In Philadelphia measles outbreak, child sent to daycare despite quarantine instructions
S E E D E D C O N T E N T
At least eight people have been diagnosed with measles in an outbreak that started last month in the Philadelphia area. The most recent two cases were confirmed on Monday.
The outbreak began after a child who'd recently spent time in another country was admitted to the Children's Hospital of Philadelphia (CHOP) with an infection, which was subsequently identified as measles. The Philadelphia Department of Public Health considers the case to be "imported" but did not say from where.
The disease then spread to three other people at CHOP, two of whom were already hospitalized there for other reasons.
Two of those infected at the hospital were a parent and child. The child had not been vaccinated and the parent was offered medication usually given to unvaccinated people that can prevent infection after exposure to measles, but refused it, the Philadelphia Inquirer first reported.
Despite quarantine instructions, the child was sent to day care on Dec. 20 and 21, the health department said.
At that day care facility, called Multicultural Education Station, four more people got infected. A day care staff member said its administrator was unavailable for comment.
None of the people who've been diagnosed was immune to measles, the health department said, which means they either never got a measles-mumps-rubella (MMR) vaccine or had not contracted measles in the past. The health department declined to offer specifics about the patients' ages or vaccination status, however.
The outbreak has led four people to be admitted to the hospital in addition to the two who were already hospitalized, the department said.
Philadelphia hospitals are on high alert for new cases, since measles is very contagious. An infected person can infect up to 90% of the people close to them if those contacts aren't immune. People can remain contagious for roughly eight days (four days before the disease's signature rash appears and four days after).
The skin of a patient after three days of measles infection, treated at a New York hospital.CDC
The virus can also survive up to two hours in the air after an infected person leaves an area.
"With those who've had a rash, certainly we've been on the highest alert, but we are asking everybody about exposures to people with measles," said Dr. Doug Thompson, chief medical officer at St. Christopher's Hospital for Children in Philadelphia.
Thompson said the hospital has seen three measles patients in the current outbreak — all between 1 and 2 years old. None had been vaccinated, he added.
Measles usually causes a high fever, cough, runny nose and red, watery eyes. Then a red, blotchy rash may form three to five days later.
Roughly 1 in 5 unvaccinated people who gets measles is hospitalized, and 1 to 3 out of every 1,000 children with measles dies from severe complications such as pneumonia or swelling of the brain.
People who've been vaccinated and get exposed shouldn't worry about getting sick, Thompson said. One dose is 93% effective at preventing measles, and two doses are 97% effective, according to the Centers for Disease Control and Prevention. The protection is lifelong.
At least 93% of children in Philadelphia have been fully vaccinated against measles by age 6. Children get their first dose between 12 and 15 months and their second between 4 and 6 years old.
For people who get exposed and aren't immune, a vaccine can still ward off infection if administered within 72 hours. Another option is a preventative injection called immune globulin, which delivers antibodies. It must be given within six days of exposure.
Thompson estimated that more than 15 people who may have been exposed to measles at St. Christopher's have received immune globulin.
"If somebody was at the hospital sitting in the same room with that patient — in the waiting room, let's say — and they were deemed at risk, we brought them into our emergency department and we gave them the immune globulin," he said.
A smaller number of people exposed at the hospital received a measles vaccine, Thompson said.
The U.S. effectively eliminated measles in 2000, though there are occasional outbreaks that originate in other countries.
From October to December 2022, the CDC confirmed 85 cases of locally acquired measles in Ohio. Earlier that year, four Ohio residents had brought measles to the U.S. after traveling to East Africa, but the CDC could not definitively link the outbreak to those cases.
New York also experienced a large outbreak in 2018 and 2019 that began when unvaccinated travelers returned to the U.S. from Israel. The CDC confirmed 242 cases in the state, excluding New York City, from October 2018 to April 2019, as well as 33 cases in New Jersey.
Dr. Paul Offit, director of the Vaccine Education Center at Children's Hospital of Philadelphia, said the recent outbreaks are likely a result of declining vaccination rates.
"Measles is the most contagious of the vaccine-preventable diseases, so when you lower immunization rates, that's the first disease to come back," he said.
For nearly 10 years, the share of U.S. kindergartners who had received two doses of the MMR vaccine was 95%. But that rate fell to 93% in the 2022-23 school year. The number of people claiming vaccine exemptions for their kids has risen in the last year.
Offit pointed to misinformation about vaccine safety, opposition to vaccination requirements and parents' fears about taking their kids to the doctor during the Covid pandemic as factors that have driven the trend.
People also seem to have forgotten how contagious measles can be, he said.
"People falsely think that you're only going to get measles if you come in direct contact with somebody who has measles. That's not true," Offit said. "It's these very fine, aerosolized droplets which contain measles that hang in the air like a ghost. And until they settle, you're at risk."
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I remember a measles party way back in the day.
I remember a few back in the early 60's...
That was way back in the day.
Dam I miss the 60s!
I was rich, handsome, a rock-n-roll god and my whole life was in front of me. Who knew that Andy's 15 minutes was actually 15 minutes?
They sent their kid who was sick with measles to daycare? Good grief. Parent of the Year, right there.
And if a child is in CHOP, that child is most likely pretty sick, already. Don't go bringing them measles. It could finish them off. A friend has a daughter who will likely be getting a bone marrow transplant at CHOP in the near future. The little girl has leukemia. The last thing she needs is measles.
Sounds like the parent is a very selfish person
I believe it's 95% is needed to not have an measles outbreak, so we are at 93% the warning flags are up.
In 2019 measles spread across the Pacific and was devastating.
Even those stats will not get the attention of the anti vaccers.
There are children with compromised immunity systems preventing them from getting vaccines. It makes taking them to daycares like playing Russian Roulette. I'm just waiting for one of them to die because of something like in the article and the grieving parent sues for wrongful death. Those anti-vaccers might wake up then.
It is bound to happen, as the vaccinated rate drops.
all 3 of my kids spent some part of their childhood in daycare. the ex and I referred to it as the disease of the week club...
Daycare and school are a petri dish of everything out there the little nose pickers can share.
We paramedics refer to children coming home from school as bags of germs just waiting to infect you.
Open borders are likely to increase the chance of disease outbreaks in the US
Anthropogenic global warming is already releasing centuries old bugs from the ice that even the CDC is not ready for.
Fuck all ignorant far right wingers who are anti-science.
Hasn't warmed all that much. Do you have evidence of bugs being released from the ice? Are you denying that unvaccinated illegals are bring all kinds of disease and vermin into the US?
What science are you speaking of? Are you a scientist?
Interesting that the NBC article goes into great detail about American "anti-vaxxers", but doesn't say anything about the hundreds of thousands of unvaccinated, unvetted illegal alien children from approximately 150 countries.
Philly is one of those sanctuary shitholes that Texas and Florida helped out.