Measles outbreaks

From 1963-1968, there were live and inactivated or killed measles vaccines (only live measles vaccine is used now). The inactivated or killed vaccine was the less effective one, so people born 1957-1967 who do not know that they had the live vaccine or actual measles (not “German measles” = rubella) are recommended to get a measles or MMR booster.

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My husband just had his titer done. He came back with immunity for measles and mumps but negative for rubella. Will be curious what his Dr recommends.

1957-1967 is what I understood so the 1963 cutoff is what threw me.

Measles vaccines of any kind did not become available in the US until 1963.

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That’s been going on for years, often in high income areas like Marin County CA and Boulder CO (better in recent years).

I got a DTaP a few years ago when I started tutoring in a school. I was most concerned about whooping cough - those little germ machines! It was during covid and we wore masked, but in the spring they relaxed the mask requirement and, OMG, what an eye opener it was to see the real germs out in the open. I then washed all my equipment (pens, markers, cubes for math) every day.

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D’s OB suggested that the grandparents make sure they are up to date on DTaP. I was, but H needed his.

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Here is a thread for talking about pertussis (whooping cough):

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925 cases related to this outbreak, so far. The spread is primarily within the Anabaptist (Amish/Mennonite) community. Measles was declared eradicated in Canada in 1998, thanks to a public health campaign for immunization. The current cases are confined for the most part to members of communities that do not vaccinate. https://www.publichealthontario.ca/-/media/Documents/M/24/measles-ontario-epi-summary.pdf?rev=da3ffec26cc0471f83ed9de3ca356e1c&sc_lang=en

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Wow, that’s sad and infuriating.

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Michigan has an outbreak now because some residents visited Ontario. It’s not a huge outbreak, but neither was the Ontario outbreak huge - until it was.

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624 measles cases in Texas:

Meanwhile, 25% of people believe that MMR vaccine causes autism, and 19% believe that measles vaccine is more dangerous than measles infection.

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Then you have people like my dh.

He received doesn’t know what type of vaccine he had as a child so about 8 yrs ago he had his titers done.

He had zero immunity to measles. So they vaccinated him.

With the current outbreak, I wanted him to get his titer’s done again to make sure that he now had immunity. Well, it came back that he STILL does not have sufficient immunity to back he goes for another shot.

It worries me a bit as neither while we are not ancient, we are not spring chickens. Our kids our grown and flown and the thought of him contracting measles scares me to death!

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You can still have T cell immunity from a vaccine which would not be reflected in a titer to check antibodies.

Probably best he is getting another, but I wouldn’t be overly concerned he has zero immunity in the meantime.

Denver has a second case (adult) but it is related to the first case (a baby). They had traveled to Mexico where there is an outbreak.

Another infant with measles had traveled through SeaTac airport on April 15 and was later seen at Seattle Children’s. This is the fifth case of a traveler with measles at the airport in the recent months…

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Pediatric case in NoVA/DC area. Vaccinated child with breakthrough infection.

Child had been in school all week before rash appeared so classmates and other children at her school have all been exposed.

Family has not traveled recently so right now no idea where child was exposed.

D examined and diagnosed patient last night in the ER. It’s the first time she’s seen pediatric measles in her career. Likely won’t be her last.

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Will the kid redo previous vaccinations after recovery, since measles tends to reduce previous immunity against other infections?

Above my pay grade. That’s a decision that the pediatric infectious disease specialist supervising the case will decide.

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I’m wondering about ALL kids (now adults) who got all their disease protection through vaccinations rather than from having the diseases. I remember when the chickenpox vax first came out they thought it would be one and done. Daughter got hers at 12 months. When she went to K she needed another, and then another at about age 12. She hasn’t had one since. MMR, DTaP? Also never had those diseases. She just got a tetanus shot but I don’t think it was a DTaP.

Wish I had a crystal ball.

Adult vaccination for tetanus is usually combined with diphtheria (Td) and sometimes also with pertussis (Tdap).

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