Health
‘I’m a pediatrician: I get these top 11 questions about measles’
As measles cases continue to spread throughout the U.S. — with 12 states reporting official outbreaks, according to the latest CDC data — concern is growing among high-risk groups.
Children under the age of 5 are most vulnerable to measles, health experts confirm.
The CDC recommends that children receive two doses of the MMR (measles-mumps-rubella) vaccine, starting with the first dose at 12 to 15 months of age, and a second dose at 4 through 6 years of age.
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That means children under 5 may not have full protection.
As measles cases continue to spread throughout the U.S. — with 12 states reporting official outbreaks, according to the latest CDC data — concern is growing among high-risk groups. (iStock)
Allison Croucher, DO, a pediatrician and doctor of osteopathic medicine with Duly Health and Care in Illinois, said she frequently gets questions from concerned parents looking to protect their children from the highly contagious virus.
Chroucher shared some of the most common inquiries she receives, along with her responses.
1. Should I be worried about measles where I live or where I’m traveling to?
Measles cases have been reported in 20 states so far (according to the CDC): Alaska, Arkansas, California, Colorado, Florida, Georgia, Hawaii, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Missouri, Montana, New Jersey, New Mexico, New York City, New York State, Ohio, Oklahoma, Pennsylvania, Rhode Island, Tennessee, Texas, Vermont, Virginia and Washington.
Children under the age of 5 are most vulnerable to measles, health experts confirm. (iStock)
Even if you do not live in one of those areas, keep a close eye on local health alerts, since the disease is rapidly evolving.
Your state’s Department of Health website, which should end in “.gov,” is a great place to start. If you plan on traveling to an area with reported cases, be sure to seek guidance from your doctor beforehand.
2. How do I know if my child is fully vaccinated?
A child is considered fully vaccinated for measles if they have received two doses of the measles, mumps and rubella (MMR) vaccine at least four weeks apart.
The first dose is typically given to children between 12 and 15 months old, followed by the second at four to six years.
In the early stages, symptoms to watch out for include fever, cough, runny nose, and red, irritated eyes. (iStock)
3. Can my infant get the vaccine early?
In certain cases, yes. Infants who are high-risk or traveling to areas with active cases may be eligible to get the MMR vaccine between six months and 12 months of age. This depends on individual circumstances, so it’s important to talk with your pediatrician.
Keep in mind that an early dose doesn’t count on the regular vaccination schedule — your child will still need two additional doses after their first birthday.
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4. What if my infant is too young to get the MMR vaccine?
If your infant is too young for the vaccine, it’s important to take extra precautions to limit their exposure to others who are or might be ill. Don’t be afraid to decline travel or gatherings — you have every right to protect your child’s health.
5. How early can my child get their second MMR vaccine?
For children over one year, the second MMR dose can be given as early as four weeks after the first. Once they’ve received both doses, children are considered fully vaccinated and don’t require any additional doses.
“One to three of every 1,000 children infected with measles will die due to complications from the disease.”
6. We have been around other people who recently traveled. What symptoms should we watch for?
In the early stages, symptoms to watch out for include fever, cough, runny nose, and red, irritated eyes.
These symptoms usually appear seven to 14 days after initial exposure.
7. My child is showing signs of a cold. Could this be early-stage measles?
It’s not always easy to tell, since measles shares symptoms with many other illnesses. One key differentiator is that children with measles typically display very high fevers, around 104°F. They also tend to be very fussy.
Around the second or third day of symptoms, many patients develop small, bluish-white spots on their inner cheeks, referred to as Koplik spots — though not every child will develop these spots. The telltale red rash typically develops three to five days into the illness.
A child is considered fully vaccinated for measles if they have received two doses of the measles, mumps and rubella (MMR) vaccine at least four weeks apart. (Jan Sonnenmair/Getty Images)
8. What does the measles rash look like?
This rash typically starts three to five days after the initial symptoms. It begins as small spots on the face near the hairline, then spreads downwards and can cover the entire body.
9. Why is measles dangerous?
Measles can have many complications, ranging from mild to severe. About one in 10 people will develop ear infections or diarrhea.
About one in five unvaccinated children with measles will require hospitalization. Up to one in 20 children will contract pneumonia, which is the most common cause of death from the disease.
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About one in 1,000 children will develop encephalitis, or inflammation and swelling of the brain. This can lead to seizures, lifelong disability or even death. In all, one to three of every 1,000 children infected with measles will die due to complications from the disease.
10. Why aren’t some people getting their kids the MMR vaccine?
There is a growing amount of misinformation and disinformation circulating about vaccines, which has led some parents to delay or skip them altogether.
The MMR vaccine has been safely administered to millions of people and has an excellent safety record — and research has repeatedly debunked the myth that the vaccine is linked to autism.
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11. What should I do if I think my child might have the measles?
Don’t wait — contact your doctor right away. They can guide you through the next steps.
The above questions and answers were provided by Allison Croucher, DO, a pediatrician and doctor of osteopathic medicine with Duly Health and Care in Illinois.
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Journalist Katie Couric is sharing a scary medical episode that she experienced on June 27.
In a post on Substack titled “The Day I’ll Never Remember,” she detailed a sudden episode that left her unable to recall the current month, year and president.
“I thought it was 2024. And I believed Joe Biden was president,” she wrote.
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The event occurred while Couric was attending the Aspen Ideas Festival in Colorado, during which she participated in two public panels — one on AI and one on journalism — both of which she cannot remember at all.
“I have no idea what we talked about, or of what occurred when the panels ended,” she said.
Journalist Katie Couric is sharing a scary medical episode that she experienced on June 27. (Getty Images)
John Molner — Couric’s husband, who was in attendance at the festival and the two panels — also shared his account.
After the event, someone told Molner that Katie wasn’t feeling well. When he reached her, an EMT and a doctor were tending to her. “I could tell something was off,” he wrote. “It could have been altitude sickness, but Katie was definitely not all there.”
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At the hospital, when Couric struggled to recall the year, the president and her grandchildren’s names, doctors began checking for a stroke.
An MRI revealed no signs of stroke, which was a relief, but “Katie’s ‘fog’ became a lot more apparent,” Molner wrote.
John Molner, Couric’s husband, who was in attendance at the festival and the two panels, also shared his account. (Getty Images)
“She repeatedly asked me the same questions: ‘What was I doing before we got to the hospital?’ ‘Why am I at the hospital?’”
Couric was ultimately diagnosed with transient global amnesia, a sudden, temporary episode of memory loss that prevents a person from forming new memories and may also erase some recent memories, according to Mayo Clinic.
“The cause seems to be as mysterious as the brain itself.”
It is not caused by a stroke, seizure or head injury, and it usually resolves completely within 24 hours.
“[It’s] just a very weird neural episode that’s pretty uncommon and, at least in most cases, is a ‘one and done’ experience,” Molner said.
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Couric said she finally began feeling “like herself” again around 9 p.m. and went to sleep at 2 a.m.
As TGA leaves a “permanent gap in memory” for the duration of the episode and for hours beforehand, Couric said that from around noon on that day until at least 7 p.m. will remain a “big, black hole.”
As TGA leaves a “permanent gap in memory” for the duration of the episode and for hours beforehand, Couric said that from around noon on that day until at least 7 p.m. will remain a “big, black hole.” (Getty Images)
Data shows that approximately three to eight people per 100,000 will have an episode of transient global amnesia, with people 50 years of age and older at higher risk.
The specific cause of TGA is not known, but some experts believe it stems from a “temporary dysfunction in the brain’s hippocampus — the area responsible for creating new memories,” Couric shared.
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“Doctors believe this is driven by brief interruptions in blood or oxygen flow, or microscopic spasm in the blood vessels.”
Episodes could potentially be triggered by intense physical exertion, emotional distress, extreme temperature changes or migraines, experts say.
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Approximately 15% of patients will have a recurrence 10 years later.
“Why did this happen to me? Was the altitude an issue? Was I dehydrated? Tired? Stressed? The literature doesn’t seem to indicate that these are contributing factors, but the cause seems to be as mysterious as the brain itself,” Couric wrote.
Anyone who experiences sudden memory loss, confusion, difficulty speaking, weakness, numbness, vision changes, severe headache or other stroke-like symptoms should seek immediate medical attention or call 911, doctors advise. (iStock)
“All I know is that those hours will be forever lost. Someone described it as my brain failing to hit the ‘record button.’”
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“While this was a freaky occurrence, it could have been much more serious. So ultimately, I’m relieved — even though several hours of a Saturday in June will always be missing for me.”
Anyone who experiences sudden memory loss, confusion, difficulty speaking, weakness, numbness, vision changes, severe headache or other stroke-like symptoms should seek immediate medical attention or call 911, doctors advise.
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Older adults identified as “super movers” are about half as likely to develop cognitive impairment than their peers.
That’s according to a recent study led by Stony Brook Medicine in New York, which evaluated the cognitive function of 4,000 adults 80 and over who participated in multiple aging and longevity studies over several years.
Among this group, 6% to 10% were classified as super movers, which means they walk at a much faster pace than others of the same age and gender — at speeds comparable to people three decades younger.
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The super movers were found to have about half the risk of cognitive decline compared to seniors with typical gait speed.
The findings were published in the journal Neurology on June 16.
Older adults identified as “super movers” are about half as likely to develop cognitive impairment than their peers. (iStock)
“The study reinforces that mobility and brain health are closely connected,” lead study author Dr. Joe Verghese, MD, neurologist at Stony Brook Medicine, told Fox News Digital. “This suggests that preserving mobility may be an important marker of healthy brain aging and resilience.”
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The most intriguing finding, according to Verghese, was that super movers maintained cognitive function despite having similar dementia-related brain changes as their peers.
In postmortem brain analysis, there was no difference in dementia-related pathologies between the super movers and the slower walkers, the study stated.
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“This suggests they may possess resilience mechanisms that help preserve brain function even in the presence of age-related changes,” he said. “Understanding these resilience factors could lead to new strategies for promoting healthy brain aging.”
As the study was observational, there were some limitations, and it does not prove that walking faster prevents dementia, the researchers noted.
Super movers were found to have about half the risk of cognitive decline compared to seniors with typical gait speed. (iStock)
“Other factors, such as cardiovascular health, physical fitness or genetics, may also contribute to both faster walking and better cognitive outcomes,” Verghese said.
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This study adds to growing evidence that what’s good for the heart and muscles also benefits the brain, he noted, adding that “staying physically active remains one of the most effective, evidence-based ways to support healthy aging.”
“Walking speed is best viewed as a marker of overall health, not a treatment.”
“The broader message is that physical activity is important at any age,” Verghese said. “Walking is an easy step-up point because you don’t need any special equipment. You can do it inside or outdoors, and you can do it on a regular basis. You can walk with a dog, you can walk with a friend.”
Any activity is beneficial if it’s done regularly and with the right intensity, he added.
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Rather than just trying to walk faster, the neurologist recommends that seniors focus on maintaining mobility through regular physical activity, strength training, balance exercises and good cardiovascular health.
“Walking speed is best viewed as a marker of overall health, not a treatment,” Verghese noted.
Major public health guidelines from the CDC and U.S. Physical Activity Guidelines recommend at least 150 minutes of moderate-intensity aerobic activity each week, such as brisk walking.
Major public health guidelines from the CDC and U.S. Physical Activity Guidelines recommend at least 150 minutes of moderate-intensity aerobic activity each week, such as brisk walking. (iStock)
This can be achieved by walking 30 minutes a day, five days a week, or about 20 to 25 minutes most days. Another option is to engage in shorter sessions that add up over the day.
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“You have to do it within your health limitations and medical conditions,” Verghese advised. “So if there are any medical concerns, I would get your physician to clear you before starting exercise.” The good thing about walking, he added, is that you can start at a slow pace and then gradually build up to a brisker pace.
“And then adding on strength and balance training, whatever age you are, I think is also important.”
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