Mumps: From December 2018 to date we have confirmed two (2) cases in the community and a cluster of five (5) cases in one detention center. While we have good vaccination levels we are reminding the community and their physicians to consider mumps when one presents with parotitis. In addition we are advising physicians to consider flu when you have children presenting with parotitis as several throughout the state have been tested negative for mumps; but positive for flu, therefore we recommend testing for flu and mumps when presenting with symptoms of parotitis.
Symptoms: for many asymptomatic
· Unilateral or bilateral swelling of the parotid or salivary glands, preceded by low-grade fever, muscle aching and tired and /or headache
· Complications are rare but may include deafness, pancreatitis, oophoritis, orchitis, meningitis, and/or encephalitis.
· Mumps is transmitted from person to person by respiratory droplets or saliva, persons are contagious from 3 days before to 5 days after onset of parotitis.
People suspected of having mumps should contact their doctor and stay home from work, school, daycare, and any public outings (e.g., church, grocery store) until five days have passed from onset of parotitis. Household and close contacts of suspected mumps cases are advised to watch for signs and symptoms of mumps for up to 25 days after the last day of exposure. All contacts should be vaccinated.
Measles: We do not have any cases in Laredo but Texas and the nation has seen several local outbreaks including in the Houston area. Measles is a very contagious disease caused by a virus.
Symptoms: Measles starts with a fever. Soon after, it causes a cough, runny nose, and red eyes. Then a rash of tiny, red spots breaks out. It starts at the head and spreads to the rest of the body. Measles can be serious for young children. It can lead to pneumonia, encephalitis (swelling of the brain), and death. Measles spreads through the air when an infected person coughs or sneezes. It is so contagious that if one person has it, 90% of the people around him or her will also become infected if they are not protected.
Although not common in the United States measles is a threat when persons are not protected through vaccination especially if they travel abroad. Measles is still common in other parts of the world, including many countries in Europe, Asia, the Pacific, and Africa. Every year, unvaccinated people get measles while they are abroad and bring the disease into the United States and spread it to others. Measles can spread quickly in communities where people are not vaccinated. Children and anyone else who is not protected against measles is at risk of getting infected. That’s why it is so important to be up to date on vaccinations, including before traveling abroad.
Protect yourself and your Child against Measles especially Before Traveling Abroad
We recommend all children and adults get vaccinated against measles with a combination vaccine that provides protection against three diseases: measles, mumps, and rubella (MMR). The MMR vaccine is proven to be very safe and effective. The Centers for Disease Control and Prevention (CDC), Texas Department of State Health Services and the Laredo Health Department recommends that children get two doses:
· Infants 6 months through 11 months of age should have 1 dose of measles vaccine. Infants who get 1 dose of measles vaccine before their first birthday should get 2 more doses of the vaccine (one dose at 12 through 15 months of age and another dose at least 28 days later).
· Children 12 months of age or older should have 2 doses separated by at least 28 days.
· Adults and pregnant women should always know their status against measles, especially if traveling abroad.
Note: Persons are considered immune (protected) for measles, mumps and rubella through a written record of receipt of two MMRs, positive laboratory titers, or birth prior to 1957