Measles case count up from last year, continuing to spread in Western Washington
Washington has had more measles cases so far this year than in the past five years combined. State health officials are sounding the alarm to remind people that vaccination is the best protection against the spread of this serious and preventable disease.
So far in 2014 there have been 27 measles cases in Washington, up from the five reported in 2013. The most recent cases reported in the past month have been in King County (11 confirmed cases) and Pierce County (two confirmed cases). This is the third measles outbreak in our state this year and the number of cases so far is the highest reported in any year since 1996. People can check the Tacoma-Pierce County Health Department and Multicare websites for a list of places visited by cases while they were contagious. Anyone who visited places at the listed dates and times should find out if they’ve been vaccinated for measles or have had the disease.
Washington’s trend reflects the national trend. From Jan. 1 to July 3 of this year, the U.S. has experienced, the highest number of cases since elimination of ongoing measles virus circulation in the U.S. was documented in 2000. Almost all of these cases are attributed to 17 outbreaks.
The resurgence is linked to several factors — people not being vaccinated, and the fact that measles is still common in many parts of the world including parts of Europe, Asia, the Pacific, and Africa. Travelers with the measles continue to bring the disease to the U.S. and it spreads when it reaches communities where groups of people aren’t vaccinated.
The public health agencies of King County and Pierce County have reported a number of confirmed cases of measles occurring between June 10 and July 4, 2014. As of July 9, seven people who sought care at the following MultiCare Health System facilities were later identified as having measles and may have exposed others to the virus.
Locations, dates and times affected are:
- MultiCare Kent Urgent Care Clinic (6/10): 12:30pm-7pm
- MultiCare Mary Bridge Emergency Department and Tacoma General Emergency Department (6/10-6/11): 5pm-2:30am
- MultiCare Tacoma General Imaging (6/10): 8am-10am
- MultiCare Mary Bridge Covington Pediatrics (6/13): 11:15am-3pm
- MultiCare Covington Emergency Department (6/13): 1pm-3:30pm
- MultiCare Mary Bridge Covington Pediatrics (6/14): 11am-3pm
- MultiCare Mary Bridge Pediatrics Clinic, Maple Valley (6/19): 11:30am-5:30pm
- MultiCare Covington Emergency Department and Imaging (6/21-22): 3pm-12:30am
- MultiCare Covington Emergency Department (6/22): 3:30am-10:30am: 4am-10am; 7:30pm-10:30pm
- MultiCare Mary Bridge Emergency Department and Tacoma General Emergency Department (6/22): 4:30am-10:30am
- MultiCare Mary Bridge Emergency Department and Tacoma General Emergency Department and Tacoma General Imaging (6/24): 10:30am-3:30pm
- MultiCare Tacoma General Emergency Department (7/3): 5pm-11:30pm
- MultiCare Tacoma General Emergency Department (7/4): 2am-3pm
MultiCare staff members are contacting patients and visitors who may have been exposed to the virus and who may be at risk for measles infection. MultiCare advises their patients who have concerns about potential exposure to call their primary care provider. Those without a primary care provider can contact their local health departments at the numbers below:
- In King County, call the Measles hotline: 206-296-4949.
- In Pierce County, call 253-798-6410, press “0.”
If you have never been vaccinated for measles or are concerned about whether your vaccinations are up-to-date, visit one of the sites below for information on free or low-cost immunizations:
Pierce County residents: Visit the Tacoma Pierce County Health Department website.
King County residents: Visit the King County Public Health Immunization program.
Download information about Free adult immunization sites.
List of Additional Adult Immunization Sites.
Measles is a very contagious disease. Measles virus travels through the air. This means that if you’re not immune, you can get measles if you go near someone who has the virus. A person who hasn’t been immunized against measles will most likely get it if exposed.
There are confirmed cases of measles in our state. The best protection against measles is to get vaccinated. Check with your healthcare provider about how many doses you and your family need.
- Frequently Asked Questions
- More About Measles
- About the Vaccine
- Resources and Materials
- Notifiable Conditions (for healthcare providers)
- MMR (measles, mumps, rubella) vaccine:
- Kids should get 2 doses:
- Dose 1: between ages 12 and 15 months
- Dose 2: between ages 4 and 6 years
- Adults born after 1956 may need one dose
- Kids should get 2 doses:
- Where to get MMR vaccine
- Who should not get the MMR vaccine (Centers for Disease Control and Prevention)
- Frequently Asked Questions (Centers for Disease Control and Prevention)
- For Parents (Centers for Disease Control and Prevention)
- For Travelers (Centers for Disease Control and Prevention)
- For Pregnant Women (Centers for Disease Control and Prevention)
- Videos and Podcasts (Centers for Disease Control and Prevention)
- For Healthcare Providers (Centers for Disease Control and Prevention)
Measles is a highly contagious and potentially severe disease that causes fever, rash, cough, and red, watery eyes. It is mainly spread through the air after a person with measles coughs or sneezes. Measles symptoms begin seven to 21 days after exposure. Measles is contagious from approximately four days before the rash appears through four days after the rash appears. People can spread measles before they have the characteristic measles rash.
People at highest risk from exposure to measles include those who are unvaccinated, pregnant women, infants under 12 months of age and those with weakened immune systems.
Measles is highly contagious even before the rash starts. It spreads easily when an infected person breathes, coughs, or sneezes — if you’re not vaccinated, you can get the measles just by walking into a room where someone with the disease has been in the past couple of hours. About one in 10 children with measles also gets an ear infection, and up to one in 20 gets pneumonia. Of every 1000 people with measles, one is likely to get encephalitis, and one or two may die.
The MMR (measles, mumps, rubella) vaccine is recommended for kids 12 months and older, health care workers, college students, adults born after 1956, and people who travel internationally. Pregnant women should not get the vaccine until after giving birth.
Children should be vaccinated with two doses of MMR vaccine, with the first dose between 12 and 15 months and the second at four to five years of age. Children aged six to11 months who will be travelling internationally should receive one dose of MMR at least two weeks before departure. Adults should have at least one measles vaccination, with some people needing two. Anyone planning to travel should make sure they are immune to measles before leaving the U.S. Vaccine can be found by calling your health care provider or by checking the online vaccine finder for a location near you.
People who are unvaccinated, or aren’t sure if they’re immune, and develop an illness with fever and rash should consult a health care professional immediately. Call ahead to your clinic, doctor’s office, or emergency room before arriving to avoid exposing others in waiting rooms.
More information about measles and vaccine can be found by visiting the agency’s immunization web pages.