Understanding measles and the role of vaccination

AI Summary

The content emphasizes the importance of understanding measles and the role of vaccination, particularly with rising cases globally and in Canada. Measles is highly infectious and can lead to serious complications, especially in unvaccinated individuals. Health care providers are encouraged to catch up on routine childhood vaccines missed during the COVID-19 pandemic and be alert for measles when evaluating patients. Measles elimination status achieved in Canada in 1998 underscores the significance of vaccination in preventing outbreaks.

With measles cases rising in Canada and internationally, it is important for clinicians to understand the disease and the role of vaccination against measles. Two practice articles in CMAJ (Canadian Medical Association Journal) https://www.cmaj.ca/lookup/doi/10.1503/cmaj.240415 https://www.cmaj.ca/lookup/doi/10.1503/cmaj.240371 provide succinct overviews of this highly infectious disease. Many clinicians may not have direct experience with measles diagnosis and treatment as Canada achieved measles elimination status in 1998.

The increase in measles activity globally and in Canada is a reminder of the importance of immunization. Routine childhood vaccines, including measles, that were missed during the COVID-19 pandemic should be urgently caught up. Clinicians should also be on the alert for measles when evaluating patients, especially those with a history of travel or those who might have been exposed in local outbreaks”

Dr. Sarah Wilson, author, physician at Public Health Ontario

Measles is one of the most contagious respiratory infectious diseases. Individuals with measles develop fever, cough, runny nose, and conjunctivitis. A rash that starts on the face and spreads throughout the body can then follow, about 4 days later. Complications from measles infection are reported in 30% of cases. These can include ear infections, pneumonia, pregnancy complications, and neurologic complications, including encephalitis. Measles can also cause temporary secondary immunodeficiency. Most measles cases in Canada occur in unvaccinated people, especially children.

Given how infectious measles is, health care providers should pre-emptively contact health care facilities if they are referring suspect cases to be evaluated or tested, to ensure that appropriate infection prevention and control measures

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