Missoula, MT – After nearly 35 years without a reported case, health officials in Montana are preparing for the possibility of a measles outbreak, as the disease continues to spread in neighboring states.
While the highly contagious virus has been virtually absent in the state, reports of rising measles cases across the country have raised alarms. Drenda Niemann, health officer for Lewis and Clark Public Health, expressed cautious optimism, saying, “I am going to knock on wood and say I hope we don’t see a case here. However, we are preparing as if we will see a case.”
Measles, a disease that was officially declared eliminated in the United States in 2000, had once been a major health threat. Prior to the introduction of the measles vaccine in 1963, the Centers for Disease Control and Prevention (CDC) reported that the virus infected up to 4 million people annually. Each year, the disease sent nearly 50,000 people to the hospital and caused between 400 and 500 deaths. Today, however, the disease is considered preventable thanks to widespread vaccination.
The concerns surrounding measles extend beyond the immediate symptoms. According to health experts, the complications associated with measles, such as pneumonia and encephalitis—swelling of the brain—can be life-threatening and cause long-term damage. Dr. Strizich, a public health professional, stressed the importance of preparedness. “The complications of measles are what we worry about the most,” he said.
In response to growing concerns, Lewis and Clark Public Health is focusing its efforts on schools and daycare centers, which are considered the most vulnerable environments for measles outbreaks. Niemann emphasized, “The most highly susceptible environments—and those we are most concerned about—are schools and daycares.” To mitigate the risks, county health officials have been working closely with these institutions to ensure they have plans in place in case a case is reported.
Measles remains one of the most contagious diseases known, with health officials emphasizing that vaccination is the best defense. One dose of the measles vaccine provides 93 percent protection, while two doses, or a booster shot, increases that effectiveness to 97 percent. According to the latest data from the Montana Department of Public Health and Human Services, vaccination rates among students in the state are above 90 percent, but there are still individuals, particularly those under one year of age, who are too young to be vaccinated and remain vulnerable.
While Montana’s vaccination rates are high, Niemann noted that there are pockets of under-vaccinated individuals in the community. “Our community has good vaccination rates,” she said. “So, at this point, I think we just need to focus on those who are under-vaccinated or not vaccinated at all.”
To assist in public awareness, Lewis and Clark Public Health has launched a webpage with information on measles, vaccination, and preventive measures. Should a case of measles be reported in the county, health officials plan to distribute further information to help residents assess their exposure and take appropriate action.
Health experts continue to urge the public to stay informed about the importance of vaccination, as the threat of measles, though preventable, remains a very real concern. As Niemann put it, “The goal is to be fully prepared and ready to go if and when Lewis and Clark does get a case.”
