Measles Exposure with Unknown Vaccination Status During MR Catch-Up in the Philippines

Within what window after measles exposure is vaccination still useful for post-exposure prophylaxis?

Measles-containing vaccine for post-exposure prophylaxis is useful if given within 72 hours (3 days) after exposure in a susceptible, vaccine-eligible person. After that window, vaccination is not considered effective as PEP, although it should still be given later for routine protection if indicated. If the exposed pe

For an immunocompromised child exposed to measles, when is immunoglobulin preferred over live vaccine?

For an immunocompromised child exposed to measles, immunoglobulin is preferred over a live measles-containing vaccine when the child is moderately to severely immunocompromised, because MMR is contraindicated for most immunocompromised hosts and may be unsafe or ineffective in that setting. In post-exposure prophylaxis

How should I handle a documented egg allergy when a measles-containing vaccine is indicated?

A documented egg allergy is not a contraindication to a measles-containing vaccine such as MMR or MMRV. Current guidance supports giving the vaccine in the usual manner, without routine skin testing, split dosing, or desensitization protocols, because reactions are not driven by clinically relevant egg protein content

Can I give MMR safely to a child with mild febrile illness, or should I defer?

Yes — MMR can generally be given to a child with a mild febrile illness (for example, mild URI, otitis media, or mild diarrhea, with or without low-grade fever). Deferral is usually only advised for a moderate or severe acute illness, mainly to avoid confusing vaccine reactions with progression of the current illness,

What are the common expected adverse reactions to counsel parents about after MMR?

For MMR (measles-mumps-rubella), the common expected reactions to counsel parents about are usually mild and self-limited: - Mild fever, often occurring about 5–12 days after vaccination - Mild rash appearing several days after the shot - Transient injection-site reactions such as pain, redness, itching, swelling, or a