Measles can be a disease of the past, but its recent resurgence is evidence to the contrary. The outbreak, which started spreading in late January, has resulted in multiple hospitalizations, with at least nine confirmed cases and three probable cases as of early February. Health officials caution that at least one in five infected individuals will have to be hospitalized, highlighting the severity of the situation.The first measles case in a Chicagoan since 2019 has recently been confirmed, again emphasizing the persistent risk—particularly in populations with low levels of vaccination. Although the disease was all but eliminated from the United States after the measles, mumps, and rubella (MMR) vaccine became available in 1963, it is still occurring because there are missed opportunities in immunization coverage.Extremely contagious and potentially fatal, measles is still a worldwide health issue. Although some who get the disease recover without incident, the fact is that measles can kill, especially in children, pregnant women, and people with compromised immune systems.How Measles Spreads and Why It's Dangerous?Measles is the most infectious viral illness known. It is transmitted by airborne respiratory droplets from coughing or sneezing and can remain in the air for as long as two hours after an infected individual has vacated the area. This results in nine out of ten unimmunized individuals exposed to the virus becoming infected. The illness can also be imported into the U.S. by travelers arriving from areas where measles remains prevalent.Severe Medical Complications of MeaslesAlthough measles may appear to be a normal childhood disease to some, its complications can be serious and even life-threatening. Some of the most frequent problems are:Pneumonia: The major killer in measles, especially among children.Encephalitis: A serious inflammation of the brain that may result in permanent brain damage.Severe dehydration: From chronic diarrhea and vomiting.Compromised immune system: Measles has the effect of erasing immune memory, and thus the survivors remain exposed to other pathogens for several months.More than half of measles-infected children in the region of Europe in 2023 were hospitalized according to the World Health Organization (WHO), showing just how critical the illness could be.Who is at Most Risk During Measles Outbreak?Infants under the age of five are especially susceptible to measles and its complications. Their immature immune systems predispose them to serious infection. An estimated 136,000 individuals worldwide die from measles each year, and most are children. Prior to mass vaccination, the yearly death rate was much higher, with an estimated 761,000 deaths in children in 2000.Can You Get Measles During Pregnancy?Pregnant women who get infected with measles are at risk of severe health complications. The virus poses the risk of:Pneumonia: Occurs in approximately 18 out of 100 pregnant women infected with measles.Maternal mortality: Four out of 100 pregnant women with measles die.Premature delivery: In approximately 13 out of 100 measles-infected pregnancies.Since pregnant women are not administered the MMR vaccine, it is important for people to vaccinate themselves long before getting pregnant.Why Vaccination is the Best Defense Against MeaslesMeasles is a vaccine-preventable illness. The MMR vaccine is extremely effective, with long-lasting immunity:A single dose covers 95% of vaccinees.Two doses cover 99% of vaccinees.With such strong protection rates, mass vaccination campaigns have significantly decreased deaths from measles. But reduced vaccination levels in some regions have resulted in renewed outbreaks of the disease. Parents avoid vaccinating their children because of misinformation regarding vaccine safety, but there is overwhelming research proving that the MMR vaccine is safe and effective.Why Are Measles Outbreaks on the Rise?Increased measles cases are the result of declining vaccination rates. The main reasons include:Vaccine hesitancy: There is misinformation surrounding vaccines, causing parents to hesitate or refuse vaccination.Travel and exposure: Travelers to places where there is an active outbreak bring measles into the U.S.Weakened herd immunity: As vaccination rates decline, the virus becomes easier to spread, putting more at risk.What to Do If Exposed to MeaslesIf you or your child have come into contact with someone who has measles, do the following immediately:Check vaccination records: If you or your child are already vaccinated, the chances of getting infected are very low.Get the vaccine if not immunized: The MMR vaccine may still offer some protection if administered within 72 hours of exposure.Watch for symptoms: Symptoms occur 7-14 days after infection and are fever, cough, runny nose, and rash.Stay home if infected: People with measles must remain home to avoid infecting others.Can the Measles Vaccine Cause the Disease?MMR vaccine includes a weakened virus that allows the body to become immune without actually causing measles. In healthy children, it does not lead to infection. But severe immune deficiencies may develop a condition similar to measles and should not receive the vaccine.How Long Is Measles Contagious?Individuals with measles can be contagious before they even notice they are ill. The period of contagiousness is from four days prior to the onset of the rash through four days afterwards. Since the virus remains present in the air for hours, even a short exposure is very risky for those who have not been immunized.Is it Possible to Prevent Measles?Mass vaccination is the most effective strategy for preventing the outbreak of measles. The United States Centers for Disease Control and Prevention (CDC) advises:The initial vaccine dose of the MMR during infancy at age 12-15 months.A second one at age 4-6 years.One extra dose among high-risk subjects in case of an outbreak.Infants under the age of one year, who are not yet vaccine-age-appropriate, are protected by herd immunity. This is why it is important that the rest of the community is vaccinated to avoid spreading to the entire community.Measles is more than a rash and fever- it is a dangerous disease that can cause life-threatening complications. Although the U.S. has made great strides in preventing measles through vaccination, the recent surge in cases is a harsh reminder of the risks of vaccine hesitancy.