Interview with Dr. Tania Kasdaglis.
Dr. Kasdaglis, thank you so much taking the time to answer some questions for us today. First off, can you tell us: What is measles?
Measles is a highly contagious respiratory or lung virus that causes a distinctive rash and fever. It usually starts like many common viral illnesses — with a fever, feeling run-down, maybe a cough, and then also red or irritated eyes. Sometimes, tiny white spots can come up inside the mouth. These are called Koplik spots. They are a classic sign of measles! Then, a few days later, a red, blotchy rash appears. It starts on the face and then appears downward on the body.
How would I know if I am protected against measles?
Vaccination against measles is highly effective at preventing infection. The first dose of the MMR vaccine is already 93%.A second dose increases protection to 97%. Most adults in the US have received two doses. You can get a blood test to check your antibody levels too. In most cases, the vaccine will give you lifelong protection.
What is an exposure to measles? If someone in the restaurant I was in had a rash, should I be worried?
Life I mentioned before, measles is highly contagious and spreads through particles from our breath in the air. So, if you are not vaccinated and are in a shared airspace with an infected person, you are at risk to get measles. If something like this happens, I recommend seeing your doctor for something called: “post exposure prophylaxis.” We have a treatment using intravenous immunoglobulin that can help you from getting sick. This treatment must be given within six days from your exposure, however, so don’t wait! Your doctor can test you for the actual condition of measles with a swab of your nose or with a blood test.
If I’m exposed, what are the risks to me and my baby?
Unfortunately, if you get sick with measles during pregnancy, there is an increased risk for severe disease. You can develop severe pneumonia. There are also significant risksyou’re your baby that include a risk for miscarriage, small size, early delivery, and even stillbirth.
What should I do to protect myself and baby ? What about if I am exposed?
The first thing to do is to double check your vaccine records to see if you received the MMR vaccine. Assuming you have, you are protected. You can’t receive the MMR vaccine during pregnancy. If you can’t find records of your vaccines, your doctor can test your blood to check whether you are already protected. And again, if you are exposed to someone with measles, get to your doctor quickly so that you can receive treatment.
What symptoms should I call my doctor for?
I would recommend calling your Obstetrician if you have a fever, severe weakness, a bad cough, nasal congestion, eye infection, a new or unusual rash, or if you notice those white spots in your mouth.
As we face rising measles cases, understanding the risks in pregnancy and the power of prevention has never been more vital—protect yourself, protect your baby, and help protect your community.
– Margaret Dziadosz, MD FACOG