The United States is witnessing a troubling rise in measles cases, with a significant outbreak in Texas reaching 90 confirmed cases—the largest in the state in over 30 years, according to the Texas Department of State Health Services (DSHS). All reported cases involve unvaccinated individuals or those with unknown vaccination status, emphasizing the critical role providers play in promoting and administering vaccines.
Addressing Vaccine Hesitancy
A concerning factor is the increase in vaccine exemptions. As a healthcare provider, addressing vaccine concerns with empathy and evidence is vital. Many parents have genuine questions, and fostering an open, non-judgmental dialogue can build trust and improve vaccination rates.
According to the CDC vaccination coverage among U.S. kindergartners has decreased from 95.2% during the 2019–2020 school year to 92.7% in the 2023–2024 school year, leaving approximately 280,000 kindergartners at risk during the 2023–2024 school year.
Reinforcing the Importance of the MMR Vaccine
The MMR vaccine remains a cornerstone of measles prevention, with 93% effectiveness after one dose and 97% after two doses. The CDC recommends the first dose between 12-15 months and the second between 4-6 years. Ensuring patients adhere to this schedule is crucial to maintaining community immunity and protecting vulnerable populations. The measles-mumps-rubella-varicella (MMRV) vaccine is also available to children 12 months through 12 years of age; the minimum interval between doses is three months.
Given the rising cases, it is important to:
- Proactively Identify Gaps: Review patient records to identify those overdue for MMR vaccination.
- Educate and Reassure: Address misinformation with clear, evidence-based explanations about vaccine safety and efficacy.
- Engage in Outreach: Consider contacting families directly to discuss the importance of timely immunization.
Resources
To help combat measles and raise awareness, the CDC has a measles resource page for effective ways to educate, communicate and raise awareness about measles with parents and their families.
Collaborative Action to Prevent Future Outbreaks
As trusted healthcare professionals, pediatric and primary care providers play a central role in preventing further spread. By reinforcing the benefits of vaccination and fostering open conversations, we can help safeguard public health and prevent future outbreaks.
CPP members receive discounted pricing on Merck’s MMR® II and ProQuad® vaccines. For updated member pricing sheets, please contact the CPP office.
