DYNASTY PEDIATRICS
February 24, 2014
ALERT # 4: Six Cases of Measles in New York City
1) Six cases of measles have occurred in children and adults since February 5, 2014 in Manhattan.
2) A large number of exposures have occurred, and additional cases are expected.
3) Suspect measles and immediately institute airborne precautions for patients with fever and rash.
4) If you suspect measles, even if you do not have laboratory confirmation, report the case immediately to the Health Department.
5) If you suspect measles, collect specimens, and send to the Health Department for testing.
6) Ensure that all patients and health care workers are up to date with measles-mumps-rubella (MMR) vaccine.
Distribute to All Primary Care, Infectious Disease, Emergency Medicine, Internal Medicine, Pediatrics, Family Medicine, Laboratory Medicine, and Infection Control Staff
Dear Colleagues,
Six cases of measles have occurred in Manhattan since February 5, 2014. No cases have been hospitalized or died. Two cases were exposed to a known case of measles who was visiting from outside of New York. Four cases had no travel history or known exposures, suggesting unrecognized exposures and secondary spread. Cases include 3 children and 3 adults. Among the children, two were aged <1 year and, therefore, too young to have been vaccinated; one was unvaccinated due to parental refusal. The 3 adults ranged in age from 34 years to 63 years. Although the adults all thought that they had been vaccinated, they did not have documentation of their vaccination status.
Delays in considering the diagnosis of measles and in instituting airborne isolation have contributed to several hundred individuals being exposed in NYC. Measles is one of the most contagious diseases. Although most of the population is immune, even one case of measles puts non-immune individuals at risk for becoming infected, particularly young children and the immunocompromised, both of whom are at highest risk for severe
ALERT # 4: Six Cases of Measles in New York City
1) Six cases of measles have occurred in children and adults since February 5, 2014 in Manhattan.
2) A large number of exposures have occurred, and additional cases are expected.
3) Suspect measles and immediately institute airborne precautions for patients with fever and rash.
4) If you suspect measles, even if you do not have laboratory confirmation, report the case immediately to the Health Department.
5) If you suspect measles, collect specimens, and send to the Health Department for testing.
6) Ensure that all patients and health care workers are up to date with measles-mumps-rubella (MMR) vaccine.
Distribute to All Primary Care, Infectious Disease, Emergency Medicine, Internal Medicine, Pediatrics, Family Medicine, Laboratory Medicine, and Infection Control Staff
Dear Colleagues,
Six cases of measles have occurred in Manhattan since February 5, 2014. No cases have been hospitalized or died. Two cases were exposed to a known case of measles who was visiting from outside of New York. Four cases had no travel history or known exposures, suggesting unrecognized exposures and secondary spread. Cases include 3 children and 3 adults. Among the children, two were aged <1 year and, therefore, too young to have been vaccinated; one was unvaccinated due to parental refusal. The 3 adults ranged in age from 34 years to 63 years. Although the adults all thought that they had been vaccinated, they did not have documentation of their vaccination status.
Delays in considering the diagnosis of measles and in instituting airborne isolation have contributed to several hundred individuals being exposed in NYC. Measles is one of the most contagious diseases. Although most of the population is immune, even one case of measles puts non-immune individuals at risk for becoming infected, particularly young children and the immunocompromised, both of whom are at highest risk for severe
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