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UPDATED 4/17/2019 9:52 AM
The Michigan Department of Health and Human Services and the Washtenaw County Health Department confirmed on April 12, 2019 a case of measles related to international travel. The health departments are alerting the public to potential exposure to measles several locations. This case is not part of the current Michigan outbreak and has no recent vaccination.
In addition, an individual that is part of the Michigan outbreak visited one Washtenaw County location on April 12, 2019.
Anyone at any of the following locations during the dates and times provided should monitor themselves for rash with fever or other symptoms consistent with measles for 21 days. If you suspect measles, seek immediate medical treatment. Residents are urged to call their doctor or emergency room before arriving so they can take precautions to prevent exposure to other individuals. Please do not contact the businesses listed below for information.
Because measles can be spread through the air by an infected person, the public is being alerted to the potential exposures. A person with measles is contagious for four days before and four days after the rash appears. A person can be infected with measles just by being in the same room as an infected person, even up to two hours after the infected person has left.
Everyone potentially exposed at the above sites is already outside of the time period for the MMR to prevent infection in unvaccinated, exposed individuals (72 hours). However, all Michiganders are encouraged to check and update their measles vaccination. Immune globulin (Ig) treatment is effective within six days of exposure for high-risk individuals (infants too young for vaccination, pregnant women and severely immune compromised). Talk to your healthcare provider to determine if immune globulin is right for you. If you are already vaccinated with two doses, have a history of natural illness or lab-confirmed immunity, you are considered immune. See specific guidelines below, or in this PDF.
Washtenaw County Health Department can provide vaccine with no charge to individuals with Medicaid, Blue Cross Blue Shield of Michigan insurance or who are uninsured or underinsured. Please bring your insurance card. For others, fees may apply. If you have another form of private insurance, contact your healthcare provider first for the vaccine. You can also call the Health Department at 734-544-6700 to make an appointment.
The MMR vaccine is also available through primary health care providers and at some local pharmacies.
Measles (rubeola) is an extremely contagious disease caused by the measles virus. Measles can cause complications such as pneumonia and encephalitis (inflammation of the brain). Measles can also cause miscarriages or premature delivery in pregnant women.
Symptoms usually begin 7-14 days after exposure, but can appear as long as 21 days after exposure. If symptoms develop, do not visit your doctor, urgent care or emergency room unless you call ahead so they can take precautions to prevent exposure to other individuals.
Measles is easily spread by person-to-person direct contact and airborne spread of droplets from the nose, throat, and mouth through sneezing, coughing, and speaking. A person can be infected with measles just by being in a room with an infected person, even up to 2 hours after the infected person has left.
Measles can be spread 4 days before developing the rash through 4 days after the rash appears. Measles is highly contagious.
The Washtenaw County case announced April 8, 2019 is no longer considered a case. One child in Washtenaw County had been potentially exposed to measles and had been recently vaccinated. Their symptoms and initial test results classified them as measles cases. Per the Centers for Disease Control and Prevention (CDC) protocol, additional genotype testing was conducted and determined it was not a measles case.
Initial testing by MDHHS was positive for measles. The MMR vaccine contains a weakened live virus that cannot cause measles but can result in positive lab tests.
The MMR vaccine has the potential to cause a mild rash and fever. This is a vaccine reaction, not measles, and the individual is not infectious. Due to the evolving measles outbreak in Southeast Michigan, the Washtenaw County Health Department took appropriate steps to limit further spread of measles and responded to protect the public’s health by:
IG is safe and well-tolerated and provides effective short-term protection to recipients by giving them antibodies needed to fight off measles. This protection goes away after a few months, so recipients are urged to follow standard vaccination schedules.
These previously identified sites are no longer considered exposure locations at this time:
We are grateful for the support and cooperation of the individuals, families and organizations impacted as well as the entire community. We are still encouraging everyone to ensure they are fully vaccinated.