The measles outbreak spreads across a Washington county known for choosing not to vaccinate its children, and health officials declare a public health emergency.
Michigan health officials confirmed that a traveler from Israel infected with measles could spread the virus while visiting Oakland County March 6-13.
Travelers, visiting businesses, a religious institution and a synagogue, also traveled to New York, which was in the midst of this most severe metaphor for decades. The masses are spreading in the country. In total, 228 measles cases in 12 states were reported from the start of the year to March 7, according to Centers for Disease Control and Prevention.
Measles are a highly contagious virus that can be avoided in the vaccine. It spreads when an infected person recedes or sneezes, and the air may remain where a person is injured or covered for up to two hours.
Diseases are contagious, up to 90% of people close to one infected person will also get an infection if they are immune by immunization or former measles infection, according to the CDC. A person with measles may be infected four days before a rash appears and continously contagious for four days afterwards.
Where is the person with measles infection in Michigan?
The Michigan Department of Health and Human Services and the Oakland County Health Division have stated that people may be exposed to measles in the following hours, dates and locations:  Lincoln Liquor & Rx, 25901 Coolidge Highway, Oak Park: 12:20 to 2:45 pm on Friday, March 8
Health officials said Additional sites of potential exposure may be identified as more details
What should you do if you have been exposed to measles?
For anyone who has not been vaccinated and may be exposed, health officials say that taking vaccines within 72 hours of exposure may limit the possibility of contracting the disease. In addition, your doctor may provide immune globulin (Ig) treatment, which is effective within six days of exposure to people with high risk of measles.
The highest risk is the unspoken pregnant women and people with diseases that have compromised their immune systems such as HIV and diabetes, and people who take drugs that impair their immune system .
In this illustration illustration, a bottle containing measles vaccine is available at Miami Children's Hospital in Miami, Florida.
Anyone born in 1957 or earlier is considered immune from measles.
If you think you may have been exposed, health officials suggest an observation for symptoms within 21 days of exposure. If you have symptoms, it is important to call the doctor's office to plan your visit carefully to prevent others from potentially exposed to measles.
What are the symptoms of measles?
Symptoms of measles usually appear about seven to 14 days after a person has been infected, but may appear for up to 21 days after exposure. According to the CDC, measles infections usually begin with:
- high fever, which may rise above 104 degrees
- runny nose
- red, full of eyes
or three days after respiratory symptoms Start up, tiny white spots, known as Koplik spots, are often seen in gums, roofs of the mouth and inside the cheeks.
In addition, a red, raised blotchy rash that usually begins with the face before spreading on the trunk, arms and legs will develop.
"Vaccines are the best way to protect our families and communities from diseases preventable from measles such as measles, especially in recent epidemics across the country and around the world," Dr. Russell Faust, Medical Director for Oakland County Health Division, in a news release.
If health experts support vaccination
The World Health Organization includes vaccine hesitation, which is the refusal to be vaccinated for vaccine-preventable diseases, including the top 10 health threats in the world in 2019.  More: The debate vaccine is burning with a threat of measles threatening Michigan
More: Michigan's hepatitis The outbreak is worst in the US.
In Michigan, public health code requires children enrolled in public or private schools, licensed day care centers and preschools will be vaccinated. Kindergartens should have vaccines for tetanus, tetanus and pertussis, measles, pimple, rubella, polio, chicken pox, and hepatitis B before they begin school. Children entering the seventh grade should also be vaccinated for meningococcal disease.
Unless there is a reason medical immunity for children vaccinated, parents who wish to opt out need to get a waiver from the county health department to enroll their children at school. They can look for waivers that allow them to skip vaccines if they have a philosophical or religious objection.
In Oakland County, roughly 4.8 percent of young people have received vaccine surgeries in 2017, the most recent year in which vaccination data is available. In some parts of Michigan, as many as 1 in 10 school-age children get waivers to relieve them of getting a school-ordered vaccine.
It provides them and other undocumented Michiganders who are at risk of contracting potentially fatal diseases such as measles, cough and mumps, Terri Adams, a registered nurse and section manager for Division of Immunization at the Michigan Department of Health and Human Services told Free Press for a previous interview. "In Michigan, we have seen the highest number of measles cases in the past year than in 24 years," Adams said, state confirmed at 19 in Washtenaw and Oakland counties in 2018.  Where can I get measles vaccine?
Combined Measles, Mumps, Rubella vaccines are available through offices of the Oakland County Health Division at 1200 N. Telegraph Road, Building 34 East, Pontiac and at 27725 Greenfield Road, Southfield. Many pharmacies and doctor's offices may also provide vaccines.
The Oakland County Health Division receives health insurance, as well as the Medicaid, Medicare, Children's Vaccines (VFC), cash, and credit programs. VFC offers vaccinations at no cost for eligible children. The vaccine is given in two doses, and each dose is worth $ 71, and there is an additional $ 7 charge per vaccine.
The Oakland County Health Division says no one will be denied the vaccine because they can not be paid. A discounted / sliding fee schedule is also available.
Contact Kristen Jordan Shamus: 313-222-5997 or email@example.com. Follow him on Twitter @kristenshamus.
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