The first confirmed positive case of measles in a Montgomery County resident since 2005 was identified last week. The child was evaluated at Dayton Children’s Hospital emergency department on two occasions between January 29th and January 31st on their main campus. Just prior to the Dayton Children’s emergency room visits, the child had out of state travel to Florida which included plane and hotel stays. This information was shared with the Ohio Department of Health (ODH) who is reaching out to health authorities in these other jurisdictions.

Patient contacts from Dayton Children’s Hospital ED were residents of 13 Ohio counties. There were a total of 232 patient seen in the ED during the period of measles exposure, of whom 153 were Montgomery County residents. Public Health-Dayton & Montgomery County formed response team to contact the families of these 153 children, because the children and anyone who accompanied them to the ED is at risk for contracting measles.

Background about measles

Measles is a highly contagious viral respiratory illness. The virus is spread through coughing or sneezing, and tiny respiratory droplets can remain suspended in the air for up to two hours and infect others. The average incubation period for measles is 14 days, with a range of 7-21 days. If identified contacts from the ED become ill with measles, we expect they would present with symptoms in the next 1-2 weeks.

Fortunately, the vaccine for measles, the MMR vaccine, is very effective. Children are required to obtain 2 doses before starting kindergarten- one at age 12-15 months, and a second dose at 4-6 years of age. One dose of MMR is 93% effective, and two doses of MMR are 97% effective at preventing measles infection. Most individuals in the ED were vaccinated.

All individuals who were exposed to measles in the ED will need to monitor for symptoms for 3 weeks. Fifty of the contacted individuals were instructed to quarantine at home for 3-4 weeks, as immunity to measles could not be confirmed. Those at particular risk for infection include those less than 1 year old, those who were pregnant with no evidence of immunity, and those with a condition that weakened their immune system. These high-risk individuals were given immune globulin, premade antibodies, to protect against infection.

The Public Health response

Vaccination against measles is the best protection. We encourage everyone who has not been vaccinated or who doesn’t have a record of measles vaccination to get vaccinated. Measles vaccines are available in our Reibold clinic downtown. This week, we are having a walk-in measles vaccine clinic and we welcome community members to come down, stop in and get vaccinated.

Heart Health

Life’s Essential 8 - the key measures for improving and maintaining cardiovascular health, as defined by the AHA. . Better cardiovascular health helps lower the risk for heart disease, stroke and other major health problems.

  1. Eat Better

    Healthy eating includes whole grains, limiting fats and processed foods, and eating 4-5 servings of fruits and 4-5 servings of vegetables/day.

    In Montgomery County only 45% of adults eat any fruit daily (increased) and only 18% of adults eat any vegetable daily (decreased)

  2. Be More Active

    Adults should get 2 ½ hours of moderate or 75 minutes of vigorous physical activity per week.

    In Montgomery County, 22% of adults meet these recommendations, which is an improvement. (increased)

  3. Manage Blood Sugar

    Over time, high levels of blood sugar can damage your heart, kidneys, eyes and nerves.

    In Montgomery County, the number of adults who have been told they have diabetes has increased to 13.5%. 6.6% of adults have been told they have pre-diabetes (decreased)

  4. Manage Weight

    Achieving and maintaining a healthy weight has many benefits. Body mass index, a numerical value of your weight in relation to your height, is a useful gauge.

    In Montgomery County, 69% of adults are considered overweight or obese (increased)

  5. Control Cholesterol

    High levels of non-HDL, or “bad,” cholesterol can lead to heart disease.

    In Montgomery County, about 1 in 3 adults have been told they have high cholesterol. (decreased since 2015)

  6. Manage Blood Pressure

    Keeping your blood pressure within acceptable ranges can keep you healthier longer. Levels less than 120/80 mm Hg are optimal.

    In Montgomery County, about 1 in 3 adults have high blood pressure. (increased slightly)

  7. Quit Tobacco

    Use of inhaled nicotine delivery products, which includes traditional cigarettes, e-cigarettes, and vaping, is the leading cause of preventable death in the U.S., including about a third of all deaths from heart disease.

    In Montgomery County, about 1 in 6 adults smoke. The number of current adult smokers has trended downwards since 2017.

  8. Get Healthy Sleep

    Most adults need 7-9 hours of sleep each night. Adequate sleep promotes healing, improves brain function and reduces the risk for chronic diseases.

    In Montgomery County, 41.5% of adults get less than 7 hours of sleep a night.

Most Read Features

Bed Bug Information

There are important steps that need to be followed once a boil water advisory ends. After the advisory has been lifted, it does not mean that the water is able to be used or drank right away. Please see the checklis...

The charts below represent the preliminary number of accidental overdose deaths in Montgomery County in 2020 as reported by the Montgomery County Coroner’s Office. These numbers may change when the final cause of de...

Signs and Symptoms The symptoms of measles generally appear about seven to 14 days after a person is infected. Measles typically begins with high fever, cough, runny nose (coryza), and red, watery eyes ( conjunctivi...

Flu Advice from Public Health