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MMR Guidance

Over the past few weeks, multiple news outlets have reported on the MMR vaccine, previous vaccine recommendations, and the potential for some adults to need additional doses of MMR vaccine. This HAN message contains the most current MMR vaccine recommendations from the federal Centers for Disease Control and Prevention (CDC).

Influenza-Associated Pediatric Death

Maine CDC received notification of an influenza-associated pediatric death on Monday, April 8, 2019. The child, a Washington County resident, was unvaccinated and tested positive for influenza A. This is the first influenza-associated pediatric death in Maine during the 2018-19 influenza season.

Influenza activity in Maine remains elevated. Influenza vaccination is strongly encouraged and is still widely available. Vaccination can reduce illness and prevent hospitalization and death.

Influenza Season Continues with Widespread Activity in Maine

Influenza activity remains elevated and widespread in Maine and throughout the United States. Influenza should continue to be considered as a possible diagnosis for patients with influenza-like illness, including a fever of 100F or higher and a cough or sore throat. Maine CDC recommends rapid antiviral treatment of high-risk patients with suspected influenza.

With sustained influenza activity, it is not too late to get vaccinated for the 2018-19 influenza season. Vaccination can reduce illness and prevent hospitalizations and death.

Measles Exposure in Two Healthcare Offices in Maine

On April 1, 2019 Maine CDC was notified of a confirmed case of measles in an out of state resident who visited two businesses in Maine while traveling in the state on Wednesday, March 27, 2019. Individuals who have been exposed are asked to check their immunization status and monitor for symptoms. Maine clinicians are asked to increase surveillance for rash illness suggestive of measles to identify early potential cases and prevent the spread of disease. The best protection against measles is vaccination.

Confirmed Mumps Case in Maine

Maine CDC is investigating a confirmed case of mumps in an unvaccinated student in York County. Maine CDC is working closely with the school to identify contacts and provide recommendations for control. The intent of this HAN is to remind providers to test patients with clinically compatible symptoms for mumps, encourage vaccination, and alert others to the presence of mumps in Maine. Schools should review student vaccination records as unvaccinated students in schools may be excluded if Maine CDC identifies further cases in other locations.

Measles Recommendations and Current Situation in Maine

The purpose of this advisory is to provide health care providers with the most current information on measles prevention and assessment of suspect cases, should they arise. Several outbreaks of measles have been reported in the U.S. since January 2019. These outbreaks started with travelers who brought measles back after travelling overseas where large measles outbreaks are occurring. The majority of people who have come down with measles were unvaccinated.

Widespread Influenza Activity in Maine

Influenza activity in Maine is now widespread with providers reporting laboratory confirmed influenza in all sixteen counties. Maine's Health and Environmental Testing Laboratory (HETL) confirmed influenza A/pH1N1, influenza A/H3, influenza B/Victoria, and influenza B/Yamagata are all circulating in Maine. Maine CDC has followed up on fourteen (14) outbreaks of influenza as of Tuesday, January 29, 2019.

Confirmed Hepatitis A Case in an Individual Who Stayed in Portland Shelters

Maine Center for Disease Control and Prevention (Maine CDC) confirmed a hepatitis A case in a person who is experiencing homelessness in Portland, Maine. The case stayed overnight at Oxford Street Shelter and Florence House, and spent time during the day at Preble Street Resource Center during their infectious period, which was October 1st though October 21st.

Early Start to Influenza Season in Maine

Influenza has officially arrived in Maine. Multiple Maine hospitals reported influenza positive lab results in the last few weeks, including two PCR confirmed cases, one with foreign travel and one with no travel history. Both samples tested positive for influenza A; Maine's Health and Environmental Testing Laboratory (HETL) confirmed one sample as influenza A/pH1N1. Maine CDC is also following up on an outbreak of influenza among travelers returning from a trip overseas. There is documented spread in Maine as contacts of the travelers also tested positive for influenza.

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