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Part 1: Basics of Measles

Individual question clips are also provided below. 

Interview Clips

Click on the answer buttons below to view the clip for that interview question.

Question 1: What is measles?

Question 2: How does one contract measles and how does it spread?

Question 3: What are the risks of acquiring measles?

Question 4: How do we treat measles?

Question 5: Why are we seeing measles in the U.S. if it was eliminated in the 2000s? 

Question 6: How does the measles vaccine work and why is it referred to as the MMR vaccine? 

Question 7: Is this like COVID-19?

Part 2: Risk, Exposure, and Response

Individual question clips are also provided below. 

Interview Clips

Click on the answer buttons below to view the clip for that interview question.

Question 1: I have heard of cases of measles in my community. Does this mean I have been exposed to measles?

Question 2: I have been told someone in my household has measles. What should I do? 

Question 3: I have been told I have the measles. What should I do?

Questions 4-6: What is considered measles exposure? What should I do if I have been exposed to a measles case and have not been vaccinated? What if I know I am fully vaccinated but was exposed to measles?

Question 7: Do schools need to notify parents if a measles case has been confirmed in their school or classroom?

Question 8: Coming Soon

Question 9: What are immunoglobulins and who would be candidates to receive them?

Part 3: Coming Soon

Part 4: Provider Protocols and Public Health Response 

Individual question clips are also provided below. 

Interview Clips

Click on the answer buttons below to view the clip for that interview question.

Question 1: Where can providers get the latest information about measles cases in the U.S. and Montana?

Question 2: How has the state and local public health been preparing for this event?

Question 3: What are the recommended protocols for responding to a suspected measles case in emergency rooms, urgent cares, etc.?

Questions 4 and 5: How might triage be done to prevent others from being exposed? If a provider decides to test, what additional measures should be taken to minimize exposure to others? 

Question 6: What are some provider screening questions to ask if measles might need to be considered in the differential? 

Question 7: What should a provider consider to be a history of exposure to measles? 

Questions 8 and 9: Can we use imMTRAX to confirm the status of the measles vaccine? What other sources may help to confirm measles vaccine status?

Question 10: Most providers have never seen a measles case. What are some places providers can review to feel more comfortable with diagnosing measles?

Question 11: If a suspected measles case came to the clinic/emergency department, etc., what key protocols should we have in place to limit exposure to others?

Question 12: What happens if a case is identified outside of business hours?

Question 13: What are the most important steps a healthcare facility can take right now to prepare for measles? 

Question 14: Are there special infection prevention considerations healthcare facilities should take if a patient has signs or symptoms of measles? 

Question 15: Does DPHHS offer any infection prevention guidance for healthcare facilities in Montana?

Question 16: If facilities have questions about infection prevention measures, who can they contact?

Question 17: What is the best thing we can do right now?

Question 18: There's been a lot of new vaccine-related laws since COVID-19. Can I ask staff if they are vaccinated against measles to help decrease the risk of an employee acquiring measles or exposing others to measles?

Question 19: What type of PPE should those caring for a suspected measles case wear?

Question 20: You have isolated a suspected measles case in a room for evaluation. How should that room be cleaned after the patient leaves? 

Question 21: You suspect a possible measles case. What test should you order and what should the patient and their close contacts do until the test results return from the lab?

Question 22: At what point should public health be notified and what is the process for notifying public health? 

• Clinical overview of measles for health care and public health professionals from the CDC

• Information and a data dashboard regarding the current number of cases of measles and measles-related outbreaks in Montana and the surrounding states and providences from the Montana Department of Public health and Human Services (DPHHS). 

• Information and resources for public health and health care professionals regarding communicable disease outbreaks, reporting requirements and other information. Includes measles specific information (measles care package) from Montana DPHHS. 

• National information regarding measles cases, outbreaks, and epidemiology from the Center for Outbreak Response and Innovation (Johns Hopkins University). 

• Information and resources for health care and public health professionals on the prevention, management, and control of measles from the American Academy of Pediatricians “Red Book” on pediatric infectious diseases. 

• Information and resources regarding the prevention and control of communicable diseases from the American Public Health Association’s “Communicable Disease Control Manual.” 

• Clinical recommendations for health care providers for post measles exposure prophylaxis based on patient age, measles immune status, and time from exposure.

• One page summary for health care professions on the key infection control measures to prevent exposure and spread of measles to other patients, visitors, and health care staff.

• One page flyer that can be posted at the entrances of health care facilities (e.g., emergency departments, urgent care clinics) notifying patients/visitors that if they have any of the listed potential signs and symptoms of measles-related illness to call the posted number prior to entering the facility.

• One page check list for public health practitioners to assist in their contact investigation (e.g., Individual suspected to be infectious with measles enters a health care facility).

• Current infection prevention and control recommendations from the Centers for Disease Control and Prevention for measles.

• Guidelines and recommendations for health care and public health professionals to prevent and control measles exposures in the health care setting from the CDC.

• Guidelines and recommendations on evaluating a person for exposure to measles in a health care setting from the CDC. 

• Guidelines and recommendations on addressing measles exposure/transmission among health care staff in a health care setting from the CDC. 

• Guidelines and recommendations on infection control and prevention of measles from the Council for Outbreak Response HAI/AR. 

• Guidelines and recommendations on infection control and prevention of measles from Association for Professionals in Infection Control and Epidemiology. 

• Guidance and recommendations from the CDC regarding patient isolation precautions to prevent the transmission of infectious agents (measles and other communicable diseases) in health care settings. 

• Guidance and recommendations from UNICEF and other international partners for health care and public health professionals to address vaccine misinformation among patients, families, and the general public. 

• Information for health care and public health professionals and the public from Immunize.org regarding vaccines. 

• Summary information on vaccine safety and effectiveness for the measles and other commonly used vaccines from the Children’s Hospital of Philadelphia’s Vaccine Education Center.  

• Information for health care and public health professionals regarding communicating with parents, families, and the general public about vaccinations. 

• Information and resources for health care and public health professionals on the prevention, management, and control of measles from the American Academy of Pediatricians “Red Book” on pediatric infectious diseases. 

• Information and resources regarding the prevention and control of communicable diseases from the American Public Health Association’s “Communicable Disease Control Manual.” 

• One page infographic reviewing the signs, symptoms, and potential complications of measles. 

• Summary information regarding the basics (e.g., symptoms, complications, diagnosis, and treatment) of measles from the National Academy of Medicine. 

• Summary information for parents, families, and the general public regarding vaccines from Voices for Vaccines.