Resurgence of measles in U.S. brings children pain and suffering

News Archive May 06, 2014

Resurgence of measles in U.S. brings children pain and suffering

Loyola University Health System pediatric infectious disease expert talks about measles

MAYWOOD, Ill. (May6, 2014) – According to the Centers for Disease Control and Prevention, the U.S. is seeing the largest outbreak of measles in decades. In 2000 the disease was considered eliminated from the country thanks to vaccines, but a combination of frequent international travel and a trend against vaccinating children has led to its resurgence.

“I’ve seen a lot of measles outbreaks in developing countries where vaccines aren’t available. I’ve stood by children’s bedsides and cared for them as they suffered. It is heartbreaking to see these children suffer from a disease that is preventable,” said Nadia Qureshi, MD, pediatric infectious disease specialist at Loyola University Health System.

“We are seeing a rise in children in the U.S. with measles because international travel has become so common. People bring it back from endemic areas and because it’s highly contagious. If your child is not vaccinated, they are at risk."

Measles is caused by a virus and there is no specific treatment for the infection. This extremely contagious infection is spread person to person through airbornedroplets and can live in the air for up to two hours. Most infected people don’t immediately know they are contagious because the characteristic rash doesn’t appear until four days after infection. Initial symptoms include:

  • Cough
  • Fever
  • Runny nose
  • Red, watery eyes
  • Feeling run-down

After a few days, the patient may notice tiny white spots in the mouth. After that, a rash will break out on the face that runs down the body and there will be an extremely high fever.

“Many people think it’s just a virus and my child will get better. Unfortunately, it’s not as simple as that. This virus can make your child miserable and can lead to serious complications and even death,” Qureshi said.

Youngest children are most at risk, she said, but anyone can develop serious, even deadly, complications, such as pneumonia, ear infections, diarrhea leading to dehydration and encephalitis, which is an inflammation of the brain.

“We don’t have a specific treatment and can only address the symptoms of the infection. But we do have a very effective vaccine that can prevent the virus. Children in the U.S. usually get two doses of the vaccine. After the first dose 95 percent are protected and 98 percent are protected after the second. It is a safe vaccine that can protect children from a potentially deadly disease,” Qureshi said.

According to Qureshi, even with a vaccinated community about 1-2 percent of that population is still at risk. Since the virus was considered eliminated from the U.S. for nearly a decade, many physicians have never seen an actual case of measles and may have a hard time diagnosing it.

“Vaccine rates were so good in this country that many physicians have seen it in books or photos but no live cases. This can make it difficult to diagnose and people can be walking around with the contagious virus not even knowing it. The best way to keep your family safe is to vaccinate,” Qureshi said.

Loyola University Health System (LUHS) is a member of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system with a 61-acre main medical center campus, the 36-acre Gottlieb Memorial Hospital campus and more than 30 primary and specialty care facilities in Cook, Will and DuPage counties. The medical center campus is conveniently located in Maywood, 13 miles west of the Chicago Loop and 8 miles east of Oak Brook, Ill. The heart of the medical center campus is a 559-licensed-bed hospital that houses a Level 1 Trauma Center, a Burn Center and the Ronald McDonald® Children's Hospital of Loyola University Medical Center. Also on campus are the Cardinal Bernardin Cancer Center, Loyola Outpatient Center, Center for Heart & Vascular Medicine and Loyola Oral Health Center as well as the LUC Stritch School of Medicine, the LUC Marcella Niehoff School of Nursing and the Loyola Center for Fitness. Loyola's Gottlieb campus in Melrose Park includes the 255-licensed-bed community hospital, the Professional Office Building housing 150 private practice clinics, the Adult Day Care, the Gottlieb Center for Fitness, Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.
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