Amid measles outbreaks in various parts of the U.S., the Florida surgeon general has issued some guidance to parents regarding kids’ school attendance.

In a letter issued to parents on Friday, Dr. Joseph Ladapo said the Florida Department of Health (FDOH) “is deferring to parents or guardians to make decisions about school attendance.”

The letter comes in response to a cluster of measles cases identified at Manatee Bay Elementary in Weston, Florida.

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Typical guidance from the U.S. Centers for Disease Control and Prevention (CDC) is for unvaccinated children who have not had the measles to stay home for up to 21 days in the event of a potential exposure at school. 

“However, due to the high immunity rate in the community, as well as the burden on families and educational cost of healthy children missing school, DOH is deferring to parents or guardians to make decisions about school attendance,” Ladapo’s letter stated. 

“This recommendation may change as epidemiological investigations continue.”

People who have had the full series of the measles, mumps, rubella (MMR) immunization or who have had a prior infection are 98% protected against the highly contagious virus, the doctor noted.

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Those who do not have immunity have a 90% chance of contracting measles.

“If someone in your household contracts measles, all members of the household should consider themselves exposed and monitor symptoms,” Ladapo stated in the letter.

The doctor did recommend that students with symptoms should stay home from school.

Common signs and symptoms of measles include a rash on the face, neck and body; high fever; cough; runny nose; and red, watery eyes. 

“All children presenting with symptoms of illness should not attend school until symptoms have fully subsided without medication,” Ladapo advised.

On the Florida Department of Health’s website, two doses of the MMR vaccine are listed among the vaccine requirements for children entering, attending or transferring to public and non-public schools for kindergarten through 12th grade.

“If someone in your household contracts measles, all members of the household should consider themselves exposed and monitor symptoms.”

Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, was not involved in the FDOH letter but offered his reaction to the guidance.

“The measles vaccine is almost 100% effective at preventing spread, especially if two shots are given,” he told Fox News Digital in a phone interview on Friday.

“At a time when there’s a resurgence of measles in the world and travel is not restricted, and people are coming into this country with measles, it’s extremely important that our children be vaccinated against it.”

The current measles outbreak is a time when “individual choice has to give way to public health and community preservation or safety,” Siegel said.

While some public health officials may have been “mistaken” about drawing that line with the COVID pandemic, that doesn’t automatically mean that it applies to every virus and vaccine, the doctor noted.

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“The problem here is that if kids start going to school unvaccinated against measles, given how contagious it is and how effective the vaccine is, they are putting other children at risk,” Siegel said. 

Referring to measles as “the most contagious respiratory virus on the planet,” Siegel warned that an unvaccinated person has at least a 90% chance of catching the illness if they enter a room where measles was present up to two hours prior.

The doctor also warned of the severity of the disease, noting that one in five people with measles ends up in the hospital. 

These dangers can be offset by the vaccine, Siegel said.

“This is a great vaccine — extremely important, very safe, tested for decades, and [it] prevents the spread of a dangerous virus that’s resurging right now.”

Siegel also said he disagrees with Ladapo’s guidance to not require unvaccinated children to stay at home.

Dr. Brett Osborn, a Florida neurosurgeon and longevity expert, also reviewed Ladapo’s guidance. 

He said he disagrees with it as well.

“Measles is not COVID-19,” Osborn said in a statement to Fox News Digital. “In fact, measles is one of the leading vaccine-preventable causes of death.”

“While it is always the parents’ choice whether to vaccinate their children, decisions should be based on scientific fact.”

“Measles has been well-controlled by national vaccination campaigns, and we have walled off the disease, in essence, as we have polio.”

The doctor noted that “time-tested” vaccines — such as the MMR, oral polio and DTP — have low complication rates, “unlike the COVID vaccine.” 

“The more people that are vaccinated, the greater the chances of acquiring a state of herd immunity,” Osborn said. “The fact that there has been an outbreak in an elementary school in Weston strongly suggests a lack of herd immunity.”

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“Sending unvaccinated children to school amid an outbreak — and inside of the transmissible period — is reckless,” he also said. 

“While it is always the parents’ choice whether to vaccinate their children, and whether or not to expose them to the virus directly, decisions should be based on scientific fact.”

Osborn hypothesized that the COVID pandemic may have contributed to overall vaccine reluctance.

“Unfortunately, as of the past several years — due to induced vaccine fear, the byproduct of a failed COVID-19 vaccine — vaccination rates generally have decreased,” Osborn said. “The result? Viral outbreaks. And measles won’t be the last.”

As of Friday, there have been 35 measles cases reported in U.S. states, including Arizona, California, Florida, Georgia, Indiana, Louisiana, Maryland, Minnesota, Missouri, New Jersey, New York City, Ohio, Pennsylvania, Virginia and Washington, according to the CDC.

Fox News Digital reached out to Dr. Ladapo, the Florida Department of Health, the Florida Department of Education, and Attendance Works (a San Francisco-based national initiative that advocates for improved school attendance) requesting comment.

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