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Measles vaccination: revised recommendations for immunization.

S M Reece1

  • 1University of Lowell, Mass.

The Nurse Practitioner
|December 1, 1990
PubMed
Summary
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Measles outbreaks are prompting updated vaccination schedules. The new guidelines recommend two doses of the measles, mumps, and rubella (MMR) vaccine for routine immunization and potentially three doses for high-risk individuals.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Immunology

Background:

  • Recent measles outbreaks in the US have affected both unvaccinated young children and vaccinated school-aged/college students.
  • These outbreaks highlight potential gaps in current measles immunization strategies and vaccine effectiveness.

Framework:

  • The Committee on Infectious Diseases of the American Academy of Pediatrics has revised its measles vaccination recommendations.
  • New guidelines emphasize a two-dose Measles, Mumps, and Rubella (MMR) vaccine schedule for routine immunization.
  • A three-dose MMR schedule is advised for infants and children at increased risk.

Implementation:

  • Routine MMR vaccination is recommended at 15 months and again at 11 or 12 years of age (middle school entry).
  • For at-risk populations, the schedule is 12 months, 15 months, and 11 or 12 years.

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  • Revaccination is recommended for specific groups during school outbreaks if they received fewer than two doses after 12 months of age.

    • Implications:

    • Primary care providers play a crucial role in public education and implementing updated vaccination protocols.
    • These revised recommendations aim to improve measles control and work towards disease eradication.
    • Addressing immunization gaps in both low- and high-vaccination rate populations is essential.