Epidemiology and Assessment

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Health Care Agency
Public Health Services
Epidemiology & Assessment
(714) 834-8180
(714) 834-8196 Fax
EPI@ochca.com

Health Referral Line
(800) 564-8448
(800) 801-7100 TDD

Measles (Rubeola)

last updated 6/9/11

Measles is very contagious. It is spread mainly through respiratory droplets from infected people. Infected people are most contagious from about 4 days before their rash starts until 4 days afterwards. Routine measles vaccination of children in the U.S. has made measles a rare disease in the U.S. However, measles is still seen in this country, usually associated with a visitor to the U.S. or a U.S. traveler returning from other countries.  In 2011, multiple countries around the world are experiencing increases in measles cases, especially in Europe and Southeast Asia.  The increase in the number of measles cases reported in the U.S. thus far in 2011 has mainly been associated with importation but has resulted in local transmission and outbreaks as well.  All Orange County residents should make sure they are up-to-date on their measles vaccinations (usually given as MMR).  To see if you need measles vaccine, see the CDC recommendations

Measles - Frequently Asked Questions
[PDF file, 6/29/07]


Health Care Providers

Measles Health Advisory (adapted from CDPH) 5/5/11
Measles cases continue to be reported in California and nationally.  Measles outbreaks are occurring in Europe, including a large outbreak in France.  A recent measles case in Orange County resulted in exposure of many Orange County residents.

Visiting another country?  Protect your family.  Think measles.
Before you travel, consult your physician and make sure you and your family have been vaccinated against measler.  CDPH flyer 5/11

Fever and Rash?........Consider Measles
Measles cases continue to be identified in California in returning
international travelers and their contacts. Measles is highly contagious.
Please protect patients, visitors, and staff!
[PDF file, last reviewed 9/10/10]

Measles Advisory
Recent cases of measles (rubeola) in Orange County and elsewhere in the United States highlight the ongoing risk of measles due to importations and rapid spread within susceptible subgroups of the U.S. population. 
[PDF file, 9/10/10]

CD Connection Newsletter
Measles Mumps Rubella (MMR)
[PDF file, 2/22/10]

Measles (Rubeola) Advisory and Measles Information for Health Care Providers
[PDF file, 4/16/08]

Measles (Rubeola) Reminder
[PDF file, 2/15/08]

Measles - Reminder and fact sheet for health care providers
[PDF file, 6/29/07]

Fever and Rash?........Consider Measles
Measles cases continue to be identified in California in returning
international travelers and their contacts. Measles is highly contagious.
Please protect patients, visitors, and staff!