NEW: Interim Pediatric Measles Outbreak Vaccination Recommendations

Dear CVP providers and immunization partners, 

We are sharing interim pediatric measles outbreak vaccine recommendations from the Washington State Department of Health. This guidance responds to a measles outbreak declared by Snohomish County.

These recommendations apply only to people who live in or visit counties with active measles outbreaks. At this time, only Snohomish County meets this criterion. We may update these interim recommendations based on local epidemiology.

Updated age-based measles, mumps, and rubella (MMR) vaccine recommendations:

• 0 – 5 months: No MMR is recommended.
• 6 – 11 months: No MMR is recommended unless indicated for planned international travel or travel to an area outside Washington where public health recommends vaccination because of an active measles outbreak.
• 1 – 17 years: Receive the first dose of MMR or measles, mumps, rubella, and varicella (MMRV) as soon as possible.
  • A second dose is recommended:
    • 28 days later if the first dose was MMR, or
    • 3 months later if the first dose was MMRV.

Please review the Interim Pediatric Measles Outbreak Vaccination Recommendations [PDF] for more details. This guidance will also be posted on the DOH “You & Your Family” measles webpage. 

For additional information:

• The DOH Measles Cases webpage is updated frequently with the latest case and outbreak information in Washington.
• The CDC Measles Cases and Outbreaks webpage is updated weekly with nationwide information. 

Please contact us at OI@doh.wa.gov if you have questions or concerns.