Measles is back. A large outbreak began at Disneyland in California over winter break, leading to over 100 cases in 14 states so far.
Almost all of the people who’ve caught measles had not been vaccinated. The outbreak is being sustained by unvaccinated people– some of whom were too young to receive vaccines, but unfortunately many who just chose not to get vaccines. Communities are at risk, especially young babies and people with immune problems. This tragedy was predictable and completely avoidable, and that’s a shame.
For the safety of all of our families and staff, it is crucial that every single patient at our practice who is able to be vaccinated gets vaccinated in accordance with our immunization policy. If your child is not up to date on vaccines, we will be glad to help develop a schedule to get your child caught up as quickly and safely as possible.
For many years, we have followed the traditional schedule for MMR vaccination, giving one dose at 15 months and a second dose at 4 to 5 years. However, given the spread of measles, we think it would help protect our patients best if we accelerate the schedule, giving the first dose at 12 months. We will also be offering to give the second dose early, at 15 or 18 months. Babies who receive their doses early will NOT need any further doses. Families will be able to choose the traditional or accelerated schedule, both of which are within established guidelines for safe and effective immunizations.
Though in most circumstances it is best for children to get their first MMR vaccine between 12-15 months of age, babies who will be traveling to areas of highest risk can receive this vaccine safely down to 6 months. However, this early dose does not confer lasting immunity and must be repeated at 12-15 months.
People who have received two doses of MMR vaccine on schedule are fully immune, and do not need extra doses even during an outbreak.
We will continue to keep an eye on the spread of measles, and follow the best established evidence to protect all of our children. By acting together, we can best protect our families and our communities. We appreciate your trust and confidence.
More info:
Dr. Roy’s articles on The Disneyland measles outbreak and Questions and answers about the measles vaccine