Dr. Fredrick Echols discusses Measles

Measles Explained: Updated Facts, Vaccination Tips, and How to Stay Safe

Measles represents more than just a childhood illness—it is a highly contagious virus that poses serious health risks for unvaccinated individuals of all ages. Although public health officials declared the virus eliminated in the United States in 2000, it is currently making a concerning comeback. In fact, as of May 4, 2025, reports indicate over 930 confirmed cases across more than 30 states during the current outbreak, including a recent case involving an Illinois resident (CDC, 2025). Furthermore, experts attribute this increase largely to declining vaccination rates combined with increased national and international travel.

As measles cases reappear in communities, understanding the symptoms, transmission methods, and protection strategies becomes essential for your family’s safety.

What Is Measles?

The measles virus causes this viral illness, which primarily affects the respiratory system—specifically the lungs, nose, mouth, and connecting airways. After infection occurs, the virus typically triggers symptoms 7-14 days following exposure. These signs include:

  • High fever (often >104°F)
  • Cough
  • Runny nose
  • Red, watery eyes
  • A red rash that usually starts on the face and spreads downward
  • Small white spots inside the mouth (Koplik spots)

While many people dismiss it as a mere childhood ailment, measles can lead to serious complications. Specifically, young children, pregnant individuals, and people with weakened immune systems face the highest risks. These complications range from pneumonia and brain swelling (encephalitis) to death (World Health Organization [WHO], 2023).

How Measles Spreads

Notably, measles ranks as one of the most contagious diseases known to humans. The virus spreads when an infected person coughs or sneezes, releasing tiny droplets into the air. Because these droplets remain airborne for up to two hours, you can contract the infection without ever having direct contact with the sick person.

Additionally, an individual remains contagious from four days before the rash appears until four days after (CDC, 2024).

Prevention: How You Can Protect Yourself and Others

Fortunately, the MMR vaccine (measles, mumps, rubella) offers the most effective protection against this virus.

The CDC recommends two doses:

  1. The first dose at 12 through 15 months of age
  2. The second dose at 4 through 6 years of age

For adults born after 1957 who lack immunity or vaccination history, medical experts advise receiving at least one dose. Moreover, those at higher risk, such as healthcare workers or international travelers, should receive two.

Remarkably, two doses of the MMR vaccine prevent measles infection with about 97% effectiveness (CDC, 2023).

Key prevention tips:

  • Ensure you and your family are fully vaccinated.
  • Avoid travel to areas experiencing outbreaks if you are unvaccinated or immunocompromised.
  • Practice good hygiene and separate ill household members from others when necessary.
  • Contact your healthcare provider immediately if exposed, especially if you are pregnant, have a weakened immune system, or feel unsure about your vaccination status.

What To Do If You Have Been Exposed

If you suspect exposure to measles, take immediate action:

  • First, contact your doctor or local health department right away before going to a healthcare facility to avoid exposing others.
  • Next, monitor for symptoms for 21 days after exposure.
  • Finally, if you lack immunity, your doctor may recommend a dose of the MMR vaccine or immune globulin to reduce the risk of infection and severe complications.

Public Health Officials Need Your Help

Furthermore, if local or state health departments contact you regarding a case or outbreak investigation, please cooperate to help prevent further spread. Investigators may ask about:

  • Places you have visited (e.g., restaurants, hotels, grocery stores, church, etc.)
  • Your vaccination status
  • People you’ve been in close contact with

By answering these questions accurately and honestly, you help protect your community—especially vulnerable individuals who cannot receive vaccinations due to medical conditions.

Everyone Has a Role In Protecting Public Health

Ultimately, measles remains a preventable disease thanks to a proven, safe vaccine. However, prevention succeeds only when communities understand the value of immunization, early detection, and collaboration with public health officials.

As this virus reemerges, remember that individual actions—like keeping vaccinations up to date—create ripple effects that safeguard entire communities.

If you have questions about measles or need to verify your vaccination status, reach out to your healthcare provider or your local or state health department for guidance.

References:

Centers for Disease Control and Prevention (CDC). (2024). Measles cases and outbreaks. https://www.cdc.gov/measles/cases-outbreaks.html

World Health Organization. (2023). Measles. https://www.who.int/news-room/fact-sheets/detail/measles


Dr. Frederick Echols, MD, is available as a subject matter expert on public health for press interviews and speaking engagements. 

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About Dr. Fredrick Echols, MD 

Dr. Fredrick L. Echols, MD is the founder and Chief Executive Officer of Population Health and Social Justice Consulting, LLC, an Obama Foundation Global Leader,  sought-after public speaker, black men’s health advocate, and accomplished physician  with over 15 years of experience in public health. He has worked extensively with public  and private sectors to address complex health issues through evidence-informed  approaches. Dr. Echols is a graduate of the Centers for Disease Control and Prevention  Population Health Training in Place program and the ASTHO-Morehouse School of  Medicine’s Diverse Executives Leading in Public Health program.  

Passionate about health and justice, Dr . Echols’ notable roles include serving as Chief  Executive Officer for Cure Violence Global, Health Commissioner for the City of St.  Louis, and Director of Communicable Disease and Emergency Preparedness for the St.  Louis County Department of Public Health. In these roles, he oversaw public health  regulations, led COVID-19 response efforts, managed daily operations, and developed  strategic partnerships. Dr. Echols also served as Chief of Communicable Diseases for  the Illinois Department of Public Health and as a physician in the U.S. Navy. He  continues to contribute to public health research and guides health organizations  globally. 

For more health tips follow Dr. Fredrick Echols @ Fredrick.Echols@gmail.com

Follow Dr. Echols on socials:

LinkedIn: @FredrickEcholsMD ( www.linkedin.com/in/fredrick-echols-m-d-5a2063225)

Facebook: @FredrickEchols  

Instagram: @F.EcholsMD

#Measles #PublicHealth #Vaccines

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