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Measles outbreak in my area

post #1 of 7
Thread Starter 

There has been a confirmed case of measles in an employee at a store where I regularly do my grocery shopping. According to health officials, DD and I may have been exposed, as we shopped there on January 26. DD (6 y.o.) is unvaccinated. I am not so worried about myself, as I know my parents made sure I had every vaccine possible.

 

What I am most concerned about is the fact that my husband is in the hospital due to a severe leg fracture, and he will probably be there for weeks. I have been at the hospital with him, as have our kids.

 

Could we be contributing to a possible measles epidemic at the hospital? He was transferred yesterday to hospital #2, which means we could be spreading things at two different places. Here is the article about the local outbreak. Is there anything I can/should be doing to keep everyone safe?

 

I am already under so much stress due to DH's injury; this is about to send me over the edge!

 

http://www.santacruzsentinel.com/localnews/ci_22518787/measles-outbreak-palo-alto-medication-foundation-has-vaccine

post #2 of 7

I think the last paragraph in the article gives good advice. Let the hospital know that you've potentially been exposed to measles and have visited on whatever dates/times. They may want to isolate your husband or put restrictions on (gown & gloves etc)

 

Just b/c you had all your vax's as a kid doesn't mean you're protected. Some people have their immunity wane over time (I know I'm no longer immune to rubella for example even though I was fully vaxxed as a kid)

 

I would practice a sort of quarantine for yourselves - stay at home until the incubation period has passed - not sure when that is? Keep a close eye on any cold-like symptoms in the next little while.

 

I'm not sure if you're considering the vax now? Not sure that it would offer protection after exposure? 

 

This may mean you can't visit your husband if the hospital is wanting you to stay away, and it will be very inconvenient to quarantine yourselves, but I think tha's what I would do in your shoes.

 

Sorry you're husband has a bad injury, I hope he heals soon :)

post #3 of 7
I'm guessing that for reasons that Springmum is citing, eg waning immunity and low or questionable titers in the general population, the hospital already has a protocol in place for cases like these. The article mentions administering immunoglobulin, for example. They may also restrict visits.You might simply call, express your concern and that you may have been exposed, inquire about their protocol, and go from there. Here's to your DH's speedy recovery!
post #4 of 7
Where's te evidence that measles immunity wanes significantly (to the point of compromising immunity) over time?
post #5 of 7

This is not scientific in nature, but was being explored during this particular outbreak when fully vaccinated (on schedule) kids were getting the measles.

http://www.cbc.ca/news/health/story/2011/10/20/measles-quebec-vaccine-schedule.html 

 

This is a very long article (from pubmed) that I have not read fully, but seems to address waning immunity and the measles specifically. 

http://www.ncbi.nlm.nih.gov/pubmed/19324753

(like to article directly ) http://rspb.royalsocietypublishing.org/content/276/1664/2071.long

 

Though the %'s of cases in fully vaxed people is not "high" (I'm not sure what a high number would be) - it's enough that I would want my titres checked if I was exposed directly to measles. There is obviously a reason that those fully vaxed still contracted the measles - it doesn't address that specifically.

http://www.phac-aspc.gc.ca/im/vpd-mev/measles-rougeole-eng.php (scroll down to "recent outbreaks")

post #6 of 7
People who are vaxxed still get measles because no vaccine is 100%. There are always a small percentage of people who don't develop immunity after vaccination.
post #7 of 7
Quote:
Originally Posted by Rrrrrachel View Post

People who are vaxxed still get measles because no vaccine is 100%. There are always a small percentage of people who don't develop immunity after vaccination.

Thank you, I should have also clarified this reason to the OP when saying that just b/c she had all her vax's doesn't mean she's protected. Measles vax has pretty high efficacy %'s, but when you possibly have direct contact and have unvaxed kids and are visiting a health care setting, getting titres done is a great idea to know for sure before worrying.

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