Prevent Measles Outbreaks with Early Reporting and Surveillance

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Learn about the recent measles outbreak in Los Angeles County, the importance of early reporting and surveillance to prevent spread, and key symptoms and transmission details of measles. Stay informed and take necessary precautions to protect yourself and others.

  • Measles
  • Outbreak
  • Reporting
  • Surveillance
  • Prevention

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  1. Measles Updates Chelsea Foo, MPH Vaccine Preventable Disease Control 4/23/2024

  2. Press release April 13 1.http://publichealth.lacounty.gov/phcommon/public/media/mediapubdetail.cfm?unit=media&ou=ph&prog=media&cur=cur&prid=4682&row=25&start=1 1

  3. Situation Overview Non-Los Angeles County traveled throughout Los Angeles County March 30 to April 1 21-day monitoring period is now complete 2

  4. Investigation Summary Case visited many sites throughout Los Angeles Included theme park, hotel, stores, and restaurants DPH issued a press release on April 23 identifying exposed locations to alert public of risk DPH worked with employers of exposure sites to identify exposed contacts Identify and test symptomatic individuals Verify immune status Notification to LA County was too late to offer post exposure prophylaxis 3

  5. Measles overview One of the most contagious viral illnesses Spreads through air when infected person talks, breathes, coughs, or sneezes Can stay in the air and live on surfaces for 2 hours after case has left 90% chance of becoming infected if exposed and not vaccinated Image: https://www.cdc.gov/measles/transmission.html

  6. Classical Measles Presentation 2-3 days after initial sx onset 3-5 days after initial sx onset Fever & 3 C s Koplik Spots Rash Cough Conjunctivities Coryza Fever starts low grades and progresses to high Tiny white spots in mouth Starts on face/hairline Spreads downward to neck, trunk extremities Not itchy Small raised bumps may also appear on top of the flat red spots. Maculopapular - The spots may become joined together as they spread from the head to the rest of the body (maculopapular)

  7. Reminder report immediately! Do not wait for laboratory confirmation Report immediately by telephone for both confirmed and suspected cases upon suspicion of measles. Public Health will guide you through the collection of specimens for testing and management of the patient under investigation as well as asymptomatic contacts for suspected or confirmed cases. 6

  8. How to Report Consultation is required before sending specimens to the Public Health Laboratory: Weekdays 7:30 am 5:00 pm: Call 213-351-7800 - Epidemiologist on Duty Non-business hours/weekends: Call 213-974-1234 - Administrative Officer on Duty 7

  9. Other Reminders/Suggestions Immediately isolate the patient and implement airborne precautions Consider messaging to patients to stay up to date on recommended vaccines, especially those behind on their MMR Maintain documentation of immunization status for all healthcare personnel in your facilities Readiness in event of a facility exposure 8

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  11. Thank you! Chelsea Foo, MPH cfoo@ph.lacounty.gov For more information about measles: ph.lacounty.gov/measles 10

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