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.
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Do people need to be revaccinated against measles if they are traveling to Europe?
Europe has been experiencing recent epidemics of measles. This is likely due to poor rates of vaccinations in many European countries. U.S. travelers should make sure that they have received at least two vaccinations against measles (MMR) when visiting Europe.
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 (receive a booster shot) 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.
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