The Cribsiders

S6 Ep136: Vaccine-Preventable Illnesses - Measles, Mumps, Rubella, and Varicella: The Throwback Party Nobody Wanted

Mar 19, 2025
Dr. Walter Dehority, a pediatric infectious disease physician at Monroe Carell Jr. Children's Hospital, dives into the critical issue of vaccine-preventable illnesses like measles, mumps, and rubella. He shares insights on the alarming decline in vaccination rates and its impact on health disparities in communities. With a blend of humor and expertise, he emphasizes the importance of recognizing symptoms early and navigating vaccine hesitancy in conversations with parents. Tune in for valuable tips on improving vaccine uptake, especially in rural areas!
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INSIGHT

Measles Rash Progression Pattern

  • Measles rash starts on the face and spreads downward, then reverses from feet back to head during healing.
  • This cephalocaudal progression and reversal is a unique diagnostic clue for measles.
ADVICE

Measles Precautions in Clinic

  • Use airborne isolation with a negative pressure room and N95 masks when suspecting measles.
  • Taking extra precautions prevents healthcare-associated measles outbreaks.
ANECDOTE

Metrodome Measles Transmission Story

  • An athlete with measles in the Minneapolis Metrodome infected two unimmunized people in a 60,000-seat stadium.
  • This story highlights measles' extreme airborne transmissibility in crowded spaces.
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