Measles Information for Clinicians

Update on Measles, June 2019

In 2019, several cases of measles were reported in Santa Clara County. These cases were all linked to travel, especially​ international travel. None of the cases are connected to each other. There is currently no measles outbreak in Santa Clara County.

Nearly all cases in the U.S. for 2019 have been linked back to international travel by unvaccinated people and subsequent spread in unvaccinated populations in the U.S. It is important for all international travelers over the age of 6 months to ensure that they have been vaccinated against measles prior to traveling.​

Public Health Departments across the Bay Area are urging patients to talk to their doctor about travel immunizations at least 4-6 weeks before traveling, especially if they are traveling with a baby.  Read the April 29, 2019 media release in English​ or Tagalog.​

Read previous 2019 updates on measles from County of Santa Clara Public Health Department​.

Reporting cases of measles:

Report suspected or confirmed cases of measles immediately, while the patient is still in your office, by phone to Public Health at (408) 885-4214; after hours, call 408-998-3438 and ask for the Health Officer on call. Call, do not fax.

Consider/suspect measles in patients with a morbilliform rash that begins on the face and fever ≥101°F (38.3°C), especially if unvaccinated. Ask about measles vaccination status, onset, and duration of fever and rash, exposure to other measles cases, travel history, and international visitors in the three weeks prior to illness. See the Measles QuickTool for a complete list of questions to ask.

Clinical tools and resources:

Measles QuickTool: Questions to Ask When Evaluating Suspected Measles Cases

Recommendations for Measles Immunization​ - CDPH, May 22, 2019

Measles Testing Guide for Healthcare Providers - CDPH, May 2019

Measles Healthcare Exposure Investigation Quicksheet - CDPH, May 2019

Summary for Vaccination of Adults Against Measles with ​Measles, Mumps, and Rubella (MMR) Vaccine​ - CDC, May 2019

Recommendations for Measles Case Identification, Measles Infection Control, and Measles Case and Contact Investigations - CDPH AFL 19-17, April 18, 2019

Identification and Testing of Suspect Measles Cases - California Health Advisory, March 29, 2019

CDC Measles Information for Healthcare Professionals

CDPH Measles Information

Measles in the Pink Book

Immune Globulin for Measles Post Exposure Prophylaxis

Photos of Measles (CDC)

Patient handouts and information:

Top Four Things Parents Need to Know about Measles (CDC)

Measles and the Vaccine (Shot) to Prevent It (Spanish)

Measles: It Isn't Just a Little Rash Infographic (Spanish)

Visiting Another Country? Think Measles (before + after) (Tagalog, Other languages)

Traveled Recently? (fever + travel) (Tagalog, Russian, Ukrainian)

Santa Clara County measles information for the general public and patients:

Measles information for the public

Symptoms of measles:

Photo of a belly affected by the measles.
Diagram showing measles progression.

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