15 confirmed cases of measles in Indiana

INDIANAPOLIS—Indiana now has a total of 15 confirmed cases of measles, state health officials announced today.  The most recently confirmed case does not pose an increased risk of spreading the disease to others, however, because the individual has been in self-isolation since they themselves were exposed. 
“Through our investigation, we were made aware that this individual was exposed and may be at high risk for developing the disease,” said State Health Commissioner Gregory Larkin, M.D. “This is good news, because since we knew about the exposure and risk, this person was able to stay home and avoid exposing anyone else while infectious.”
 This is the second outbreak of measles Indiana has experienced in less than a year. Measles are rare in the United States due to the widespread use of the Measles, Mumps, and Rubella vaccine. All confirmed cases of measles have a common association, meaning they all stem from the initial case, which was identified early February.  State health officials would like to reiterate that, at this time, no measles cases have been reported as a result of the exposure which occurred at Super Bowl Village on Feb. 3.
The Indiana State Department of Health continues to work with local health departments, health care providers, and all impacted organizations to identify additional cases of measles and to prevent further transmission of the disease.
State health officials have also recently learned that one of the earlier confirmed cases visited a home school basketball league tournament, Jan. 6, at Traders Point Christian Academy in Whitestown.  Individuals who were exposed to measles at this event would have shown symptoms by Jan. 27.  Anyone that may have experienced measles from Jan. 6 through Jan. 27, contact a health care provider to let them know.The State Health Department says individuals may have been exposed to measles at the following places and dates.
• Menards on 96th St., Fishers (Feb. 11)
• Wal-mart on 96th St., Fishers (Feb. 11)
• Street Department, City of Noblesville (Feb. 8, 14,15, and 16)
• Delphi Electronics & Safety, Kokomo (Possible exposure ranges from Feb. 1 through Feb. 9)
• Hartley Funeral Home, Cicero (Jan. 25 and Jan. 26)
• Kroger, W. Logan St., Noblesville (Feb. 10)
• Wal-mart, Clover Rd., Noblesville (Feb. 10)
• College Park Church, Indianapolis (Jan. 1, Jan. 15, ongoing)
• Indianapolis Grace Ethiopian Church/Westlake Community Church, Indianapolis (Jan. 8)
• Noblesville Intermediate School (Feb. 9) and White River Elementary School (Feb. 13).
• Ivy Tech Community College, Anderson Campus (Jan. 26, Jan. 31, and Feb. 2)
• A number of health care clinics in Zionsville, Fishers, and Noblesville, (multiple dates in Jan. and Feb.) including:
• Saint Vincent Primary Care clinics
• IU Primary Care clinics, and
• A Community Hospital Immediate Care Center
• Super Bowl Village, Indianapolis (Feb. 3)
The State Health Department confirmed measles in a second individual who traveled to Super Bowl Village on Feb. 3, from approximately 3 to 10 p.m. Both confirmed cases were together at all times and therefore the risk of exposure has not increased from initial reports.
As previously reported by health officials, individuals visited the following locations while in downtown Indianapolis: Rock Bottom, Starbucks on the Circle, Colts Pro Shop in Lucas Oil Stadium, and the Huddle, as well as walked around the Super Bowl Village area. Marion County Public Health Department officials have followed up each of these venues.
No additional cases of measles have been reported as a result of this exposure. The Indiana State Department of Health has notified state health departments in New York and Massachusetts of the potential exposure.
The Indiana State Department of Health has established a hotline to help answer questions from the general public. The hotline service will be available beginning tomorrow, Feb., 15.
The hotline number is 1-877-826-0011 (TTY/TTD 1-888-561-0044).
State Health Department staff will be on-hand during the hours of 8:15 a.m. to 4:45 p.m., Monday through Friday to answer questions.
Note: Immunization status cannot be verified through this hotline. Individuals unsure of vaccination status are encouraged to contact your health care provider, as they have access to the Indiana Immunization Registry.
About measles
Measles is a highly contagious respiratory disease caused by a virus. It is rare in the United States due to high levels of vaccination with the Measles, Mumps, and Rubella (MMR) vaccine; however, unvaccinated visitors from other countries can transmit measles to unvaccinated people in the U.S., or unvaccinated U.S. citizens traveling abroad can become infected during travel.
More than 95 percent of people who receive a single dose of MMR will develop immunity to measles, and more than 99 percent will be protected after receiving a second dose. Two doses of the vaccine are needed to be fully protected. Individuals are encouraged to check with their health care providers to ensure vaccinations are up-to-date.
Children are routinely vaccinated for measles at one year of age, and again at four to six years of age before going to kindergarten, but children as young as 6 months old can receive the measles vaccine if they are at risk. Individuals born before 1957 are presumed to be immune to measles. If you are unsure about your vaccination history, check with your health care provider, as they have access to vaccination records for many Hoosiers through the Indiana Immunization Registry known as CHIRP.
Measles begins with a fever, cough, runny nose, and red eyes about 7-10 days after exposure. The fever increases and can get as high as 105 degrees. Two to four days later, a rash starts on the face and upper neck. It spreads down the back and trunk, and then extends to the arms and hands, as well as the legs and feet. After about five days, the rash fades the same order in which it appeared.
Measles is highly contagious. When infected persons sneeze or cough, droplets spray into the air and are inhaled by others. Those droplets remain active and contagious in the air and on infected surfaces for up to two hours. Measles can also be transmitted when moist secretions from the nose or mouth of an infected person come in contact with the mouth, nose or eyes of another person.
What you can do
Vaccination is the most effective way to prevent transmission.
If you are experiencing the symptoms of measles, stay home and call your doctor. Be prepared to describe your symptoms and alert your doctor if you think you have been in contact with an infected person. If you are ill with measles, remain home and away from others, especially unvaccinated infants, people with diseases affecting their immune systems, and pregnant women.
For more information about measles, please visit the Centers for Disease Control and Prevention at www.cdc.gov/measles/.
For information on how to contact your local health department, please visit the Indiana State Department of Health at www.state.in.us/isdh/24822.htm.