March 31, 2020

Mickey, Minnie, Measles

It’s a world of measles, a world of flu.
It’s a world of mumps and pertussis too.
It’s a world that we share,
but please stand over there.
It’s a small world after all.
— My new proposed lyrics for the ride It’s A Small World

In December ” target=”_blank”>California Department of Public Health has counted 59 cases of measles in California this year. 42 of these cases, including 5 Disney employees, are associated with an initial exposure at the Disney amusement parks in Anaheim in December. It is known that subsequently some patients visited the parks in January while infectious.

Vaccination status is known for 34 of the 59 cases. 28 of the 34 were unvaccinated. Six were infants too young to be vaccinated. Health officials are still investigating multiple people who may have come into contact with known patients.

This outbreak has led the Department of Public Health to advise that unvaccinated people not visit crowded places with a large number of international visitors. That’s a reasonable start. Vaccinating everyone in line at It’s A Small World might be even better.

What to do if you don’t know if you’ve been vaccinated? If you were born before 1957 it’s safe to assume you’re immune, since virtually everyone in that generation was exposed to measles. Everyone else should have two doses of MMR. The first dose is usually given at 12 to 15 months of age, and the second at age 4 to 6.

If you’re not sure if you received both doses, your doctor can just give you another MMR dose, or she can check a blood test to see if you’re immune. When it comes to infectious diseases, wishing upon a star might not be enough.

Learn more:

” target=”_blank”>Unvaccinated People Warned to Avoid Disneyland Resort (Wall Street Journal)
” target=”_blank”>Measles Makes a Comeback (my post in December)

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