Measles Outbreak in Ohio
The Ohio Department of Health and affected local health departments are investigating an outbreak of measles in Ohio. The outbreak began with unvaccinated individuals who traveled outside the United States. As of May 6, 2014, there are a total of 42 diagnosed cases, among the 6 counties currently affected (Ashland, Coshocton, Holmes, Knox, Richland, Wayne). There are possible cases, unconfirmed as yet, in Parma and Hudson.
ODH and local health departments are encouraging residents to get vaccinated with the Measles-Mumps-Rubella (MMR) vaccine. According to the Center for Disease Control and Prevention (CDC), two doses of MMR vaccine provide full protection against measles to 99 out of every 100 persons vaccinated. Please discuss the risks and benefits of immunizations with your health care provider.
Please be aware that if your child has not been fully vaccinated and there is a confirmed case of measles in their school building, your child will be excluded until 21 days after rash onset in the last case of measles in that school.
More Measles Information
What is measles?
Measles is an infectious respiratory disease caused by the measles virus, is highly contagious, and spreads easily. The virus is in the mucus in the nose and throat of infected people. When they sneeze or cough, droplets spray into the air and the droplets remain active and contagious on infected surfaces for up to 2 hours. Infected people are usually contagious from about 4 days before their rash starts to 4 days afterwards, so an infected person can spread the disease before knowing he or she is infected.
What are the symptoms of measles?
Measles symptoms begin with fever, runny nose, cough, loss of appetite, and red, watery eyes for about four days, followed by a rash. The rash usually lasts 5-6 days and begins at the hairline, moves to the face and upper neck, and proceeds down the body.
The disease can also cause severe illness and complications, such as diarrhea, ear infections, pneumonia, encephalitis (brain infection), seizures, and death. These complications are more common among children under 5 years of age and adults over 20 years of age.
How long does it take to show signs of measles after being exposed?
It takes an average of 10-12 days from exposure to the first symptom, which is usually fever. The measles rash does not usually appear until approximately 14 days after exposure, 2-3 days after the fever begins.
How is measles diagnosed?
Measles is diagnosed by a combination of the patient’s symptoms and by laboratory tests.
Is there a treatment for measles?
There is no specific treatment for measles. People with measles need bed rest, fluids, and control of fever. Patients with complications may need treatment specific to their problem.
Can someone get measles more than once?
How can I protect my child and myself against measles?
The best protection against measles for individuals and the community is through routine immunization with MMR vaccine. This is a combined vaccine that protects against measles, mumps and rubella.
In almost all cases, people who received the MMR vaccine are protected against measles. However, in rare cases, people who get the vaccine can still become infected with the measles if exposed to the virus. Two doses of MMR vaccine provide full protection against measles to 99 out of every 100 persons vaccinated.
At what age should children get the MMR vaccine?
Children should receive the first dose of MMR vaccine at 12-15 months of age and the second dose at 4-6 years of age (or no earlier than 28 days after the first dose). Older children who have not been vaccinated should receive two doses of MMR vaccine at least 28 days apart. The recommended age for receiving MMR vaccine might change if there is a measles outbreak in your community, or if you will be traveling to a foreign country. In such cases, check with your child’s health care provider to ensure that your child is properly vaccinated to protect against measles. Additional information about MMR vaccination can be found on the CDC website at:
Do adults need to be vaccinated against measles?
All U.S. adults born during or after 1957 should also get at least one dose of MMR vaccine unless they can show they have either the vaccine or had a blood test that showed they were immune to measles. Healthcare workers should have two doses of MMR vaccine. More specific recommendations for vaccinating adults can be found on the Centers for Disease Control and Prevention (CDC) website at:
Are there people who should not get the MMR vaccine?
Yes, some people should not get MMR vaccine or should wait before getting it. This includes persons with allergies to components of the vaccine and those with medical conditions that preclude vaccination. If you have further questions, discuss them with your health care provider. Additional information can be found on the Vaccine Information Statement (VIS) found on the CDC website at:
Is the MMR vaccine safe?
The MMR vaccine has been in use for more than three decades in the U.S., and reports of serious adverse events following vaccination have been extremely rare. As with all vaccines, there can be minor reactions from the MMR vaccine. These reactions might include pain and redness at the injection site, headache, fatigue, rash, or a vague feeling of discomfort.
It is important to know that the risk of MMR vaccine causing serious harm or death has been extremely small and that being vaccinated is much safer than getting any of the three diseases (measles, mumps and rubella) the vaccine protects against.
Vaccine safety experts, including experts at CDC and the American Academy of Pediatrics (AAP), agree that MMR vaccine is not responsible for recent increases in the number of children with autism. In 2004, a report by the Institute of Medicine (IOM) concluded that there is no link between autism and MMR vaccine, and that there is no link between autism and vaccines that contain thimerosal as a preservative.
Information about measles vaccine safety can be reviewed on the CDC website at:
This was adapted from material developed by the CDC, the Ohio Department of Health, and the Immunization Action Coalition.