Confirmed Measles in NH Resident

On May 19, 2019, NH DHHS issued a health alert regarding a confirmed measles case in a New Hampshire child.

KNH Division of Public Health Services Health Alert Networkey Points and Recommendations:

  1. Healthcare providers should be aware that infectious measles has been confirmed in a child who has been in three locations in Keene, NH:
    • The nursery (9am – 1pm) and coffee hour (11am – 2pm) at the United Church of Christ at 23 Central Square in Keene on Sunday May 12.
    • The infant/toddler room at the Keene Montessori School on 125 Railroad Street from 9am – 3pm on Thursday May 16.
    • The Walk-in Clinic at Cheshire Medical Center at 149 Emerald Street from 1pm – 5pm on Thursday May 16.
  2. Healthcare providers should be prepared to offer measles post-exposure prophylaxis (PEP) to any person reporting potential exposure and who cannot readily show that they have presumptive evidence of immunity against measles (see sections below).
  3. Healthcare providers should consider and test for measles in persons presenting with a consistent clinical syndrome of fever, cough, conjunctivitis, and coryza (the three “C”s), followed by development of a maculopapular rash.
  4. To test for measles, the following specimens should be obtained and submitted to NH Public Health Laboratories:
    • Oropharyngeal, nasopharyngeal, or nasal swab for polymerase chain reaction (PCR)
    • Serum for measles virus IgM antibody
  5. Patients who may have measles should be managed under airborne infection isolation and immediately reported to NH DPHS at (603) 271-4496. If you are calling after hours or on the weekend, please call the New Hampshire Hospital switchboard at (603) 271-5300 and request the Public Health Nurse on-call.

Read the full DHHS alert