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Dr. James McDonald

Governor Kathy Hochul joined State Health Commissioner Dr. James McDonald for a press conference on measles on March 19. Photo courtesy of Gov. Hochul's Office
All New Yorkers urged to ensure they are current with all recommended immunizations, especially Measles-Mumps-Rubella

Governor Kathy Hochul on March 19 launched a new web portal to support access to vaccines and public health information in the wake of measles cases in New York State: ny.gov/measles

The Governor joined State Health Commissioner Dr. James McDonald in a press conference to update New Yorkers on the cases and encouraged everyone to ensure they are current on all recommended immunizations.

There have been four total cases of measles in New York State so far this year, three in New York City and one in Suffolk County. None of the cases this year are related to each other or connected to the outbreaks in Texas and New Mexico. The risk of measles to New Yorkers from these outbreaks is low.

“Measles doesn’t belong in the 21st century, and it certainly doesn’t belong in the State of New York,” Governor Hochul said. “As measles outbreaks occur at home and around the globe, it’s critical that New Yorkers take the necessary steps to get vaccinated, get educated and stave off the spread of this preventable disease — the safety of our communities depends on it.”

The New York State Department of Health and local health departments work together to monitor cases and alert the Centers for Disease Control and Prevention. All New Yorkers are urged to protect themselves by making sure they’re up to date on important, lifesaving immunizations.

New York State Health Commissioner Dr. James McDonald said, “The single way to prevent measles is to be immunized, and this is an irrefutable fact. Measles is much more than just a rash. In the current outbreak in the United States, one in five people are being admitted to a hospital. I urge all New Yorkers to ensure they are current on their measles-mumps-rubella (MMR) immunizations and immediately get vaccinated if they are not.”

Based on immunization registry data, the current statewide vaccination rate for babies up to two years old, excluding New York City, is 81.4 percent. This is the percent of children who have received at least one dose of the Measles-Mumps-Rubella (MMR) vaccines. However, actual vaccination coverage among school-age children is higher, typically around 90 percent.

Individuals should receive two doses of the MMR vaccine to be protected. Those who aren’t sure about their immunization status should call their local health department or health care provider. Those who were born before 1957 have likely already been exposed to the virus and are immune. Those born between 1957 and 1971 should check with a doctor to ensure they’ve been properly immunized as vaccines administered during that time may not have been reliable.

Those who travel abroad should make sure they are vaccinated for measles. Babies as young as 6 months can get an MMR if they are traveling abroad. The babies should get their MMRs on schedule and need a total of three MMRs.

The State Health Department is monitoring the situation very carefully, along with the New York City Department of Health and Mental Hygiene. Local health departments in each county are prepared to investigate cases and distribute vaccines or other protective measures as needed.

“As measles outbreaks occur at home and around the globe, it’s critical that New Yorkers take the necessary steps to get vaccinated, get educated and stave off the spread of this preventable disease — the safety of our communities depends on it.”

Misinformation around vaccines has in recent years contributed to a rise in vaccine hesitancy, declining vaccination rates and a black market for fraudulent vaccination records. The Department takes an active role in combating vaccination fraud. This includes work by the Department’s Bureau of Investigations identifying, investigating, and seeking impactful enforcement actions against those who falsify vaccine records, as evidenced by several recent cases announced by the Department.

Combating vaccine fraud is a collective effort that includes various stakeholders responsible for community health and safety. The Department works with schools to help them fulfill their responsibility of reviewing vaccination records for fraud. Additionally, the Department partners with the New York State Education Department, local health departments and school-nurse professional organizations around this critical effort. Moreover, the Department’s Bureau of Investigations, in particular, works to educate, engage and support police and prosecutors statewide regarding vaccination fraud, which under New York law is a felony-level criminal offense.

Measles is a highly contagious, serious respiratory disease that causes rash and fever. In some cases, measles can reduce the immune system’s ability to fight other infections like pneumonia.

Serious complications of measles include hospitalization, pneumonia, brain swelling and death. Long-term serious complications can also include  subacute sclerosing panencephalitis, a brain disease resulting from an earlier measles infection that can lead to permanent brain damage.

People who are infected with measles often get “measles immune amnesia,” which causes their immune system to lose memory to fight other infections like pneumonia. In places like Africa, where measles is more common, this is the largest driver of mortality.

Measles during pregnancy increases the risk of early labor, miscarriage and low birth weight infants.

Measles is caused by a virus that is spread by coughing or sneezing into the air. Individuals can catch the disease by breathing in the virus or by touching a contaminated surface, then touching the eyes, nose, or mouth. Complications may include pneumonia, encephalitis, miscarriage, preterm birth, hospitalization and death.

The incubation period for measles is up to 21 days. People who are exposed to measles should quarantine 21 days after exposure and those who test positive should isolate until four days after the rash appears.

Symptoms for measles can include the following:

7-14 days, and up to 21 days after a measles infection

  • High fever
  • Cough
  • Runny nose
  • Red, watery eyes

3-5 days after symptoms begin, a rash occurs

  • The rash usually begins as flat red spots that appear on the face at the hairline and spread downward to the neck, trunk, arms, legs and feet.
  • Small, raised bumps may also appear on top of the flat red spots.
  • The spots may become joined together as they spread from the head to the rest of the body.
  • When the rash appears, a person’s fever may spike to more than 104° Fahrenheit.

A person with measles can pass it to others as soon as four days before a rash appears and as late as four days after the rash appears.

Health care providers should report suspected measles cases to their local health department.

Visit the State Health Department’s dedicated measles website for information about the measles, immunization data and information for providers.

The State Health Department has also launched a new Global Health Update Report webpage to keep New Yorkers informed of ongoing and emerging infectious disease outbreaks. The report is updated every Friday.

Visit the CDC website for information about the measles vaccine.

Image courtesy of Suffolk County Dept. of Health

By Daniel Dunaief

Suffolk County reported its first case of measles in a child since 2017 this week, as an unvaccinated person under five years old contracted the infectious disease.

Suffolk County health officials are working with the New York State Department of Health and Northwell Health and are taking steps to prevent the spread of the disease.

The case of measles in Suffolk County is the third in the state and comes as Texas has had over 200 confirmed reports of measles since January, with 29 hospitalizations, according to the Texas Department of State Health Services.

“Measles can be very serious,” State Health Commissioner Dr. James McDonald said in a statement. “It’s much more than just a rash as complications can include pneumonia and inflammation of the brain, and often results in hospitalization.”

Officials indicated that residents could have been exposed to the person with measles at the pediatric emergency department at Cohen Children’s Medical Center in Queens from March 3rd to March 4th.

Patients who visited an inpatient child on the Medicine 3 unit from March 3rd to March 6th also could have had exposure.

The Cohen Children’s Medical Center, which is run by Northwell Health, is reaching out to patients who were at the center during the time of exposure. The Center has also identified patients who are high risk and may require timely treatment.

“As we follow this case and closely monitor potential exposures, we strongly encourage all residents to protect their health and the health of our youngest and most vulnerable residents by ensuring they are on time and up to date their measles vaccines and all recommended and lifesaving immunizations.” said Dr. Gregson Pigott, Suffolk County Commissioner of Health Services, said in a statement.

The incubation period for measles, which is spread by coughing or sneezing into the air, is 21 days, with symptoms that can include high fever, cough, runny nose and red, watery eyes. The best way to prevent measles, according to health officials, is to get the MMR vaccine. One dose is 93 percent effective at preventing measles, while two doses are about 97 percent effective.

Doctors recommend that residents receive their first dose at 12 to 15 months of age and the second at four to six years of age.

Measles during pregnancy increases the risk of early labor, miscarriage, and low birth weight infants.

Separately, area officials found two dead raccoons tested that positive for rabies in Amityville and North Amityville on March 4th and January 28th, respectively.

These are the first confirmed cases of rabid raccoons in the county since 2009

These animals had no known contact with humans or animals.

“We have over 1.5 million residents [in Suffolk County] and it’s not good to have raccoons running around with rabies,” said Pigott. These animals can get in a fight and can transmit the rabies virus to other animals or to humans.

Left untreated, rabies, which has early symptoms including irritability, headache, fever and itchiness at the site of exposure, can be lethal.

People can contract rabies if they are exposed to saliva or nervous tissue of a rabid animal through a bite.

Pigott urged pet owners to ensure their animals are vaccinated for rabies. He also suggested that people take safety measures when they are out among animals. He asks those living in Huntington, Islip, Smithtown or Babylon to contact the Department of Health Services if they encounter a dead raccoon.