August 16: Alert to health care professionals (PDF)
August 9: Alert to health care professionals (PDF)
Advisory re: immunization of health care workers (PDF)
August 9, 2013 news release
Measles fact sheet for patients (PDF)
Public Health Agency of Canada’s Immunization Guide chapter on measles vaccine and immunity
Ontario Public Health Laboratory information on testing for measles diagnosis
Guidelines for prevention and control of measles outbreaks in Canada
*These are the up-to-date national public health guidelines for managing a measles outbreak. It includes information on case and susceptible contact management (including the use of immunoglobulin), lab testing and immunization. If you would like a printed copy for your practice setting, please contact Oxford County Public Health at 519 539 9800 extension 3500.
Routine practices. Routine practices are based on the fact that all body fluids and mucous membranes contain microorganisms. The goal is to reduce exposure to body fluids by health care provider and others.
Additional precautions. For those suspected of having acute measles disease.
Measles virus can be transmitted via the airborne route. For full protection of staff and other patients, those suspected of having active measles should both wait to be seen and examined only in a room with air flow control (negative pressure). For physician’s offices and clinics where air flow control is not available, the following are suggestions for minimizing transmission within the office setting:
- Ensure that all staff are immune to measles
- Make every effort to see the patient at the end of the day
- Provide the patient with a surgical mask to wear at all times when in the office
- Do not allow the patient to sit in the waiting room. The patient should be quickly moved to the examining room and, if available, use a separate entrance in and out of the building
- Keep the door to the examining room closed and post a sign on the door to alert staff. If possible, open a window in the examining room
- After the patient leaves, allow sufficient time for the virus droplet nuclei to dissipate before using the room for another patient. Clean the room using routine cleaning practices before using the room for another patient. If possible, ensure that the next patient to be seen in the room is immune to measles
Oxford County Public Health & Emergency Services
519-421-9901 or 1-800-922-0096