign visitors, who get sick while they are in other countries.

What are measles symptoms?

Measles typically starts with cough, runny nose, red eyes, and a fever that can get very high. Three to five days after these symptoms begin, a rash will begin to develop. The rash looks like tiny, red spots that start at the head and spread down to the rest of the body. If you think you or your child might have measles, call your healthcare provider immediately.

How does measles spread?

Measles is very contagious and spreads through the air when an infected person coughs or sneezes. You can catch measles just by being in a room where a person with measles has been, up to 2 hours after that person has left. Infected people can spread measles to others four days before they have a measles rash and four days after the rash appears. Someone who has not had the measles-mumps-rubella vaccine (called the MMR vaccine) or a prior infection is highly likely to get measles if they are exposed to the measles virus.

What should I do if I've been exposed to someone with measles?

If you have been exposed to someone who has measles, you should immediately call your healthcare provider and let them know. Your healthcare provider can determine if you are immune and can make special arrangements to evaluate you without putting other patients or medical staff at risk.

If you are not immune to measles, MMR vaccine or a medicine called immune globulin may help reduce your risk of developing measles. Your healthcare provider can advise you about whether these are necessary.

If you are not immune to measles and do not get vaccine or immune globulin, you should stay home and isolate for 21 days to ensure that you do not get others sick.

Is the MMR vaccine safe?

The MMR vaccine is very safe and it is effective at preventing measles (as well as mumps and rubella). Most children don’t have any side effects from the MMR shot. If side effects do occur, they are usually mild and can include fever, pain or redness where the shot was given, or mild rash.

Is there a link between the MMR vaccine and autism?

Scientists in the United States and other countries have carefully studied the MMR vaccine and have found no link between autism and the MMR vaccine.

What should I do if I am unsure about my immunity to measles?

If you are unsure whether you or your child has received the MMR vaccine, contact your healthcare provider or our immunization nurses to discuss your or your child’s immunization records. If you are a JCDHE client, we can provide you a copy of your immunization records. Send a request to our medical records department.

Measles Vaccination

Age/Status   Recommendation
0-6 months Children younger than 6 months of age are too young to be vaccinated but may have some protection from antibodies passed to them during pregnancy if their birth mother was previously vaccinated with the MMR vaccine. Children younger than 6 months who have been exposed to measles and the immunity status of their birth mother is unknown can be given immunoglobulin (IG) within six days following exposure.
6-12 months Children can be given the MMR vaccine if they have been exposed to measles, if they live in or are traveling to a county or bordering county with evidence of widespread community transmission of measles or if they are traveling to a measles-endemic area. Children who receive the MMR before their first birthday should receive two additional doses according to the routine schedule.
12-15 months

Children receive the first MMR dose.

4-6 years old Children receive a second MMR dose. If both doses are needed for catch-up, they should be given at least 28 days apart.
7-19 years old Children who have not received two doses of MMR should get the vaccine. If both doses are needed for catch-up, they should be given at least 28 days apart.
Adults born:  If you are unsure of your vaccination status, it is safe to get an additional MMR dose.
Before 1957 Most people born before 1957 are likely to have been infected naturally and therefore are presumed to be protected against measles, mumps, and rubella. Vaccination is generally not recommended for people in this age group. Healthcare personnel born before 1957 without laboratory evidence of immunity or disease should consider getting two doses of MMR vaccine.
1957-1967 You should consider getting an MMR dose as the vaccines given during this time were less effective.
After 1967 You are considered immune if you have received one or two doses of the MMR vaccine.
Pregnancy Pregnant people should not receive the MMR vaccine. If exposed to measles, they should receive immune globulin within 6 days of exposure.

Always talk to your healthcare provider if you have questions or doubts. More about measles vaccination.

Resources

Resources for Child Care Providers and Schools

Resources for Health Care Professionals

Measles – Kansas Department of Health and Environment (click on Provider Resources tab)