CURRENT HEALTH ADVISORIES

What is measles?
Measles is a very contagious respiratory disease caused by a virus. Before the measles vaccine
became available, measles was a common childhood disease. Measles is considered the most
deadly of all childhood rash/fever illnesses. Symptoms include: rash, high fever, runny nose, and red, watery eyes.
How do people get measles?
Measles is easily spread from person to person. When an infected
person talks, coughs or sneezes, the virus is released into the air
and enters another person’s body through the nose, mouth or
throat. People can also become sick if they come in contact with the
mucus or saliva (spit) from an infected person. The measles virus
can live on contaminated surfaces and in the air for up to two
hours. Measles may be transmitted from 4 days before through 4
days after rash onset.
Are there complications with a measles virus infection?
Yes. Common complications include ear infections and diarrhea.
Severe complications include pneumonia (infection of the lungs), encephalitis (swelling of the
brain), and death. Measles may cause pregnant women to give birth prematurely or have lowbirth-weight babies.
How can a school prevent and control measles?
• Get vaccinated! Measles is a vaccine-preventable disease. One dose of measles vaccine
is about 93% effective at preventing measles if exposed to the virus and two doses are
about 97% effective. For NJ school vaccination requirements, visit:
https://nj.gov/health/cd/imm_requirements/
• Check immunization records. Review the immunization status for all children AND staff members.
• Practice healthy habits:
 Don’t attend school and work while you are sick.
 Wash hands frequently. If soap and water are not available, use an alcohol based
hand rub that contains at least 60% alcohol.
 Cover your mouth and nose with a tissue or your sleeve when coughing or sneezing.
Avoid sharing utensils, water bottles or other items contaminated by saliva or respiratory secretions. Al suspect and confirmed cases of measles must be immediately reported to the local health department where the student/staff member resides. Contact information is
available at localhealth.nj.gov (N.J.A.C. 8:57-1).
*School settings pertain to youth camps, child care centers, preschools, schools, and institutions of higher education. Throughout the rest of this document, we will refer to these generally as“schools”. Measles: reventing the Spread in Child Care and School Settings*
What is proof of immunity?
Proof of immunity (protection against measles) includes at least one of the following:
• Written documentation of age-appropriate measles vaccination (one or two doses)
• Laboratory evidence of immunity (blood test) or laboratory confirmation of measles
disease
• Birth before 1957 (Adults born before 1957 are more likely to have had measles as a child and are generally, but not always, considered immune.)
If a person is exposed, does that mean they will get sick or infected with measles?
An exposure occurs when a person is in the same space (e.g. room, office, waiting room, building) with someone who has measles, or occupies this space for up to 2 hours after the infected person has left. People are less likely to get sick with measles if they have been appropriately vaccinated. Approximately 90 percent of susceptible people will get measles if they are exposed to someone with the disease.
When should children and staff be excluded from school?
• The following are general guidelines for exclusion. Please note that all decisions to
exclude children and staff should be made in consultation with your local health
department (LHD). Your LHD can help you determine the correct dates for
exclusion.
• Exclude children and staff who have measles until they are no longer contagious (through
4 days after rash onset).
• Exclude exposed children and staff members who do not have proof of immunity from day
5 after the first exposure through day 21 following the last exposure.
Should schools be closed during an outbreak of measles?
The New Jersey Department of Health (NJDOH) generally does not recommend school closure
for outbreaks of infectious diseases. The decision to close a school is an administrative decision
and one that should be made only after consultation with public health officials and the district
medical personnel