DPH offers recommendations to protect adults and children against measles
With the recent increase in measles cases throughout the United States, the Delaware Division of Public has received requests for information on how Delawareans can protect themselves from the measles virus.
As advised by the Centers for Disease Control and Prevention, the best way to protect against measles is vaccination. The measles, mumps and rubella vaccine, often referred to as the MMR vaccine, is safe and highly effective, with one dose being 93% effective and two doses being 97% effective against measles. Children 12 months of age through 12 years of age may receive the measles, mumps, rubella and varicella vaccine, referred to as MMRV, which additionally protects against varicella (chickenpox). Most individuals who receive two doses of either the MMR or MMRV vaccine are considered vaccinated (protected) for life against measles.
According to the CDC, children need two doses of MMR or MMRV vaccines. The first dose is usually given between 12 and 15 months old, and the second dose is usually given between 4 and 6 years old. Older children, adolescents and adults may need one or two doses of MMR if they do not have evidence of immunity (proof of vaccination) with doses separated by at least 28 days. If anyone is unsure of their vaccination status or what doses they should receive (if any), they should contact their healthcare provider or visit a public health clinic.
There are extra considerations for those who are traveling. While the recommendation has traditionally been that those traveling internationally should be fully vaccinated before they travel, with the recent rise in cases, this recommendation might be considered for any significant travel. Information on this guidance has been shared with providers statewide. Individuals who want to determine the action most appropriate for themselves or their child regarding travel should consult their healthcare provider or visit a public health clinic. The general travel recommendation has been that infants 6-11 months old should receive one dose of the MMR vaccine before travel and then receive two more doses after their first birthday, so early notification to a healthcare provider about potential travel is best. Adults who are unsure of their vaccination status may be advised to receive one or two doses before they travel as well.
DPH has created a measles-specific web page at publichealthalerts.delaware.gov/measles with information about vaccinations, a FAQ on measles, and resources for administrators of congregate settings on what to do should any exposures occur.
MMR and MMRV vaccines are covered under most healthcare insurance plans. Individuals should verify coverage with their insurance provider. If coverage is not available, visit a public health clinic to inquire about free vaccines for children and qualifying adults.
Measles is a highly contagious viral illness and can cause severe health complications, including pneumonia, encephalitis (inflammation of the brain) and death, especially in unvaccinated persons. As of March 20, Delaware has had zero measles cases in the past decade. DPH continues to closely monitor measles outbreaks across the country.
