Measles (Rubeola) (cont.)
Edmond Hooker, MD, DrPH
Dr. Eddie Hooker is currently an Assistant Professor in the Department of Health Services Administration at Xavier University in Cincinnati, Ohio. He is also an Associate Clinical Professor in the Department of Emergency Medicine at the University of Louisville and at Wright State University. His areas of expertise include emergency medicine, epidemiology, health-services management, and public health.
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In this Article
- Measles facts
- What is measles? What does measles look like?
- What is rubeola? What is rubella? What are other names for measles?
- What is the history of measles?
- What causes measles? How is measles spread?
- How does one become immune to measles?
- Who is at risk for getting measles?
- Is measles deadly?
- What are measles symptoms and signs?
- What is the danger of getting measles while pregnant?
- What is the incubation period for measles?
- What complications are seen with measles?
- What is atypical measles?
- What is modified measles?
- How is the diagnosis of measles made?
- What should someone do if he or she has been exposed to measles?
- If it is not measles, what else could it be?
- Is there any treatment for measles after symptoms and signs develop?
- What is the prognosis for measles?
- Is it possible to prevent measles with a vaccine? How effective is the measles vaccine?
- Why should people get vaccinated against measles?
- Is there any truth to the fear of getting autism from the MMR or MMRV?
- Who should not receive measles vaccinations?
- Do people need to be revaccinated against measles if they are traveling to Europe?
- What adverse reactions or side effects can occur with the measles vaccination?
- If a child has an egg allergy, can they still receive the measles vaccine?
- Who should be revaccinated against measles?
- What is herd immunity? Why should people care if others choose not to be vaccinated?
- Can the measles virus be used to cure cancer?
- Where can I find more information about measles?
What adverse reactions or side effects can occur with the measles vaccination?
Adverse reactions to measles vaccination (as part of the MMR) include fever, rash, joint aches, and low platelet count (thrombocytopenia). Some adult women will suffer joint pain that is due to the rubella component of the vaccine. The fever usually occurs seven to 12 days after the vaccination, and the rash occurs seven to 10 days after vaccination.
If a child has an egg allergy, can they still receive the measles vaccine?
Although the measles vaccine is made using chick embryos, there is no evidence of increased reactions in people with an egg allergy. Therefore the CDC recommends giving MMR vaccine to egg-allergic children without any prior skin testing or the use of special protocols.
Who should be revaccinated against measles?
The following group of people should be considered unvaccinated and should receive at least one dose of vaccine:
- People vaccinated before their first birthday should be revaccinated.
- Anyone known to have been vaccinated with the killed measles vaccine (KMV) should be revaccinated.
- Anyone vaccinated with KMV who received their dose of live measles vaccine with four months of their last dose of vaccine should be revaccinated.
- Anyone vaccinated before 1968 in whom it is not known if the vaccine was KMV or not should be revaccinated.
What is herd immunity? Why should people care if others choose not to be vaccinated?
Herd immunity is an increased effectiveness of a vaccine because significant proportion of a population is immunized. Some people do not actually develop immunity even though they have received the vaccine, and others, because of legitimate medical conditions (like cancer), cannot receive the vaccine. Those people are put at extreme risk of infection and even death by those who simply choose not to be vaccinated. It is reasonable for everyone to expect others to be vaccinated.
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