For more general information and patient materials, see our Measles page.
Overview
Measles, also called rubeola, is a viral illness characterized by a prodrome of fever, cough, coryza and conjunctivitis (“the 3 Cs”) followed by the development of maculopapular rash. It generally causes a severe illness for which people seek medical care.
Many healthcare providers in the United States have never seen measles, so it may be difficult to recognize. Be alert for measles in patients who present with a fever and rash. Especially those who traveled outside the country or to an area where an outbreak is occurring.
MMR vaccination remains the most important tool for preventing measles infections and spread. Two doses of MMR vaccine provide 97% protection against measles while one dose provides 93% protection.
Immediately report suspected or confirmed cases of measles.
If you suspect measles, immediately call the public health authority in the patient’s county of residence.
You can reach us 24 hours a day, 7 days a week at (253) 649-1412. We will ensure appropriate and rapid testing.
Immediately isolate patients with suspected measles. Prevent exposure to other patients.
- Tell reception, phone, and triage staff to identify patients with symptoms of possible measles.
- Tell the patient to enter through a back door wearing a mask. Or see the patient outside away from others.
- Immediately room the patient and close the door. Do not use the room until 2 hours after the patient leaves.
- Ensure all staff who will contact the patient have documented immunity to measles.
Resources for providers
- Suspect measles evaluation worksheet.
- CDC measles information for healthcare providers.
- Think Measles—Project Firstline.
- Ensure you are signed up for Health Provider Advisories/Alerts so we can inform you of any local cases.
Immunize
Strongly recommend and offer vaccines. A healthcare provider recommendation is the No. 1 reason patients accept vaccines for themselves and their children.
- AAP Vaccination against Measles.
- AAFP Disease- and population—specific vaccines: clinical guidance.
- Pierce County immunization resources for patients.
Check out our fact sheet to learn more about MMR vaccine and adults. Also available in: