FACTSHEET Immunization
Whataremeasles,mumps,andrubella?
Measles,mumpsandrubellaarediseasescausedbyviruses. Thevirusesareeasilyspreadthroughtheairbysneezingand coughing. Measles(Redmeasles)causesfever,rashandcoldlike symptomsandcanleadtoearinfectionorpneumonia.More seriouscomplications,occurringin1in1,000people,include inflammationofthebrain(encephalitis).Thiscanleadto convulsions,deafnessorpermanentbraindamage.Onein 3,000peoplewithmeaslescandiefromcomplications. Mumpscausesfever,headaches,andswellingofthesalivary glandsandcheeks.Moreseriouscomplicationsinclude encephalitis,whichcanleadtopermanentbraindamage. About1in20peoplewithmumpsgetmumpsmeningitis. Mumpscanalsocausetemporarydeafness.Permanent deafnessoccursinlessthan5in100,000peoplewith mumps.About1in4adultmenandpostpubertalboys developpainfulswellingofthetesticles. Rubella(Germanmeasles)causesfever,rashandheadache. Encephalitisoccursin1in6000casesandoccursinahigher frequencyinadults.Rubellacancauseseriouscomplications andbirthdefectsinanunbornbabyincludingdeafness,eye problems,heartdefects,liverdamage,andbraindamage.It occursin9in10babiesborntowomenwhobecome infectedwiththevirusinthefirstthreemonthsoftheir pregnancy.Rubellacanalsocausemiscarriageorstillbirth.
Howcanmeasles,mumpsandrubellabe prevented?
Whocangetthevaccinefreeofchargein Saskatchewan?
Whoshouldnotgetthevaccine?
Amildillness,withorwithoutafever,isnotareasonto avoidimmunization. Peoplewhohaveaseriousillness,withorwithout fever,shoulddelayimmunization. Personswithallergiestoanyofthevaccinecomponents orwhohavehadalifethreateningallergicreactiontoa previousdoseofthevaccine.
August2010 CD52
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Immunization
Pregnantwomenorwomenplanningtobecome pregnantwithinonemonth. Anyonewhohasamedicalconditionoristaking medicationorhavingradiationtherapythatcanweaken theimmunesystem(i.e.,personsonhighdosesof corticosteroids,chemotherapy)shouldcheckwiththeir physicianbeforebeingimmunized. Immunizationmayneedtobedelayedforanyonewho hadimmuneglobulinorreceivedbloodproductsinthe last12months.Checkwithyourdoctororpublichealth nurse.
OtherConsiderations:
Ifyouneedanotherlivevaccine,getitatthesametime orwaitatleastonemonth. IfyouneedTBskintesting,thevaccineshouldbegiven onthesamedayoryoushouldwait4to6weeksafter beingimmunized.
Whatarepossiblereactionsafterthevaccine?
Vaccinesareverysafe.Itismuchsafertogetthevaccine thantogetmeasles,mumpsorrubella. Commonreactionstothevaccinemayincludesoreness, rednessandswellingattheinjectionsite. Amildfever,arash(thatlookslikemeasles)andswelling ofglandsinthecheeksorneckcanoccurabout7to12 daysaftergettingthevaccine. Temporaryjointpainmayoccurinteenageandadult women. Rarely,febrileseizures,bleedingproblemsor inflammationofthebrainmayoccur. Itisimportanttostayintheclinicfor15minutesafter gettinganyvaccinebecausethereisanextremelyrare possibilityofalifethreateningallergicreactioncalled anaphylaxis.Thismayincludehives,difficultybreathing, orswellingofthethroat,tongueorlips.Ifthishappens afteryouleavetheclinic,call911orthelocal emergencynumber.Thisreactioncanbetreated,and occursinlessthanoneinamillionpeoplewhogetthe vaccine.
Whatdoesthevaccinecontain? MMRIIisaliveattenuatedvaccineandcontains weakenedformsofthemeasles,mumpsandrubella viruses,sorbitol,sodiumphosphate,sucrose,sodium chloride,hydrolyzedgelatin,recombinanthuman albumin,fetalbovineserumandneomycin. Yourimmunizationinformationwillberecordedina computerizedsystemknownastheSaskatchewan ImmunizationManagementSystem(SIMS).Information collectedinSIMSmaybeusedto: manageimmunizationrecords; notifyyouifyouoryourchildneedsanimmunization; monitorhowwellvaccinesworkinpreventingvaccine preventablediseases. Yourimmunizationrecordsmayalsobesharedwithhealth careprofessionalsinordertoprovidepublichealthservices; assistwithdiagnosisandtreatment;andtocontrolthe spreadofvaccinepreventablediseases. Formoreinformationcontact: yourlocalpublichealthoffice, ORyourphysician, ORHealthLineat18778000002. References:CanadianImmunizationGuide,7thed.,(2006); RedBook,28thed.2009;ProductMonograph,2009; HealthLinkBC,14a,2009.
August2010CD52
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