Four more measles exposure sites have been identified in Manitoba, and three of them are in the Pembina Valley.
They are:
The Manitou Motor Inn bar on June 9 from 3 p.m. to 6:30 p.m. Anyone who was there at that time is asked to monitor symptoms until July 1.
VB’s Entertainment Center in Winkler on June 9 from 5 p.m. to 10 p.m. Anyone at those spots at those times is asked to monitor symptoms until July 1.
Triangle Oasis restaurant in Winkler on June 11 from 6:00 p.m. to 8:30 p.m. Anyone who was there at that time is asked to monitor symptoms until July 3.
According to Manitoba Public Health, symptoms of measles generally appear seven to 21 days after exposure.
The symptoms
Initial symptoms may include fever, runny nose, drowsiness, irritability and red eyes. Small white spots may also develop on the inside of the mouth or throat. Several days after the initial symptoms, a red blotchy rash appears on the face and progresses down the body. Measles can lead to complications including ear infections, diarrhea, pneumonia (lung infection) and encephalitis (brain inflammation).
If symptoms develop, individuals who may have been exposed are advised to isolate at home and contact their health-care provider and advise them of the potential exposure to measles. Anyone else in the household who is unimmunized should limit exposure to others until the symptomatic person has received advice from their health-care provider. It is best to call ahead so health-care staff can take steps to reduce the exposure of other people to the virus.
Immunization
Public health is asking anyone who was in these locations during these times to check their immunization records and ensure they are up to date with measles vaccine (MMR or MMRV).
For individuals who were exposed in these locations and born in 1970 or later and have never received a measles vaccine, and have never had a measles infection:
-Measles vaccine is recommended.
-Reduce exposures with others, especially anyone who has a weakened immune system or is unimmunized, from the fifth day after exposure to the 21st day after the latest exposure.
-Watch for symptoms of measles until the date that corresponds with their situation as indicated above.
-Certain people should not get the measles vaccine including infants less than six months of age, pregnant women and people with weakened immune systems. These individuals should contact their health-care provider or public health as they may be eligible for preventative treatment (within six days of exposure).
-Close contacts may be asked by public health to isolate and consider vaccination.
Manitoba Health, Seniors and Long-Term Care has expanded the measles vaccine outbreak eligibility to include children aged six months to under 12 months who have been evacuated from their home communities due to wildfires in Manitoba. One dose of MMR vaccine can be provided in addition to the routine schedule offered at 12 months of age and between four and six years old. The complete eligibility criteria can be viewed here.
Immunization is the only means of protecting people from contracting measles. Contact an immunization provider such as a local public health office, physician or nurse practitioner to ensure everyone is up to date.
In Manitoba, a two-dose measles vaccine program for measles, mumps, rubella and varicella (MMR or MMRV) is routinely provided for children who are at least one year of age and again when aged four to six. In the case of a measles exposure, a second dose may be given earlier than four to six years of age.
Further information on measles, exposures and immunization is available here or individuals can contact Health Links-Info Santé at 204-788-8200 in Winnipeg or 1-888-315-9257 toll-free in Manitoba.