Measles Alert and Clinical Guidance Sept. 12, 2024

Mecklenburg County Public Health identified the first case of measles in North Carolina since 2018. As of September 5th, 2024 there have been 247 cases of measles across 29 jurisdictions. Measles is a highly contagious viral illness that can have serious complications, particularly in young children and immunocompromised individuals. To prevent the spread of measles, it is crucial that all healthcare providers are aware of the signs, symptoms, and necessary prevention measures.

Measles Symptoms:

  • Fever
  • Cough
  • Runny nose
  • Conjunctivitis (red, watery eyes)
  • Rash (begins on the face and spreads to the rest of the body)

Testing: Nasopharyngeal or throat swabs are the preferred specimen source for measles testing.
Providers are encouraged to send specimens from high-risk patients to the North Carolina State
Laboratory of Public Health (see attached algorithm North Carolina Measles Risk Assessment for
reference). This must be coordinated through the Communicable Disease Branch by calling (919) 733-
3419 for consultation.

Isolation: If a patient is suspected of having measles, isolate them immediately to prevent the spread of
the virus.

Reporting: Report any suspected or confirmed cases of measles to Mecklenburg County Public Health
Communicable Disease Control at (980)314-9201 during normal operating hours and (704)432-0871
outside of normal operating hours.

Treatment: There is no specific treatment for measles. Supportive care, such as rest, fluids, and over-the-
counter pain relievers, can help manage symptoms. However, complications can arise, including
pneumonia, encephalitis, and death.

Vaccination: Measles is preventable through safe and effective measles, mumps and rubella (MMR)
vaccine. Two doses are recommended for most individuals, with the first dose given at age 12-15 months
and the second before kindergarten entry (age 4-6 years). One dose of the MMR vaccine is 93% effective
against measles, and two doses of MMR vaccine are 97% effective.
Resources:

For more information on measles, please refer to the following resources:
https://www.cdc.gov/measles/index.html

By following these guidelines, we can help prevent the spread of measles and protect the health of our
community. If you have any questions or concerns, please do not hesitate to contact Mecklenburg
County Public Health Communicable Disease Control at (980) 314-9201.