Alerts:  Nov. 12, 2024: Pertussis (whooping cough) outbreak confirmed in Spokane County. SRHD urges parents and pregnant people to vaccinate. Read the press release.

Measles Advisory for Healthcare Providers

Measles in SW Washington

Posted Jan. 19, 2024. Past health advisories and alerts are archived for historical purposes and are not maintained or updated.

Situation

On January 6, 2024, Clark County Public Health issued a health advisory about cluster of three confirmed cases of measles in unvaccinated individuals. On January 10, WA Department of Health issued an advisory that three additional epi-linked cases in unvaccinated individuals have been identified. There are no known public exposures; the cases began isolation upon recognition of initial measles-like symptoms. Symptom onset dates for cases were in mid- to late-December. The investigation is ongoing.

Requested Actions
  • Please be aware of this cluster when patients present with symptoms consistent with measles.
  • Use the Measles Quick Assessment form to evaluate symptoms and for guidance on collecting and submitting specimens.
  • Report suspect measles cases immediately to SRHD Epidemiology:
    • Communicable Disease Epidemiology: 509.324.1442 (during business hours)
    • Urgent and Emergency Needs (24/7 Duty Officer): 509.869.3133
Infection Prevention

Measles primarily spreads through large droplets but can also be transmitted through the airborne route. The virus can be transmitted through the latter route up to two hours after a contagious patient coughed or sneezed, according to the Centers for Disease Control and Prevention (CDC).

Preventing health care exposures is critical to keep high-risk groups safe. When possible, use phone triage and assessment to determine if patients who might have measles need to be seen in-person. Up-to-date vaccination status makes measles much less likely. Please implement interventions listed below in your clinical settings to minimize exposure to others.

  • If the patient is already in the clinic/waiting room, room them immediately.
  • Use a negative pressure room if available; regardless keep exam room door closed.
  • Perform all labs and clinical interventions in the exam room if possible.
  • The exam room should not be used for two hours after the patient has left.
  • Patients who are under evaluation for measles should isolate at home until the diagnosis is clarified.
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