[MCOH-EH] Measles Prevention in Non-immune Appropriately Vaccinated Healthcare Employees

[Lawrence Budnick]

Attached is the guidance document from our state health department. Based on it and measles exposure incidents on our campus in 2013 and 2014, we would give a third dose of vaccine and retiter in 6-8 weeks, to help guide future potential exposures. It is possible that the negative titer the person had was taken long after the 2nd measles vaccination. In addition, as the state guidance notes several times, "Extra doses of MMR are not harmful" as long as there are no contraindications.


Lawrence D. Budnick, MD, MPH
Professor of Medicine
Director, Occupational Medicine Service
Rutgers University - New Jersey Medical School
65 Bergen Street, Suite GA-167, Newark, NJ 07107
tel 973.972.2900
fax 973.972.2904
lawrence.budnick at rutgers.edu<mailto:lawrence.budnick at rutgers.edu>

CONFIDENTIALITY NOTICE: This email communication may contain private, confidential, or legally privileged information intended for the sole use of the designated and/or duly authorized recipient(s). If you are not the intended recipient or have received this email in error, please notify me immediately by email and permanently delete all copies of this email, including all attachments without reading them. If you are the intended recipient, please secure the contents in a manner that conforms to all applicable state and/or federal requirements related to privacy and confidentiality of such information. Thank you.

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Leibu, Rachel
Sent: Sunday, May 05, 2019 9:28 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Cc: Cuoco, Lisa <Lisa.Cuoco at atlantichealth.org>
Subject: [MCOH-EH] Measles Prevention in Non-immune Appropriately Vaccinated Healthcare Employees

HI Everyone,

With the ever growing measles outbreak, how are you handling those employees who have appropriate proof of vaccination for measles but have a negative measles titer post vaccination.  What are you doing for this cohort of employees both prophylactically and in the event of an actual measles  exposure?

Rachel Leibu, MD, MBA, MS, FACOEM
Medical Director Occupational Medicine Services
Atlantic Health System
973-829-4277

************************************************************************************************************************************************************************************************************************************************* Morristown Medical Center, the flagship hospital of Atlantic Health System, has been building healthier communities since it was founded 126 years ago. Morristown Medical Center was named one of 'America's Best 50 Hospitals' for the third consecutive year by Healthgrades, a consumer-rankings group. The distinction places Morristown in the top one percent of hospitals in the nation for clinical performance. It was one of only 29 hospitals in the nation to be recognized as a Top Teaching Hospital by Leapfrog, and highest-ranking hospital in New Jersey, in both Cardiology & Heart Surgery and Orthopedics by U.S. News & World Report. In 2017, Morristown was the only hospital in New Jersey and one of just 12 hospitals in the country to receive three of the most sought-after industry honors: America's 50 Best Hospitals by Healthgrades, an "A" safety grade by Leapfrog and five stars from the Center for Medicare and Medicaid Services. Designated a Level I Regional Trauma Center by the American College of Surgeons and a Level II by the state, Morristown is a Magnet Hospital for Excellence in Nursing Service, the highest level of recognition by the American Nurses Credentialing Center for facilities that provide acute care services. The Gagnon Cardiovascular Institute offers patients a complete spectrum of heart and vascular care, home to the largest cardiac surgery program in the state. The Carol G. Simon Cancer Center is the only program in the state to receive the 2016 Outstanding Achievement Award from the American College of Surgeons Commission on Cancer. *************************************************************************************************************************************************************************************************************************************************

The information contained in this email is intended only for the use of the person(s) identified above. This communication may contain work product which is privileged and confidential, and may contain content which is regulated by Federal law. If you are not an intended recipient or the employee or agent responsible to deliver this to the intended recipient, you have received this message in error and any review, distribution or copying of it by you is prohibited. If you have received this message in error, please notify the sender immediately, and delete the message. E-mail and communication system messages generated by members of the Atlantic Health System workforce may not necessarily reflect the views of Atlantic Health System, its officers, directors or management.
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://mylist.net/archives/mcoh-eh/attachments/20190506/698ca83c/attachment-0001.htm>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: 2019.05.03_Measles_Outbreak_Information_for_Clinicians_FINAL.107939.pdf
Type: application/pdf
Size: 253774 bytes
Desc: 2019.05.03_Measles_Outbreak_Information_for_Clinicians_FINAL.107939.pdf
URL: <https://mylist.net/archives/mcoh-eh/attachments/20190506/698ca83c/attachment-0001.pdf>