This post, Measles: What Expecting & New Parents Need to Know was written by Laura Hegarty-Moore, RN, MPH, CIC. Laura is an Infection Preventionist at Baystate Health as well as a Registered Nurse, mother of 2, longtime LMS contributor and a member of our Advisory Board serving in the role of Public Health Advisor. With measles cases on the rise in the US, and infants age 6 months and younger being a vulnerable population, Laura answers parent FAQ’s below. For the most up to date measles information please visit the CDC.
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Measles is one of the most contagious diseases we know of. It can be serious and even fatal, especially for children younger than 5 years old. Fortunately, it’s easily preventable. The single best protection against measles is vaccination.
Vaccination remains the best strategy to protect yourself and your loved ones from measles.
Laura Hegarty-Moore, RN, MPH, CIC
Measles: What Expecting & New Parents Need to Know
What does it mean to be “up to date” for measles vaccination? Being “up to date” means you’ve had two doses of the MMR (Measles, Mumps, Rubella) vaccine. Most of us got this as a child. The MMR vaccine series is 97% effective at preventing measles if exposed to the virus. One dose is 93% effective. If you’re fully vaccinated, you can be confident that you’re very well protected. Failure to vaccinate is playing the biggest role in the spread of measles.
Do I need a booster? You most likely do not need a booster. If you’ve had two doses of MMR or you were born before 1957, you’re good to go. There is one exception: If you received the inactivated measles vaccine between 1963 and 1967, you may need a booster. Most people received the more effective live vaccine during that time period, but if you’re not sure, you can check with your doctor. Getting a booster poses very few risks, but unnecessary boosters could contribute to a vaccine shortage for the children who haven’t received any doses yet.
Measles can be life threatening, especially for children. It can also lead to severe complications like pneumonia, dehydration, and brain swelling. So, it’s essential we save these doses for those who truly need them.
Can I still get measles if I’m vaccinated? The measles vaccine works extremely well- you’re 35 times less likely to get measles than someone who is unvaccinated. However, no vaccine is perfect. Among those who develop breakthrough cases (about 3%), the illness is typically mild and is less likely to spread to others.

What about Masks?
Should I wear a mask to prevent measles? No. Masking is not an effective strategy against measles, for a couple of reasons:
- Vaccination is the best strategy against measles. The MMR vaccine is extremely effective and long-lasting. The measles virus doesn’t mutate very often, unlike the flu virus, which mutates frequently. That’s why we need a flu shot every year, but the measles vaccine works just as well now as it did in the 1960s.
- Measles is highly contagious. and can spread through the air and on surfaces. Every 1 person with measles will infect, on average, 12-28 people. In theory, you could try to protect yourself by wearing an N95 respirator, but you’d have to wear it everywhere at all times- because you can catch measles just by being in a room where a person with measles has been. In fact, this can happen up to 2 hours after the person has already left. Plus, the measles virus can also live and spread on surfaces, which means you’d still be at risk, even if you wore a mask. As you can see, masking is not a viable strategy.
However, if you have measles, or have been exposed to it, you certainly should wear a mask to minimize spreading the virus to others. But if you’re looking to protect yourself from measles, a mask just won’t cut it. Vaccination remains the best strategy to protect yourself and your loved ones from measles. – Laura Hegarty-Moore
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Measles: What Expecting & New Parents Need to Know- A Message from Let Mommy Sleep
As an evidence-based company, all Let Mommy Sleep night nannies, night nurses and postpartum doulas are vaccinated for measles, mumps and rubella (MMR). This is for overall health but also to best protect the newborns and infants, who are too young to be vaccinated, in our care. Therefore the risk of exposure, or spread of measles is minimal. Safety and minimizing the risk of illnesses are always our top priorities however.
Here is how we respect and promote overall health and hygiene in the family home:
- Handwashing – caregivers always wash hands upon arrival into the family home and continue handwashing before and after handling baby, bottles and pump parts or interacting with pets.
- Shoes are Removed – upon arrival into the home.
- Masking – is always an option.
- Sanitize – Surfaces are cleaned and sanitized throughout the night. (Sanitizing cleans just about everything except Norovirus. You can learn how to get rid of that one here!)
- Err on the side of caution – If a caregiver is feeling unwell, whether it’s allergies or just not 100%, they will communicate this to you, empowering you and your family to decide if she should visit. If someone in the family home is unwell, we kindly that families please let us know, so the night doula can take extra precautions such as masking or using gloves if she wishes.
But as contagious illnesses are a constant, LMS will remain a point of evidence-based information for parents and the public. If you would like to learn more beyond this blog, Measles: What Expecting & New Parents Need to Know, please visit the AAP. And if we can help you in any way, please don’t hesitate to reach out.