{"id":9,"date":"2021-09-14T16:34:20","date_gmt":"2021-09-14T20:34:20","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/measles\/?page_id=9"},"modified":"2026-04-07T10:51:18","modified_gmt":"2026-04-07T14:51:18","slug":"hcp","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/measles\/hcp\/","title":{"rendered":"Measles Information for Healthcare Providers"},"content":{"rendered":"<div id=\"pl-9\"  class=\"panel-layout\" ><div id=\"pg-9-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-9-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-9-0-0-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-bf687d2aca52-9\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"#Clinical-Features-Reporting-and-Laboratory-Testing\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" \t>\n\t\t<span>\n\t\t\t\n\t\t\tClinical, Reporting, and Lab Testing\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-9-0-1\"  class=\"panel-grid-cell\" ><div id=\"panel-9-0-1-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-bf687d2aca52-9\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"#Infection-Prevention-and-Control\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" \t>\n\t\t<span>\n\t\t\t\n\t\t\tInfection Prevention and Control\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-9-0-2\"  class=\"panel-grid-cell\" ><div id=\"panel-9-0-2-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-bf687d2aca52-9\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"#Vaccination-Information\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" \t>\n\t\t<span>\n\t\t\t\n\t\t\tVaccination Information\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-9-0-3\"  class=\"panel-grid-cell\" ><div id=\"panel-9-0-3-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-bf687d2aca52-9\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"#Post-Exposure-Prophylaxis\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" \t>\n\t\t<span>\n\t\t\t\n\t\t\tPost-Exposure Prophylaxis\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-9-0-4\"  class=\"panel-grid-cell\" ><div id=\"panel-9-0-4-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-bf687d2aca52-9\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"#Resources\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" \t>\n\t\t<span>\n\t\t\t\n\t\t\tAdditional Resources\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-9-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-9-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-9-1-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"5\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Key Messages for Providers<\/h2>\n<\/div>\n<\/div><\/div><div id=\"panel-9-1-0-1\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"6\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Measles cases are increasing\u00a0in Virginia, the United States, and\u00a0<\/span><span data-contrast=\"auto\">globally.<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Maintain a high index of suspicion for measles in patients presenting with a febrile rash and clinically compatible symptoms (cough, coryza, or conjunctivitis), especially those with recent travel, or known or suspected exposure to someone with measles.<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Immediately\u00a0report suspected\u00a0measles cases to\u00a0your\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/health-department-locator\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">local health department<\/span><\/a><span data-contrast=\"auto\">.\u00a0After hours, call 866-531-3068<\/span><span data-contrast=\"auto\">.\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Talk with\u00a0your\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/health-department-locator\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">local health department<\/span><\/a><span data-contrast=\"auto\">\u00a0about\u00a0<\/span><span data-contrast=\"none\">testing at the Department of Consolidated Laboratory Services (DCLS) when it is <\/span><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/207\/2022\/04\/Measles_HCP_Reporting_and_Testing_Guidance.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">indicated<\/span><\/a><span data-contrast=\"none\">.\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Follow <a href=\"#Infection-Prevention-and-Control\">infection control recommendations<\/a> to minimize further spread.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\"><span class=\"TextRun SCXW85248551 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW85248551 BCX0\">Ensure<\/span><span class=\"NormalTextRun SCXW85248551 BCX0\">\u00a0your patients<\/span><span class=\"NormalTextRun SCXW85248551 BCX0\">\u00a0and staff<\/span><span class=\"NormalTextRun SCXW85248551 BCX0\">\u00a0are <a href=\"#Vaccination-Information\">vaccinated<\/a><\/span><span class=\"NormalTextRun SCXW85248551 BCX0\">\u00a0against measles<\/span><span class=\"NormalTextRun SCXW85248551 BCX0\">.<\/span><span class=\"NormalTextRun SCXW85248551 BCX0\">\u00a0<\/span><span class=\"NormalTextRun SCXW85248551 BCX0\">Vaccination is the best way to prevent measles.<\/span><\/span><\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-9-2\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-9-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-9-2-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"7\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2><a id=\"Clinical-Features-Reporting-and-Laboratory-Testing\"><\/a>Clinical Features, Reporting Suspect Cases, and Laboratory Testing<\/h2>\n<\/div>\n<\/div><\/div><div id=\"panel-9-2-0-1\" class=\"so-panel widget widget_sow-tabs panel-last-child\" data-index=\"8\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-tabs so-widget-sow-tabs-default-a30fc8a1c601-9\"\n\t\t\t\n\t\t><div class=\"sow-tabs\">\n\t<div class=\"sow-tabs-tab-container\" role=\"tablist\">\n\t\t\t<div\n\t\t\tclass=\"sow-tabs-tab\n\t\t\t sow-tabs-tab-selected\t\t\t\"\n\t\t\trole=\"tab\"\n\t\t\tdata-anchor-id=\"clinical-features\"\n\t\t\taria-selected=\"true\"\n\t\t\ttabindex=\"0\"\n\t\t>\n\t\t\t<div class=\"sow-tabs-title sow-tabs-title-icon-left\">\n\t\t\t\t\t\t\t\tClinical Features\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div\n\t\t\tclass=\"sow-tabs-tab\n\t\t\t\t\t\t\"\n\t\t\trole=\"tab\"\n\t\t\tdata-anchor-id=\"reporting-suspect-cases\"\n\t\t\taria-selected=\"false\"\n\t\t\ttabindex=\"0\"\n\t\t>\n\t\t\t<div class=\"sow-tabs-title sow-tabs-title-icon-left\">\n\t\t\t\t\t\t\t\tReporting Suspect Cases\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div\n\t\t\tclass=\"sow-tabs-tab\n\t\t\t\t\t\t\"\n\t\t\trole=\"tab\"\n\t\t\tdata-anchor-id=\"laboratory-testing\"\n\t\t\taria-selected=\"false\"\n\t\t\ttabindex=\"0\"\n\t\t>\n\t\t\t<div class=\"sow-tabs-title sow-tabs-title-icon-left\">\n\t\t\t\t\t\t\t\tLaboratory Testing\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\n\t<div class=\"sow-tabs-panel-container\">\n\t\t\t<div class=\"sow-tabs-panel\">\n\t\t\t<div\n\t\t\t\tclass=\"sow-tabs-panel-content\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\taria-hidden=\"false\"\n\t\t\t>\n\t\t\t\t<p><span data-contrast=\"none\">Measles should be suspected in a patient who has an acute illness characterized by:<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Generalized, maculopapular rash lasting \u22653 days;\u00a0<\/span><b><span data-contrast=\"none\">and<\/span><\/b><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Temperature \u2265101\u00b0F or 38.3\u00b0C;\u00a0<\/span><b><span data-contrast=\"none\">and<\/span><\/b><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Cough, coryza, or conjunctivitis.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.cdc.gov\/measles\/signs-symptoms\/photos.html#cdc_generic_section_2-koplik-spots\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">Koplik spots<\/span><\/b><\/a><span data-contrast=\"none\">\u00a0may be present on the buccal mucosa.\u00a0These are considered a pathognomonic\u00a0sign\u00a0of measles but are not present in all patients.\u00a0<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">A\u00a0<\/span><b><span data-contrast=\"none\">measles rash<\/span><\/b><span data-contrast=\"none\">\u00a0may appear hyperpigmented on patients with dark skin.\u00a0Be\u00a0aware of\u00a0<\/span><a href=\"https:\/\/www.cdc.gov\/measles\/signs-symptoms\/photos.html\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">measles rash presentations on different skin tones<\/span><\/a><span data-contrast=\"none\">. The rash spreads from the head to the trunk to the lower extremities.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Incubation\u00a0period<\/span><\/b><span data-contrast=\"none\">: Symptoms may begin within 7\u201321 days after exposure,\u00a0with an average of 10 days after exposure. The rash usually appears within 14 days of exposure.\u00a0<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Infectious\u00a0Period<\/span><\/b><span data-contrast=\"none\">: Patients are considered infectious from 4 days before through 4 days after rash appearance. <\/span><b><span data-contrast=\"none\">Immunocompromised patients<\/span><\/b><span data-contrast=\"none\">\u00a0may spread the virus for the duration of their illness\u00a0and may not develop the rash.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">For more information:<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"29\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">American Academy of Pediatrics\u00a0<\/span><a href=\"https:\/\/publications.aap.org\/redbook\/resources\/15187?_gl=1*13o0ek6*_ga*MzQ2ODE0MTc2LjE3NzA4MzE4MDM.*_ga_FD9D3XZVQQ*czE3NzA4MzE4MDMkbzEkZzEkdDE3NzA4MzE4OTUkajYwJGwwJGgw*_gcl_au*MTgxNjQ0MzEzMy4xNzcwODMxODAz*_ga_GMZCQS1K47*czE3NzA4MzE4MDMkbzEkZzEkdDE3NzA4MzE4OTUkajYwJGwwJGgw?autologincheck=redirected\"><span data-contrast=\"none\">Red Book Online Outbreaks: Measles<\/span><\/a><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"29\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/www.cdc.gov\/measles\/hcp\/clinical-overview\/index.html\"><span data-contrast=\"none\">CDC Clinical Overview of Measles<\/span><\/a><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-tabs-panel\">\n\t\t\t<div\n\t\t\t\tclass=\"sow-tabs-panel-content\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t>\n\t\t\t\t<p><span data-contrast=\"none\">If you suspect measles,\u00a0<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"23\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Call\u00a0<\/span><\/b><span data-contrast=\"none\">your\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/health-department-locator\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">local health department<\/span><\/a><span data-contrast=\"none\">\u00a0immediately\u00a0to discuss testing, infection control, and prevention measures.\u00a0Do not wait for\u00a0the next business day or\u00a0lab confirmation.\u00a0<\/span><b><span data-contrast=\"none\">After hours, call 866-531-3068.<\/span><\/b><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"23\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Collect<\/span><\/b><span data-contrast=\"none\">\u00a0specimens\u00a0for\u00a0PCR and serology testing.\u00a0<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Measles is a <a href=\"https:\/\/www.vdh.virginia.gov\/clinicians\/disease-reporting-and-control-regulations\/\" target=\"_blank\" rel=\"noopener\">rapidly reportable condition<\/a> in Virginia. It must be reported by physicians, directors of laboratories, and directors of medical care facilities.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-tabs-panel\">\n\t\t\t<div\n\t\t\t\tclass=\"sow-tabs-panel-content\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t>\n\t\t\t\t<p><span data-contrast=\"auto\">Prompt\u00a0testing\u00a0is\u00a0important\u00a0to diagnose\u00a0measles\u00a0cases and\u00a0confirm\u00a0outbreaks.\u00a0Providers are encouraged to use\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/207\/2022\/04\/Measles_HCP_Reporting_and_Testing_Guidance.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">VDH\u2019s\u00a0Measles\u00a0Reporting and Testing Guidance (1-page\u00a0algorithm)<\/span><\/a><span data-contrast=\"auto\">\u00a0when\u00a0measles is suspected.<\/span><span data-contrast=\"none\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">If a patient\u00a0presents with symptoms of\u00a0measles,\u00a0<\/span><b><span data-contrast=\"none\">ask if they have received\u00a0MMR vaccination<\/span><\/b><span data-contrast=\"none\">\u00a0<strong>within the previous 21 days<\/strong>\u00a0before\u00a0deciding whether to test.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"32\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">About 5% of MMR recipients develop a rash, usually within 6-12 days after immunization. These reactions can be clinically identical to measles infection and can result in a positive lab test.<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"32\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">If a recently vaccinated patient (&lt;21 days) has fever and rash, but no history of travel or exposure, measles is unlikely and testing is not usually\u00a0indicated.\u00a0Consult with your\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/health-department-locator\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">local health department<\/span><\/a><span data-contrast=\"none\">\u00a0if you have questions.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"auto\">Public health testing<\/span><\/b><span data-contrast=\"auto\"> at Virginia\u2019s Division of Consolidated Laboratory Services (DCLS) is available. <strong>Testing requires prior VDH approval<\/strong>, and requests should be routed through your <a href=\"https:\/\/www.vdh.virginia.gov\/health-department-locator\/\" target=\"_blank\" rel=\"noopener\">local health department<\/a>. DCLS performs two types of tests: <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"31\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">RT-PCR to diagnose current infection<\/span>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"31\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Diagnostic testing through DCLS is available\u00a0only\u00a0for\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/207\/2022\/04\/Measles_HCP_Reporting_and_Testing_Guidance.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">patients with high suspicion<\/span><\/a><span data-contrast=\"auto\"> of\u00a0measles.\u00a0<\/span><span data-contrast=\"auto\">Factors considered for approving public health lab testing include recent travel or other relevant exposure history, age, vaccination status, and local disease trends.<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"31\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">When suspicion of measles is low, measles testing through a commercial laboratory may be\u00a0appropriate.<\/span><\/li>\n<\/ul>\n<\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"31\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">IgM and IgG serology to assess current and past infection or immunity from vaccination<\/span>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"31\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Note that VDH does not typically recommend checking titers at a commercial laboratory after vaccination to determine immunity.<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"31\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">In some cases, VDH might approve IgG testing\u00a0at DCLS\u00a0when measles immunity status needs to be\u00a0established\u00a0for contacts who have been exposed to measles but are not eligible for measles vaccine as PEP.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">The estimated turnaround time for measles testing through public health is 1-2 days after specimen receipt. When collecting specimens, follow <\/span><a href=\"https:\/\/www.cdc.gov\/infection-control\/hcp\/measles\/index.html\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">CDC\u2019s\u00a0measles infection prevention\u00a0and control\u00a0guidance<\/span><\/a><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"20\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/207\/2021\/09\/HCP-Instructions-for-Measles-Specimen-Collection.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">VDH Instructions for Collecting and Submitting Specimens for DCLS Testing<\/span><\/a><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"20\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/dgs.virginia.gov\/globalassets\/document-center\/dcls-forms\/dcls_test-request-form-16857-4.pdf\" target=\"_blank\" rel=\"noopener\">DCLS Test Request Form<\/a><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"20\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/dgs.virginia.gov\/globalassets\/document-center\/dcls-forms\/instructions-for-completing-dcls-test-request-form-34961-2.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">DCLS Test Request Form Instructions<\/span><\/a><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"20\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/www.cdc.gov\/measles\/downloads\/measles-whole-genome-sequencing.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">CDC Factsheet: Whole Genome Sequencing<\/span><\/a><\/li>\n<\/ul>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-9-3\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-9-3-0\"  class=\"panel-grid-cell\" ><div id=\"panel-9-3-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"9\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2><a id=\"Infection-Prevention-and-Control\"><\/a>Infection Prevention and Control<\/h2>\n<\/div>\n<\/div><\/div><div id=\"panel-9-3-0-1\" class=\"so-panel widget widget_sow-editor\" data-index=\"10\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><span data-contrast=\"auto\">Stay prepared for measles:<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Ensure that healthcare personnel have documented <\/span><a href=\"https:\/\/www.cdc.gov\/infection-control\/hcp\/measles\/index.html#cdc_generic_section_2-recommendations-for-measles-in-healthcare-settings\"><span data-contrast=\"none\">evidence of immunity<\/span><\/a><span data-contrast=\"auto\">.<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Encourage\u00a0<\/span><span data-contrast=\"none\">MMR vaccination<\/span><span data-contrast=\"auto\">\u00a0for all eligible patients.<\/span>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Consider\u00a0identifying\u00a0and flagging\u00a0the records of\u00a0patients who have not received their MMR on time\u00a0and\u00a0offer the vaccine during encounters\/admissions.<\/span><\/li>\n<\/ul>\n<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Have\u00a0screening measures in place to\u00a0identify\u00a0symptomatic patients, ideally before facility entry.\u00a0Assess\u00a0travel history of all patients\u00a0with\u00a0clinically compatible\u00a0symptoms.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><div id=\"panel-9-3-0-2\" class=\"so-panel widget widget_sow-accordion panel-last-child\" data-index=\"11\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-939e896927d6-9\"\n\t\t\t\n\t\t><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"if-measles-is-suspected\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-if-measles-is-suspected\" aria-controls=\"accordion-content-if-measles-is-suspected\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<b>If Measles is Suspected<\/b><b><\/b>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-if-measles-is-suspected\"\n\t\t\t\tid=\"accordion-content-if-measles-is-suspected\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<p><span data-contrast=\"none\">If you suspect measles, the following actions are recommended:<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Immediately<\/span><\/b><span data-contrast=\"none\">\u00a0provide\u00a0a mask\u00a0to the patient\u00a0and anyone\u00a0accompanying\u00a0the patient\u00a0and\u00a0implement\u00a0Standard and\u00a0<\/span><a href=\"https:\/\/www.cdc.gov\/infection-control\/hcp\/basics\/transmission-based-precautions.html\"><span data-contrast=\"none\">Airborne\u00a0Precautions<\/span><\/a><span data-contrast=\"auto\">.<\/span><span data-contrast=\"none\">\u00a0Do not allow\u00a0the\u00a0patient to remain in waiting\u00a0or\u00a0common areas.<\/span>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Place the masked patient in an airborne infection isolation room (AIIR), if available, or a room with a closed door.\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">AIIR prioritization: Consult the facility infection prevention and control program for guidance about patient\u00a0placement\u00a0as necessary.\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">If an AIIR is not available, transfer the patient as soon as possible to a facility where an AIIR is available. Notify the facility before transfer.\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Instruct healthcare\u00a0personnel\u00a0to wear\u00a0<\/span><a href=\"https:\/\/www.cdc.gov\/infection-control\/hcp\/measles\/appendix-b.html\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">respiratory protection<\/span><\/a><span data-contrast=\"none\">\u00a0(i.e.,\u00a0fit-tested\u00a0N95\u00a0respirator),\u00a0regardless of presumptive immunity status.\u00a0Respiratory protection should be\u00a0single use, not extended use.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559739&quot;:0}\">\u00a0<\/span>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Permit\u00a0only healthcare\u00a0personnel\u00a0with measles immunity and wearing respiratory protection (i.e., respirator) to attend to the patient.<\/span><\/li>\n<\/ul>\n<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Report suspected cases\u00a0immediately\u00a0to your infection prevention and control program and\u00a0<\/span><\/b><a href=\"https:\/\/www.vdh.virginia.gov\/health-department-locator\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">local health department<\/span><\/b><\/a><b><span data-contrast=\"none\">\u00a0(after hours call 866-531-3068).<\/span><\/b><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Maintain Airborne Precautions for\u00a04 days after\u00a0rash\u00a0onset (rash\u00a0onset is\u00a0considered Day 0). Immunocompromised patients with measles should remain in Airborne Precautions for the duration of illness due to prolonged virus shedding.<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Limit visitors to those who are\u00a0immune and\u00a0necessary for the patient\u2019s well-being and care.\u00a0Non-immune visitors should not enter the facility\u00a0while the patient is still infectious.\u00a0<\/span>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">For management of exposed visitors, see\u00a0<\/span><span data-contrast=\"none\">Post-Exposure Prophylaxis (PEP) section<\/span><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Limit transport of patients with known or suspected measles to essential purposes only.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559739&quot;:0}\">\u00a0<\/span>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Notify transferring teams (e.g., emergency medical services, transporters) and receiving departments or facilities\u00a0before\u00a0transfer.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Mask the patient during transport, if tolerated.<\/span><\/li>\n<\/ul>\n<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Close rooms that were in use by a patient with suspect or confirmed measles to allow for sufficient removal of air contaminants.<\/span>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">To\u00a0determine\u00a0how long the room should remain closed, follow the estimated time for 99.9% removal efficiency of airborne contaminants in the\u00a0<\/span><a href=\"https:\/\/www.cdc.gov\/infection-control\/hcp\/environmental-control\/appendix-b-air.html\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">CDC guidance<\/span><\/a><span data-contrast=\"none\">.<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">If air exchanges are unknown,\u00a0keep\u00a0the\u00a0room vacant for 2 hours.<\/span><\/li>\n<\/ul>\n<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Implement environmental infection control.<\/span>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Perform standard cleaning and disinfection procedures using\u00a0<\/span><span data-contrast=\"auto\">an\u00a0<\/span><a href=\"https:\/\/www.epa.gov\/pesticide-registration\/selected-epa-registered-disinfectants\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">EPA-registered disinfectant<\/span><\/a><span data-contrast=\"auto\">\u00a0for healthcare settings, per manufacturer\u2019s instructions.<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Manage used, disposable PPE and other patient care items for measles patients as regulated medical waste according to federal and local regulations.<\/span><\/li>\n<\/ul>\n<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Manage exposed healthcare personnel according to the\u00a0<\/span><a href=\"https:\/\/www.cdc.gov\/infection-control\/hcp\/healthcare-personnel-epidemiology-control\/measles.html\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Infection Control in Healthcare Personnel: Epidemiology and Control of Selected Infections Transmitted Among Healthcare Personnel and Patients (2024)<\/span><\/a><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"if-a-patient-has-been-exposed-to-measles\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-if-a-patient-has-been-exposed-to-measles\" aria-controls=\"accordion-content-if-a-patient-has-been-exposed-to-measles\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<b>If a Patient Has Been Exposed to Measles<\/b><b><\/b>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-if-a-patient-has-been-exposed-to-measles\"\n\t\t\t\tid=\"accordion-content-if-a-patient-has-been-exposed-to-measles\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"17\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Patients exposed to measles who do not have\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/measles\/#frequently-asked-questions\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">evidence of measles immunity<\/span><\/a><span data-contrast=\"auto\">:<\/span><span data-ccp-props=\"{}\">\u00a0<\/span>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"17\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Might be eligible for\u00a0<\/span><span data-contrast=\"none\">Post-Exposure Prophylaxis (PEP)<\/span><span data-contrast=\"auto\">.\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"17\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Should\u00a0watch for symptoms\u00a0for 21 days\u00a0after the exposure. Extend to\u00a028\u00a0days\u00a0after exposure if\u00a0immunoglobulin (IG)\u00a0was given.\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"17\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Require Airborne Precautions from the 5th day after\u00a0their\u00a0exposure until the end of the exposure period<\/span><\/b><span data-contrast=\"auto\"> (i.e., 21 or 28 days after exposure).\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"17\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Patients exposed to measles who have evidence of immunity do\u00a0<\/span><b><span data-contrast=\"auto\">not<\/span><\/b><span data-contrast=\"auto\"> require Airborne Precautions unless they have measles symptoms.<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"17\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">If\u00a0appropriate, healthcare providers might consider\u00a0different\u00a0scheduling options for patients who have been exposed to measles and do not have evidence of immunity.\u00a0These could include\u00a0telehealth visits, scheduling a\u00a0visit at the end of the day\u00a0when susceptible patients are not present, or postponing\u00a0the visit until\u00a0the\u00a0monitoring period is over.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"for-more-information\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-for-more-information\" aria-controls=\"accordion-content-for-more-information\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<b>For more information<\/b><b><\/b>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-for-more-information\"\n\t\t\t\tid=\"accordion-content-for-more-information\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"7\" data-aria-level=\"1\"><a href=\"https:\/\/www.cdc.gov\/infection-control\/hcp\/measles\/index.html\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">CDC Interim Infection Prevention and Control Recommendations for Measles in Healthcare Settings<\/span><\/a><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559739&quot;:0}\">\u00a0<\/span>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"7\" data-aria-level=\"1\"><a class=\"Hyperlink SCXW75964989 BCX0\" href=\"https:\/\/www.cdc.gov\/infection-control\/hcp\/measles\/appendix-a.html\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"SCXW75964989 BCX0\"><span class=\"TextRun Underlined SCXW75964989 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW75964989 BCX0\" data-ccp-charstyle=\"Hyperlink\">Appendix A: Considerations when Evaluating a Person for Exposure to Measles in a Healthcare Setting<\/span><\/span><\/span><\/a><span class=\"EOP SCXW75964989 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"7\" data-aria-level=\"1\"><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/207\/2021\/10\/HCP-Exposure.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Assessment Tool for Healthcare Personnel Exposed to Measles<\/span><\/a><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"7\" data-aria-level=\"1\"><a href=\"https:\/\/apic.org\/measles\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">APIC Measles Resources and Tools<\/span><\/a><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"7\" data-aria-level=\"1\"><a href=\"https:\/\/www.cdc.gov\/project-firstline\/media\/pdfs\/PFL-MeaslesMicroLearn.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">CDC Project Firstline Measles Micro-Learn<\/span><\/a><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"18\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"7\" data-aria-level=\"1\"><a href=\"https:\/\/www.cdc.gov\/infection-control\/media\/pdfs\/measles-assessment-tool-ICHC-settings-508.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">CDC\u00a0Measles Assessment Tool (MAT) for Infection Control in Healthcare Settings: Measles Preparedness and Response During Community Outbreaks<\/span><\/a><span data-ccp-props=\"{&quot;335559685&quot;:720}\">\u00a0<\/span><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-9-4\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-9-4-0\"  class=\"panel-grid-cell\" ><div id=\"panel-9-4-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"12\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2><span class=\"TextRun SCXW74772726 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW74772726 BCX0\" data-ccp-parastyle=\"heading 1\">Vaccination Information<a id=\"Vaccination-Information\"><\/a><\/span><\/span><span class=\"EOP SCXW74772726 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559740&quot;:278}\">\u00a0<\/span><\/h2>\n<\/div>\n<\/div><\/div><div id=\"panel-9-4-0-1\" class=\"so-panel widget widget_sow-editor\" data-index=\"13\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><span data-contrast=\"none\">Vaccinations\u00a0play a critical role in protecting the health of children, families, and communities.\u00a0Vaccination is the best way to prevent measles\u00a0because it is safe, effective, and\u00a0provides long-lasting protection.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Healthcare providers\u00a0are the most trusted sources\u00a0for\u00a0vaccine\u00a0information<\/span><\/b><span data-contrast=\"none\">.\u00a0Tools to help with talking\u00a0<\/span><span data-contrast=\"none\">with your patients\u00a0about vaccines\u00a0include:<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"33\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">American Academy of Pediatrics\u2019\u00a0<\/span><a href=\"https:\/\/www.aap.org\/en\/news-room\/campaigns-and-toolkits\/immunizations\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Vaccine Confidence Campaign<\/span><\/a><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"33\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/www.letsgetrealaboutvaccines.org\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Let\u2019s Get Real About Vaccines<\/span><\/a><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"33\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">North Carolina Department of Health and Human Services\u2019\u00a0<\/span><a href=\"https:\/\/www.dph.ncdhhs.gov\/programs\/epidemiology\/immunization\/providers\/education-and-resources\/for-patients\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Talking with Parents and Caregivers About Vaccines website<\/span><\/a><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"33\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Immunize.org\u2019s\u00a0<\/span><a href=\"https:\/\/www.immunize.org\/wp-content\/uploads\/catg.d\/p4209.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Measles: Questions and Answers<\/span><\/a><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Measles vaccine is available combined with mumps and rubella vaccines as MMR, or MMR combined with varicella vaccine as MMRV. The MMR and MMRV vaccines are live-attenuated (weakened) vaccines that produce a mild, non-infectious response. A single-antigen measles vaccine is not available in the United States.<\/span><span data-ccp-props=\"{&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">MMR and MMRV vaccines are about 93% effective at preventing measles after 1 dose and about 97% effective after 2 doses.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1890,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">The second dose is administered to provide a second chance to respond to vaccination.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559685&quot;:720,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1890,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Very few people who get 2 doses of measles vaccine will get measles if exposed to the virus.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559685&quot;:720,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"none\">Healthcare providers can access the\u00a0<\/span><\/b><a href=\"https:\/\/viis.vdh.virginia.gov\/VIIS\/portalInfoManager.do\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">Virginia Immunization Information System<\/span><\/b><\/a><b><span data-contrast=\"none\">\u00a0to verify patient vaccination history. Patients may also\u00a0<\/span><\/b><a href=\"https:\/\/www.vdh.virginia.gov\/immunization\/request-immunization-record\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">request their records from VDH<\/span><\/b><\/a><b><span data-contrast=\"none\">.<\/span><\/b><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-9-4-0-2\" class=\"so-panel widget widget_sow-accordion panel-last-child\" data-index=\"14\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-939e896927d6-9\"\n\t\t\t\n\t\t><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"vaccine-recommendations\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-vaccine-recommendations\" aria-controls=\"accordion-content-vaccine-recommendations\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<b>Vaccine Recommendations<\/b><b><\/b>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-vaccine-recommendations\"\n\t\t\t\tid=\"accordion-content-vaccine-recommendations\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<p><b><span data-contrast=\"none\">Infants<\/span><\/b><span data-contrast=\"none\">: If traveling internationally,\u00a0or to an\u00a0<\/span><a href=\"https:\/\/www.cdc.gov\/measles\/data-research\/index.html\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">outbreak setting<\/span><\/a><span data-contrast=\"none\">,\u00a0infants 6 through 11 months old should receive 1 dose of MMR vaccine before departure.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"none\">Infants who receive a dose of MMR vaccine before their first birthday should receive 2 more doses of MMR vaccine at the recommended ages and at least 28 days apart.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559685&quot;:720,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"none\">Children<\/span><\/b><span data-contrast=\"none\">: Children should receive 2 doses of MMR vaccine\u00a0with\u00a0the first dose at 12 through 15 months of age and the second dose\u00a0at\u00a04 through 6 years of age.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1890,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Giving the second dose of the vaccine earlier is allowed\u00a0as long as\u00a0it is at least 28 days after the first dose.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559685&quot;:720,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"none\">Students,\u00a0travelers, and\u00a0healthcare personnel<\/span><\/b><span data-contrast=\"none\">: Unless they have evidence of measles immunity, college and other students, healthcare personnel, and international travelers need 2 doses that have been given on or after age 1 and at least 28 days apart.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Adults<\/span><\/b><span data-contrast=\"none\">: All other adults born in or after 1957 should have documentation of at least 1 dose of MMR or other evidence of measles immunity.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Persons receiving postexposure prophylaxis\u00a0immune globulin (IG):\u00a0<\/span><\/b><span data-contrast=\"none\">Refer to\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/207\/2021\/10\/Measles-PEP.pdf\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">VDH\u2019s Postexposure Prophylaxis (PEP) Guidance for Measles Exposures<\/span><\/b><\/a><span data-contrast=\"none\">\u00a0for details about postexposure prophylaxis.\u00a0<\/span><a href=\"https:\/\/www.cdc.gov\/surv-manual\/php\/table-of-contents\/chapter-7-measles.html\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">MMR vaccine<\/span><\/a><span data-contrast=\"none\"> should be administered no earlier than 6 months after IGIM administration or 8 months after IGIV administration. Once the time interval has passed, follow age-appropriate dosing recommendations<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">.<\/span><\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"contraindications-and-precautions-to-mmr-vaccination\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-contraindications-and-precautions-to-mmr-vaccination\" aria-controls=\"accordion-content-contraindications-and-precautions-to-mmr-vaccination\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<b>Contraindications and Precautions to MMR Vaccination<\/b><b><\/b>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-contraindications-and-precautions-to-mmr-vaccination\"\n\t\t\t\tid=\"accordion-content-contraindications-and-precautions-to-mmr-vaccination\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<p><span data-contrast=\"none\">Patients who are\u00a0<\/span><b><span data-contrast=\"none\">severely immunocompromised<\/span><\/b><span data-contrast=\"none\">\u00a0for any reason should not be given MMR vaccine. HIV-infected individuals may receive MMR vaccination if they are not severely immunosuppressed.\u00a0<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"25\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">HIV-infected children may receive MMR vaccine if CD4+ T-lymphocyte count is &gt;15 percent.<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"25\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">HIV-infected adults may receive MMR vaccine if they are not severely immunocompromised (i.e., CD4 count is 200 cells\/\u00b5L or greater).<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Persons known to be\u00a0<\/span><b><span data-contrast=\"none\">pregnant\u00a0<\/span><\/b><span data-contrast=\"none\">should not receive the measles vaccine. Pregnancy should be avoided for 4 weeks following MMR vaccine.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Persons receiving large daily doses of\u00a0<\/span><b><span data-contrast=\"none\">corticosteroids<\/span><\/b><span data-contrast=\"none\">\u00a0(&gt;2 mg\/kg per day or &gt;20 mg per day of prednisone) for 14 days or more should not receive MMR vaccine because it can lead to complications. Avoid MMR vaccination for at least one month after stopping high dose steroid therapy.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Administration of blood products and immune globulin require waiting a\u00a0<\/span><a href=\"https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/rr6002a1.htm\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">certain period<\/span><\/b><\/a><span data-contrast=\"none\">\u00a0before administering measles vaccine.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">For more information:\u00a0<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559738&quot;:240,&quot;335559739&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"28\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"http:\/\/www.immunize.org\/vis\/vis_mmr.asp\" target=\"_blank\" rel=\"noopener\">Vaccine Information Statement for MMR Vaccine<\/a><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"28\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/www.cdc.gov\/vaccines\/hcp\/imz-best-practices\/contraindications-precautions.html\" target=\"_blank\" rel=\"noopener\">CDC\u2019s Contraindications and Precautions\u00a0website<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"additional-vaccination-information\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-additional-vaccination-information\" aria-controls=\"accordion-content-additional-vaccination-information\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<b>Additional Vaccination Information<\/b><b><\/b>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-additional-vaccination-information\"\n\t\t\t\tid=\"accordion-content-additional-vaccination-information\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1890,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Breastfeeding is not a contraindication to vaccination of either the woman or the breastfeeding child.<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1890,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Persons receiving low dose or short course (&lt;14 days) corticosteroid therapy, alternate-day treatment, maintenance physiologic doses, or topical, aerosol, intra-articular, bursal, or tendon injections may be vaccinated.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559685&quot;:720,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1890,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Patients with leukemia in remission who have not received chemotherapy for at least 3 months may receive MMR or its\u00a0component\u00a0vaccines.<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559685&quot;:720,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">For more information:\u00a0<\/span><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1890,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"7\" data-aria-level=\"1\"><a href=\"https:\/\/www.cdc.gov\/acip-recs\/hcp\/vaccine-specific\/mmr.html?CDC_AAref_Val=https:\/\/www.cdc.gov\/vaccines\/hcp\/acip-recs\/vacc-specific\/mmr.html\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Advisory Committee on Immunization Practices (ACIP) MMR Vaccine Recommendations<\/span><\/a><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559685&quot;:720,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335551500&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:1890,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"7\" data-aria-level=\"1\"><a href=\"https:\/\/www.vdh.virginia.gov\/immunization\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">VDH Division of Immunization website<\/span><\/a><span data-ccp-props=\"{&quot;335557856&quot;:16777215,&quot;335559685&quot;:720,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-9-5\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-9-5-0\"  class=\"panel-grid-cell\" ><div id=\"panel-9-5-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"15\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2><span class=\"TextRun SCXW114708549 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW114708549 BCX0\" data-ccp-parastyle=\"heading 1\"><a id=\"Post-Exposure-Prophylaxis\"><\/a>Post-Exposure Prophylaxis (PEP)<\/span><\/span><\/h2>\n<\/div>\n<\/div><\/div><div id=\"panel-9-5-0-1\" class=\"so-panel widget widget_sow-editor\" data-index=\"16\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><span data-contrast=\"auto\">There are two\u00a0post-exposure prophylaxis (PEP)\u00a0options\u00a0for measles:\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"27\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">MMR vaccine<\/span><\/b><span data-contrast=\"auto\">\u00a0if within 72 hours of exposure\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"27\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Immunoglobulin\u00a0<\/span><\/b><span data-contrast=\"auto\">(IG) if\u00a0within six days of exposure<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">When possible,\u00a0MMR\u00a0vaccine is\u00a0given as PEP.\u00a0IG\u00a0should be prioritized\u00a0for people\u00a0who are at risk of severe disease or complications\u00a0and\u00a0cannot be vaccinated.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"26\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Administer intramuscular immunoglobulin (IMIG) to those &lt;6 months of age<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"26\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Administer intravenous immunoglobulin (IVIG) to immunocompromised\u00a0persons<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"26\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Perform serologic testing (IgG) of pregnant persons and administer IVIG if they test negative<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Refer to\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/207\/2021\/10\/Measles-PEP.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">VDH\u2019s Postexposure Prophylaxis (PEP) Guidance for Measles Exposures<\/span><\/a><span data-contrast=\"auto\">\u00a0for details about PEP for persons exposed to the measles virus.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Healthcare providers may contact\u00a0their\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/health-department-locator\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">local health department<\/span><\/a><span data-contrast=\"auto\">\u00a0to\u00a0acquire\u00a0IG.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The recommended dose of IMIG is 0.5 mL\/kg of body weight (maximum\u00a0dose = 15 mL) and the recommended dose of IVIG is 400 mg\/kg.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Note: Infants &lt;6 months do not need serologic testing because they are known to be unvaccinated, and immunocompromised patients do not need serologic testing because IVIG is recommended regardless of immune status.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">No patient should receive both vaccine and immunoglobulin<\/span><\/b><span data-contrast=\"auto\">. If possible, vaccine\u00a0or IG should be administered as close together as possible to family members so that their period of quarantine is the same or similar.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-9-5-0-2\" class=\"so-panel widget widget_sow-accordion panel-last-child\" data-index=\"17\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-939e896927d6-9\"\n\t\t\t\n\t\t><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"for-more-information\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-for-more-information\" aria-controls=\"accordion-content-for-more-information\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<b>For more information<\/b><b><\/b>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-for-more-information\"\n\t\t\t\tid=\"accordion-content-for-more-information\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"21\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/207\/2021\/10\/Measles-PEP.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">VDH Postexposure Prophylaxis (PEP) Guidance for Measles Exposures<\/span><\/a><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"21\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/207\/2021\/10\/HCP-Exposure.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">VDH Assessment Tool for Healthcare Personnel Exposed to Measles<\/span><\/a><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"21\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><a href=\"https:\/\/www.cdc.gov\/infection-control\/hcp\/measles\/index.html\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">CDC\u2019s Interim Infection Prevention and Control Recommendations for Measles in Healthcare Settings<\/span><\/a><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"21\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><a href=\"https:\/\/www.cdc.gov\/infection-control\/media\/pdfs\/Measles-Exposure-Guide-HC-Settings-508.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"auto\">CDC\u00a0<\/span><span data-contrast=\"none\">Steps for Responding to Measles Exposures in Healthcare Settings<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/a><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"21\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><a href=\"https:\/\/www.cdc.gov\/measles\/downloads\/measles-immune-globulin-post-exposure-prophylaxis.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"SCXW103212345 BCX0\"><span class=\"TextRun Underlined SCXW103212345 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW103212345 BCX0\" data-ccp-charstyle=\"Hyperlink\">CDC Factsheet: Immune globulin for Measles Post-Exposure Prophylaxis<\/span><\/span><\/span><span class=\"EOP SCXW103212345 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-9-6\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-9-6-0\"  class=\"panel-grid-cell\" ><div id=\"panel-9-6-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"18\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>More Resources<a id=\"Resources\"><\/a><\/h2>\n<\/div>\n<\/div><\/div><div id=\"panel-9-6-0-1\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"19\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">American Academy of Pediatrics\u00a0<\/span><a href=\"https:\/\/publications.aap.org\/redbook\/resources\/15187?_gl=1*13o0ek6*_ga*MzQ2ODE0MTc2LjE3NzA4MzE4MDM.*_ga_FD9D3XZVQQ*czE3NzA4MzE4MDMkbzEkZzEkdDE3NzA4MzE4OTUkajYwJGwwJGgw*_gcl_au*MTgxNjQ0MzEzMy4xNzcwODMxODAz*_ga_GMZCQS1K47*czE3NzA4MzE4MDMkbzEkZzEkdDE3NzA4MzE4OTUkajYwJGwwJGgw?autologincheck=redirected\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Red Book Online\u00a0Outbreaks: Measles<\/span><\/a><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">American College of Obstetricians and Gynecologists (ACOG)\u2019s\u00a0<\/span><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/practice-advisory\/articles\/2024\/03\/management-of-obstetric-gynecologic-patients-during-a-measles-outbreak\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">Management of Pregnant and Reproductive Aged Women during a Measles Outbreak<\/span><\/b><\/a><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">CDC\u00a0<\/span><a href=\"https:\/\/www.cdc.gov\/infection-control\/php\/measles-healthcare-response\/index.html\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Measles Preparedness and Response in Healthcare Settings<\/span><\/a><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/www.cdc.gov\/pinkbook\/hcp\/table-of-contents\/chapter-13-measles.html\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">CDC Pink Book Chapter 13: Measles<\/span><\/a><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Key Messages for Providers Measles cases are increasing\u00a0in Virginia, the United States, and\u00a0globally. Maintain a high index of suspicion for measles in patients presenting with a febrile rash and clinically compatible symptoms (cough, coryza, or conjunctivitis), especially those with recent travel, or known or suspected exposure to someone with measles. Immediately\u00a0report suspected\u00a0measles cases to\u00a0your\u00a0local health [&hellip;]<\/p>\n","protected":false},"author":52,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-9","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Measles Information for Healthcare Providers - Measles<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/measles\/hcp\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Measles Information for Healthcare Providers - Measles\" \/>\n<meta property=\"og:description\" content=\"Key Messages for Providers Measles cases are increasing\u00a0in Virginia, the United States, and\u00a0globally. Maintain a high index of suspicion for measles in patients presenting with a febrile rash and clinically compatible symptoms (cough, coryza, or conjunctivitis), especially those with recent travel, or known or suspected exposure to someone with measles. 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