Confirmed Measles in Traveler to NH

On March 1, 2019, NH DHHS issued a health alert regarding an international traveler with confirmed measles in New Hampshire.

NH DPHS Health AlertKey Points and Recommendations:

  1. Healthcare providers should be aware that an international traveler with confirmed measles traveled to Manchester, NH on 2/26/19 using public transportation during a time when s/he was considered infectious.
  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 “Situation” section below for a description of potential exposure related to this incident).
  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. Suspect measles cases 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