Hylton I Lightman MD DCH (SA) FAAP

1,356 confirmed measles cases in the United States have been reported as recently as the middle of August. 87% of the confirmed cases (1,177 of 1,356) are outbreak-associated. For comparison, 16 outbreaks were reported in 2024, and 69 of those cases (198 of 285) were outbreak-associated. There have been deaths from measles.

Measles in this country was considered to have been eradicated not even ten years ago. Wow.

What is measles?

It is an extremely infectious disease. It is transmitted via direct contact with infectious droplets that are airborne when the sick individual coughs, sneezes, or breathes. Droplets can remain present for up to 2 hours. It can spread to up to 90% of people in the nearby vicinity.

My medical training in South Africa afforded me with opportunities to see 1st and 3rd world patients medical patients with measles and other diseases. MEASLES CAN KILL. I witnessed the deaths of over 100 children from measles.

How does measles present in a sick person?

Measles initially presents with a fever, cough, runny nose, and watery red eyes. It begins at the hairline and then spreads down to the neck, trunk, arms, and feet. In its early stages, there may be tiny white lesions in the mouth (opposite the upper molars) called Koplick Spots.

Is there a cure for measles?

No. Only supportive care is available. IV fluids and antibiotics are given for dehydration and secondary infections like pneumonia and encephalitis.

What is the best protection against the measles?

PREVENTION BY VACCINATION. The vaccine is 87% effective in preventing this horrible illness. It is given after 1 year of age and again as a booster between 4-6 years of age.

Is your child immunized against measles? Check their records on your practice’s patient portal. All questions should be discussed with your pediatrician.

As always, daven.