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What To Know During a Measles Outbreak: FAQ

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We’ve declared measles “over” in the United States twice, once in 2000 and once in 2016. Unfortunately, like a bad fashion trend or the killer in a slasher film, measles outbreaks keep coming back.

So far in 2024, we’ve had a rash of small measles outbreaks. Pennsylvania, Arizona, Washington, and most recently, Florida. Already, we’ve seen 41 cases in the U.S. in the first 2 months compared to 58 in all of 2023. 2024 is off to a rough start, and cases are likely to continue to spread.

When you’ve got kids too young to be fully vaccinated, any measles outbreak is scary. And given the speed at which measles can move, no amount of distance is far enough away. It’s an even scarier situation for anyone with a newborn, or an immunocompromised loved one.

Many of us feel understandably helpless to defend ourselves and our loved ones against an outbreak. But knowing the facts is one way we can take power back. Here’s everything you need to know to protect yourself and those you care about from measles — from our infectious disease experts at UVA Health.

Should We Be Worried About Measles?

Yes. Because we’ve had vaccines, most of us haven’t seen anyone suffer with a sickness like measles.

“Many people aren’t familiar with these diseases. They don’t realize that measles can be fatal,” says Emily Wong, MD, a pediatrician at UVA Health Children’s.

Despite older people’s nostalgia about measles parties, it’s a really nasty virus. That’s mostly because it comes with the risk of a lot of complications.

What Are Common Measles’ Complications?

Measles complications run the range from “not a big deal” to deadly. Here’s a breakdown of the most common ones.

Assuming 1,000 people get measles:

  • 200 will be hospitalized
  • 100 will have ear infections, some resulting in lifelong hearing problems
  • 100 will have severe diarrhea
  • 50 kids will also get pneumonia
  • 10 children with measles will go blind
  • 1 will get brain swelling and damage
  • 1 will die from respiratory complications

It’s also hard on your immune system. That means even after recovery you’ll be more vulnerable to other illnesses, like RSV or flu, which can also be deadly.

Need to Schedule a Vaccine Appointment?

Your child’s pediatrician can help make sure they’re protected from measles.

How Contagious Is the Measles?

“Measles has one of the highest attack rates of any infectious disease that we know of,” says Sarah Boggs, MD, a UVA Health Children’s pediatrician. It’s more contagious than the flu, smallpox, COVID-19, or chickenpox. What makes it so spreadable?

  • The virus spreads through the air and can linger for up to 2 hours after an infected person leaves a space.
  • If you aren’t vaccinated, you have a 90% chance of getting it if exposed. Just breathing the same air as an infected person is enough to be exposed.
  • After exposure, you won’t know whether you’re in the clear for 21 days.
  • You’re contagious for 4 days before you get a tell-tale rash.

So, Is This a Measles Outbreak?

Not yet. But we’ve got unvaccinated kids going to elementary school and parents sending exposed babies to daycare. An outbreak could happen anywhere. So, it’s a good time to be prepared.

In 2019, one of the worst years for measles outbreaks in the United States, we went from a few isolated cases to hundreds in very little time.

How Do We Stop Measles Outbreaks?

Vaccination is pretty much the only way to stop the spread of measles. Get yourself and your family vaccinated. Make sure only vaccinated people meet your children who are too young to be vaccinated. 

While there are many risks from measles, there are very few from vaccination. For most people, all they’ll experience is a mild fever and a little soreness.

“There is a very, very small risk of an allergic reaction,” Boggs says. “But they’re incredibly rare.”

But there’s a lot of information out there and it’s easy to get confused. Boggs says she’s always happy to talk with parents about vaccination fears.

“I always encourage parents of patients to bring me the resources they’ve read so we can review it together,” she says.

My Child Has Only Had 1 Round of Vaccines; Should I Worry?

The measles, mumps, and rubella vaccine (MMR) is 93% effective with just 1 dose. Since most kids get these shots at their 1-year pediatrician visit, people with kids past infancy don’t have a lot to be worried about.  

I’ve Been Vaccinated, But It Was a Long Time Ago. Am I Still Safe?

After age 5, when people get their 2nd MMR, most people have 97% immunity.
There are some exceptions:

  • If you were born before 1957, you may not have immunity.
  • If you were born between 1963-1967, it’s possible you got an early version of the vaccine. This one wasn’t as effective.

If you’re in either of these 2 groups and are concerned, make an appointment with your primary care provider. They can check your blood antibody levels (called tithers). If you’re not immune, you can still get the MMR. And it’ll still be very effective.

How Can I Protect My Baby from Measles?

For babies younger than 1 year old, for whom measles can be the most devastating, there are options.

If you’re in an area where it’s circulating, pediatricians will sometimes advise vaccinating children as young as 6 months. You should also get your child’s MMR early if you’re traveling internationally to a country with a higher number of yearly measles’ cases.

Won’t Vaccinating My Child Too Early Hurt Them?

Infants are exposed to many germs in the environment starting at birth. And really, that’s all vaccination is. Vaccines teach a baby’s immune system how to respond to germs they may encounter.

Vaccines schedules are based on when we know a baby’s immune system will respond best to the vaccine.  

Why Don’t We Just Vaccinate All 6-Month-Olds?

At 6 months, babies still have so many of mom’s measles antibodies transferred during the pregnancy that they usually don’t mount a lasting response against measles. So, babies vaccinated at 6 months still need to get their 1-year and 5-year shots.  

Basically, it’s a “bonus” shot that gives a little protection now. But it won’t act as a substitute for the longer lasting immunity that the later vaccinations offer.

What If My Child Is Exposed to Measles?

The first thing to do is self-quarantine. People can be contagious long before they have symptoms. Then, call your healthcare provider. If your child hasn’t been immunized but is older than 6 months, they may suggest getting the MMR. If given within 72 hours after exposure, the vaccine is effective.

What If My Child is Vaccinated but Is Also Immune-Compromised?

For children with serious conditions like cancer, their immune system may not be able to react the way it needs to. Even with the benefit of being vaccinated.

There are immune globulin treatments available for these patients that may help. These treatments are most effective when given within 6 days of exposure.

What If, Despite Trying Everything, My Child Still Gets Measles?

If your child gets measles, hopefully it will be a mild case. You and your family should stay home and offer standard comfort items. Call your doctor for correct dosing on fever reducing medications like acetaminophen or ibuprofen. Offer your child warm foods that aren’t too rich. And oatmeal baths are a tried-and-true solution to an itchy rash that are ok at any age.

You do need to be on the lookout for common measles complications, though. For most children, the reason they’re hospitalized is a secondary pneumonia infection. This can cause serious breathing problems. If your child is showing any signs of not breathing well, call the hospital and arrange their stay.

It’s very important to not simply show up at the hospital. There are waiting rooms of people who could give your child secondary infections or get measles from your child.  

At the hospital, we can offer IV nutrition and respiratory support.

Be Cautious, Not Fearful

Having the information you need can help you understand when, and where, caution is warranted. It’s healthy to have some anxiety about measles. It’s a sometimes-fatal illness that’s basically an apex predator in terms of infectability. But with a very effective vaccine and treatment options available, there are many ways to protect yourself and your loved ones.



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Nursing Homes Are Left in the Dark as More Utilities Cut Power to Prevent Wildfires

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By Kate Ruder

When powerful wind gusts created threatening wildfire conditions one day near Boulder, Colorado, the state’s largest utility cut power to 52,000 homes and businesses — including Frasier, an assisted living and skilled nursing facility.

It was the first time Xcel Energy preemptively switched off electricity in Colorado as a wildfire prevention tool, according to a company official. The practice, also known as public safety power shut-offs, has taken root in California and is spreading elsewhere as a way to keep downed and damaged power lines from sparking blazes and fueling the West’s more frequent and intense wildfires.

In Boulder, Frasier staff and residents heard about the planned outage from news reports. A Frasier official called the utility to confirm and was initially told the home’s power would not be affected. The utility then called back to say the home’s power would be cut, after all, said Tomas Mendez, Frasier’s vice president of operations. The home had just 75 minutes before Xcel Energy shut off the lights on April 6.

Staff rushed to prepare the 20-acre campus home to nearly 500 residents. Generators kept running the oxygen machines, most refrigerators and freezers, hallway lights, and Wi-Fi for phones and computers. But the heating system and some lights stayed off as the overnight temperature dipped into the 30s.

Power was restored to Frasier after 28 hours. During the shut-off, staff tended to nursing home and assisted living residents, many with dementia, Mendez said.

“These are the folks that depend on us for everything: meals, care, and medications,” he said.

Not knowing when power would be restored, even 24 hours into the crisis, was stressful and expensive, including the next-day cost of refilling fuel for two generators, Mendez said.

“We’re lucky we didn’t have any injuries or anything major, but it is likely these could happen when there are power outages — expected or unexpected. And that puts everyone at risk,” Mendez said.

As preemptive power cuts become more widespread, nursing homes are being forced to evaluate their preparedness. But it shouldn’t be up to the facilities alone, according to industry officials and academics: Better communication between utilities and nursing homes, and including the facilities in regional disaster preparedness plans, is critical to keep residents safe.

“We need to prioritize these folks so that when the power does go out, they get to the front of the line to restore their power accordingly,” said David Dosa, chief of geriatrics and professor of medicine at UMass Chan Medical School in Worcester, Massachusetts, of nursing home residents.

Restoring power to hospitals and nursing homes was a priority throughout the windstorm, wrote Xcel Energy spokesperson Tyler Bryant in an email. But, he acknowledged, public safety power shut-offs can improve, and the utility will work with community partners and the Colorado Public Utilities Commission to help health facilities prepare for extended power outages in the future.

When the forecast called for wind gusts of up to 100 mph on April 6, Xcel Energy implemented a public safety power shut-off. Nearly 275,000 customers were without power from the windstorm.

Officials had adapted after the Marshall Fire killed two people and destroyed or damaged more than 1,000 homes in Boulder and the neighboring communities of Louisville and Superior two and a half years ago. Two fires converged to form that blaze, and electricity from an Xcel Energy power line that detached from its pole in hurricane-force winds “was the most probable cause” of one of them.

“A preemptive shutdown is scary because you don’t really have an end in mind. They don’t tell you the duration,” said Jenny Albertson, director of quality and regulatory affairs for the Colorado Health Care Association and Center for Assisted Living.

More than half of nursing homes in the West are within 3.1 miles of an area with elevated wildfire risk, according to a study published last year. Yet, nursing homes with the greatest risk of fire danger in the Mountain West and Pacific Northwest had poorer compliance with federal emergency preparedness standards than their lower-risk counterparts.

Under federal guidelines, nursing homes must have disaster response plans that include emergency power or building evacuation. Those plans don’t necessarily include contingencies for public safety power shut-offs, which have increased in the past five years but are still relatively new. And nursing homes in the West are rushing to catch up.

In California, a more stringent law to bring emergency power in nursing homes up to code is expected by the California Association of Health Facilities to cost over $1 billion. But the state has not allocated any funding for these facilities to comply, said Corey Egel, the association’s director of public affairs. The association is asking state officials to delay implementation of the law for five years, to Jan. 1, 2029.

Most nursing homes operate on a razor’s edge in terms of federal reimbursement, Dosa said, and it’s incredibly expensive to retrofit an old building to keep up with new regulations.

Frasier’s three buildings for its 300 residents in independent living apartments each have their own generators, in addition to two generators for assisted living and skilled nursing, but none is hooked up to emergency air conditioning or heat because those systems require too much energy.

Keeping residents warm during a minus-10-degree night or cool during two 90-degree days in Boulder “are the kinds of things we need to think about as we consider a future with preemptive power outages,” Mendez said.

Federal audits of emergency preparedness at nursing homes in California and Colorado found facilities lacking. In Colorado, eight of 20 nursing homes had deficiencies related to emergency supplies and power, according to the report. These included three nursing homes without plans for alternate energy sources like generators and four nursing homes without documentation showing generators had been properly tested, maintained, and inspected.

For Debra Saliba, director of UCLA’s Anna and Harry Borun Center for Gerontological Research, making sure nursing homes are part of emergency response plans could help them respond effectively to any kind of power outage. Her study of nursing homes after a magnitude 6.7 earthquake that shook the Los Angeles area in 1994 motivated LA County to integrate nursing homes into community disaster plans and drills.

Too often, nursing homes are forgotten during emergencies because they are not seen by government agencies or utilities as health care facilities, like hospitals or dialysis centers, Saliba added.

Albertson said she is working with hospitals and community emergency response coalitions in Colorado on disaster preparedness plans that include nursing homes. But understanding Xcel Energy’s prioritization plan for power restoration would also help her prepare, she said.

Bryant said Xcel Energy’s prioritization plan for health facilities specifies not whether their electricity will be turned off during a public safety power shut-off — but how quickly it will be restored.

Julie Soltis, Frasier’s director of communications, said the home had plenty of blankets, flashlights, and batteries during the outage. But Frasier plans to invest in headlamps for caregivers, and during a town hall meeting, independent living residents were encouraged to purchase their own backup power for mobile phones and other electronics, she said.

Soltis hopes her facility is spared during the next public safety power shut-off or at least given more time to respond.

“With weather and climate change, this is definitely not the last time this will happen,” she said.

This article was produced by KFF Health News, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling, and journalism.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

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KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

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Previously Published on kffhealthnews.org

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Back to School Solutions for the Principal

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As the head administrator in the school building, the principal is responsible for the learning and wellness of all teachers, staff, and students. And like the people they oversee, back to school season for the school principal is exciting, full of potential, and deeply stressful.

Our experts at School Specialty constantly review our products to ensure they help your staff and students meet their goals. How do we know they’re experts? Because they were teachers!

We know we can’t solve every obstacle principals face, but that will never stop us from trying! Here are five areas where we want to help, and some curated items to supplement your efforts to provide a safe and successful learning environment.

Academic Achievement

It’s no surprise that the top of every educator’s wish for their students is academic achievement. Successful student outcomes require forward-thinking educators and principals who support them.

This often requires understanding that achievement may look different for each student. While some products may have a specific focus, the reality is that the most efficient tools will be just as useful for both the margins and the masses. Here are a few expert favorites to aid that effort.

Staff and Student Wellness

The physical and emotional wellness of educators and students is consistently shown to support student connectedness and success. For this reason, it’s often an area of emphasis for administrators.

From ensuring proper nutrition to promoting active learning to helping students manage stress and anxiety, we’re dedicated to providing the tools your schools need to support the wellness of all students and staff.

Maximize Budgets

School budgets are always a hot topic, and anyone involved in education likely has a strong opinion. But we consider it our responsibility to offer solutions that allow your school to achieve more with less. That’s why we rigorously test the durability of our brand products. We’re dedicated to ensuring you get name-brand quality supplies at affordable prices.

We’ve offered tips in the past on how to work within a budget to grow a classroom library, upgrade and update classroom storage, and take advantage of savings with classroom packs. Here are some more product ideas to help teachers get the most out of every dollar.

School Culture

Setting the tone of your school’s culture starts at the top. The principal can profoundly affect the confidence of students and staff and the prevention of bullying behavior.

These products are designed to encourage students to make positive decisions in how they treat themselves and each other. Build a culture that makes your school a welcoming place where kids want to come and learn.

Bullying prevention will help provide a safer school environment, but just as important as teaching students what not to do is encouraging them to lift each other up. Show all students they’re part of a school culture that values them with tools and manipulatives for a welcoming and inclusive classroom.

Student Engagement

Creating engaging learning environments can be done in several ways, depending on the needs of your students. Once you’ve identified what will best engage students and stimulate interest in their own learning, you then need to provide teachers with the tools they need to bring that vision to life.

The key is to provide students with choices so that they can find ways to make their education more meaningful. Perhaps they want to start a robotics program or strengthen a music program. It could even be as simple as providing sensory spaces that allow students to self-manage or taking a class outdoors to engage in active science learning.

If you’re looking for a more significant update for an engaging classroom experience, an interactive sensory corner would be a hit with students of all ages. These multisensory environments give students a calming experience, allowing them to relax and regain a sense of control.

The many ways schools evolve in teaching create a constant need for new tools to support new objectives. We may not have all the answers, but we hear your questions and won’t stop until we find solutions for every school and classroom.

Visit the School Specialty website for more information and ideas to reduce back to school stress so you can enjoy the unlimited potential of a new school year.





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How to Encourage Cultural Inclusion in Your Classroom

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With classrooms across the country becoming more diverse, it’s critical for educators to ensure students of all races and cultures feel seen, heard, and empowered to succeed. Promoting cultural inclusion in your classroom may take some work, but we’ll help you out with five ways to make it fun, meaningful, and lasting.

Know Your Students

This may sound simple, but in some classrooms, truly getting to know and understand your students as individuals can feel like it’s testing your comfort zone.

Start simple by learning their names and ensuring you pronounce them correctly. For a name that feels especially difficult, write it out phonetically for yourself until you’re sure you remember it.

If you’re unfamiliar with a student’s culture, take some time to learn about it. They may not choose to talk about it, but you’ll have a foundation to build on if the subject comes up.

Celebrate Cultural Differences

Getting to know your students is important to ensure they feel included as part of a greater community while embracing their differences. From there, you can find ways to celebrate their cultural differences as a class.

This can take many forms. Work with the students to determine their comfort level and an appropriate way to share their unique heritage.

It could be as simple as celebrating a holiday with traditional foods or making Inspiration Flags to represent their ancestry. Find activities that are designed to honor that holiday or time of year. This can range from sugar skull crafts to celebrate Dias de los Muertos in November to making stained glass clover crafts for St. Patrick’s Day in March. Take some time during Black History Month to introduce students to the contributions of black artists. The most important thing is to keep the celebrations positive, culturally inclusive, and culturally appropriate.

Directly Address Stereotypes

Unfortunately, the process of learning about different cultures may expose some stereotypes. These should be addressed immediately and thoroughly to ensure students understand how hurtful some stereotypes can be.

Most children likely don’t even realize where or when they developed stereotypical perceptions of other races or cultures. Use this as an opportunity to guide students and promote cultural inclusion. Let them ask you and each other questions as they learn to participate in respectful communication.

Community Through Collaboration

Setting students up in diverse pairs and small groups is a powerful way to encourage a multicultural sense of community. This may not work for every project, but when possible, give students the flexibility to learn from each other directly.

This doesn’t even necessarily need to include a cultural component. Simply letting students work together and earn each other’s respect can significantly impact their overall cultural outlook.

Diverse Curriculum and Supplies

Some areas of the curriculum have natural ways to incorporate cultural inclusion in education.

  • If a history lesson talks about a culture represented in your classroom, dig a little deeper and find ways to provide more meaningful context
  • Introduce multicultural arts and crafts projects and include a lesson that ties the craft and its history to part of your curriculum
  • Assign a creative writing project or essay where students imagine themselves as one of their ancestors from another country

Your use of classroom tools and supplies can also subtly impact how your students embrace cultural inclusion. For example, incorporate skin-tone paints, markers, crayons, and colored pencils into a self-portrait project to allow students to express themselves more artistically. For storytime, lay out a rug that celebrates love and cultural diversity. When building your classroom library, take advantage of bilingual book sets and read-alouds that promote cultural inclusion and diversity.

We love hearing from other teachers and educators around the country and the world. How do you create a culturally inclusive classroom? Let us know in the comments!





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