New Jersey Office of EMS Offers Measles Guidance for First Responders

The New Jersey Department of Health (NJDOH) has received numerous inquiries regarding precautions that should be taken by first responders when evaluating and transporting persons with suspected measles infections. In light of recent measles cases/exposures and ongoing measles outbreaks in New Jersey and surrounding communities, the Department has updated recommendations for first responders, particularly those providing Emergency Medical Services care. In addition to routine infection prevention practices including standard precautions, NJDOH recommends the following:   1. Vaccination All first responders should have documented evidence of immunity to measles. Entities responsible for first responders may want to review their current policies regarding documentation of immunity for staff, including volunteers. This information should be documented and readily available at the work location.  Presumptive evidence of immunity to measles for first responders includes any of the following: * Written documentation of vaccination with 2 valid doses of live measles or MMR vaccine administered at least 28 days apart * Laboratory evidence of immunity (equivocal IgG results should be considered negative) * Laboratory confirmation of disease First responders born before 1957 who lack laboratory evidence (e.g., blood test) of immunity or laboratory confirmation of previous disease should be vaccinated with 2 doses of MMR vaccine at the appropriate interval. 2. Protective E...
Source: JEMS Patient Care - Category: Emergency Medicine Tags: News Patient Care Source Type: news

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We describe the clinical presentation and outcome of hospitalized patients during the outbreak.
Source: International Journal of Infectious Diseases - Category: Infectious Diseases Authors: Tags: 0633 Source Type: research
r U Abstract Measles outbreaks occur rather frequently in Germany. Patients with chronic inflammatory diseases are often treated with immunosuppressants. A recent study showed that about 7% of such patients are not protected against measles according to the lack of documentation in the vaccination card or the absence of protective antibodies. The Standing Committee on Immunization (STIKO) recommends a first vaccination against measles as a measles-mumps-rubella combined vaccination (MMR) in children aged 11-14 months and a second vaccination at 14-23 months. For adults born after 1970, vaccination against measles ...
Source: Zeitschrift fur Rheumatologie - Category: Rheumatology Authors: Tags: Z Rheumatol Source Type: research
History illustrates the remarkable public health impact of mass vaccination, by dramatically improving life expectancy and reducing the burden of infectious diseases and co-morbidities worldwide. It has been perceived that if an individual adhered to the MMR vaccine schedule that immunity to mumps virus (MuV) would be lifelong. Recent mumps outbreaks in individuals who had received two doses of the Measles Mumps Rubella (MMR) vaccine has challenged the efficacy of the MMR vaccine. However, clinical symptoms, complications, viral shedding and transmission associated with mumps infection has been shown to be reduced in vacci...
Source: Frontiers in Immunology - Category: Allergy & Immunology Source Type: research
Purpose of review In the wake of multiple recent outbreaks of the measles and other vaccine-preventable diseases, it is crucial to understand and address parental concerns about vaccination. The purposes of this review are: to identify the causes of vaccine resistance, to elucidate the variables that have led to the success or failure of interventions to date, and to consider implications for pediatricians treating children whose parents are vaccination-resistant. Recent findings Recent research draws on insights from cognitive science to understand vaccine resistance and to develop more effective interventions. Studi...
Source: Current Opinion in Pediatrics - Category: Pediatrics Tags: OFFICE PEDIATRICS: Edited by Henry H. Bernstein Source Type: research
CONCLUSIONS: Checking vaccination record at kindergartens and primary schools and providing necessary catch-up vaccination was associated with increased coverage of measles and other vaccines, lower incidence of measles, and an apparent end to school-based measles outbreaks. Guizhou's experience of checking vaccination records at school enrollment led to implementation of this strategy in other provinces. In 2019, the kindergarten and school entry vaccination record check program was incorporated into China's national vaccine law. PMID: 32891472 [PubMed - as supplied by publisher]
Source: Vaccine - Category: Allergy & Immunology Authors: Tags: Vaccine Source Type: research
(Penn State) Rainfall and temperature drive agricultural activity, which, in turn, influences patterns of measles outbreaks in the West African nation of Niger, according to an international team of researchers. The findings may be useful for improving vaccine coverage for seasonally mobile populations within Niger and other countries.
Source: EurekAlert! - Infectious and Emerging Diseases - Category: Infectious Diseases Source Type: news
Authors: Ragusa R, Platania A, Cuccia M, Zappalà G, Giorgianni G, D'Agati P, Bellia MA, Marranzano M Abstract Measles is a highly contagious airborne disease. Unvaccinated pregnant women are not only at risk of infection but also at risk of severe pregnancy complications. As measles causes a dysregulation of the entire immune system, we describe immunological variations and how immune response mechanisms can lead to adverse pregnancy outcomes. We evaluated data during the measles outbreak reported in the province of Catania, Italy, from May 2017 to June 2018. We controlled hospital discharge records for pati...
Source: Journal of Pregnancy - Category: OBGYN Tags: J Pregnancy Source Type: research
(Natural News) Several years ago when I warned that Big Pharma and the vaccine industry staged the measles outbreak at Disneyland in order to push California’s SB 277 vaccine mandate law, very few people believed the vaccine industry was capable of such a nefarious plot. They laughed and mocked at the “conspiracy theory,” but fast...
Source: NaturalNews.com - Category: Consumer Health News Source Type: news
This JAMA Insights feature provides a narrative update of a 2016 systematic review documenting an association between vaccine refusal and measles epidemiology in the US, and reaffirms based on the new evidence that vaccine refusal remains a significant contributor to measles resurgence in the postelimination era.
Source: JAMA - Journal of the American Medical Association - Category: General Medicine Source Type: research
As some youth sports teams get started again, some summer camps and daycares are opening up, and we begin to think about school (or some form of it) in the fall, many parents are wondering: what do I do about getting that physical form I need for my child? Understandably, many families do not want to go to the doctor right now. They are worried about going anywhere, and especially worried about going to a medical office, where they are concerned they may end up around sick people. I want to say up front that most medical facilities are very aware of the risk, and take measures to make sure that patients can safely get the ...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Adolescent health Children's Health Parenting Source Type: blogs
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