In January 2013 the Florida Department of Health in Orange County investigated a measles outbreak in four unvaccinated siblings with no travel history. A fifth possibly associated case was later reported in a Brazilian citizen with travel to Orange County, Fla.. No source case was identified. A rapid and thorough public health response was conducted to prevent further transmission of measles. No additional cases were identified in Florida.
Measles causes fever, runny nose, cough and a rash all over the body. About one out of 10 children with measles also gets an ear infection, and up to one out of 20 gets pneumonia. For every 1,000 children who get measles, one or two will die. Adults can also get measles especially if they are not vaccinated. Children under 5 years of age and adults over 20 are at higher risk for measles complications including pneumonia, and a higher risk of hospitalization and death from measles than school aged children and adolescents.
Healthcare providers should learn to recognize measles infections and should consider measles diagnosis in persons with no or unknown vaccination history and compatible symptoms.