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
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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Leibu, Rachel
Sent: Sunday, May 05, 2019 9:28 PM
To: MCOH/EH <mcoh-eh@mylist.net>
Cc: Cuoco, Lisa <Lisa.Cuoco@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
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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. *************************************************************************************************************************************************************************************************************************************************
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