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1. Has my child been vaccinated?
The first dose of MMR is given at 12 months and the second dose is given at the 4 or 5 year visit. Unless you have missed appointments or declined recommended vaccines, your child should be up to date! You can verify your child’s vaccines on MyChart (https://mychart.luriechildrens.org/MyChart/).
2. How effective is the MMR vaccine?
1 dose of MMR gives 93% protection against measles and 2 doses raises that to 97% protection! Titers are not routinely recommended to check for protection.
3. Can my child get the MMR vaccine before 12 months? Does my child need a booster vaccine if he’s already had 2 doses?
The MMR vaccine is approved for infants 6 months and older. Infants 6-12 months should get an early MMR vaccine if traveling to areas with high levels of measles (Europe has been struggling with worse outbreaks than the United States). Currently, there are no recommendations from the CDC or IDPH to routinely immunize infants starting at 6 months. Any infant who receives the vaccine before 12 months will still need two doses on the regular schedule. If your child is up to date on vaccines no booster is needed.
4. What are the symptoms of measles?
Measles is a virus that causes fever and rash. The rash of measles starts at the face and spreads down the body. People with measles may start with cough and runny nose but soon develop high fevers, red/watery eyes, and overall look sick. The rash typically starts 14 days after exposure to the virus.
See some photos here: https://www.cdc.gov/measles/about/photos.html
5. How contagious is the measles?
Very! The measles virus is spread through the air (coughing, sneezing) and can stay in the air for 2 hours after an infected person leaves that space. It is so contagious that 90% of susceptible people will come down with the infection.
6. What should I do if I think my child has the measles?
Unless your child is experiencing a medical emergency, CALL US before leaving the house! Measles is incredibly contagious so precautions will need to be taken before arriving at a doctor’s office, urgent care, or emergency room. We are working closely with the department of public health to triage and test patients on a case by case basis.
Car Seats 101
Rear-facing, convertible, booster seats, oh my! Choosing and installing the right carseat for your child can be a daunting task for novice and expert parents alike. The American Academy of Pediatrics (AAP) has a great car seat guide to help navigate the world of car seat safety.
The type of car seat that a child needs depends on their age and size. Your little one should be in a rear-facing seat from birth until at least 2 years old, so when it is time to graduate from the infant car seat to a convertible or 3-in- 1 seat, the new seat needs to remain rear facing. In fact, it is best to keep that toddler rear facing until they reach your particular car seat manufacturer’s height or weight limit. It is okay for their feet to touch the back of the seat while rear facing; this is not a reason to turn their car seat around. Because his head is so big in proportion to the rest of his body, rear facing protects the neck better if you get into an accident. Many countries in Europe now keep kids rear facing until 4 years old!
Hooray, your big toddler is ready for the world of forward-facing travel! They should remain in a forward-facing seat with 5 point harness (this includes your seemingly brand new convertible or 3-in- 1) until at least 4 years old, as long as they remain below the height and weight limits of the manufacturer. Once one of these limits is met, it is time to transition to a booster seat (high-back or backless). The booster seat is needed until your child reaches the magic height of 4’9” and is 8-12 years old. Then, they are big enough to use a seat belt without a safety seat, but cannot call “shotgun” until after they turn 13!