Georgia Coastal Health District

From the Georgia Department of Public Health

The Georgia Department of Public Health (DPH) is urging parents to make sure their children are up to date with their measles vaccinations. Measles vaccination is important for all children to prevent measles infection and reduce the risk of community transmission, but it is especially important for families with children planning to travel outside of the United States.

Among 58 measles cases reported in the U.S. so far in 2024, 54 (93%) were linked to international travel. Most cases reported this year have been among children over the age of 12 months who had not received MMR vaccine. In Georgia, there have been two reported cases of measles in 2024. The individuals were unvaccinated, from the same family, and had traveled outside of the country.

Measles is very contagious and spreads through the air when an infected person coughs or sneezes. The measles virus can stay in the air for up to 2 hours after an infected person is there so you can become infected by simply being in a room where an infected person once was. 

[JPG, 309.97 KB]

Measles can be prevented with the MMR vaccine which is safe and highly effective. Two doses of MMR vaccine are 97% effective against measles, one dose is 93% effective. The Centers for Disease Control and Prevention (CDC) recommends children receive their first dose of MMR vaccine between 12-15 months of age and a second dose between 4-6 years old. At least two weeks before traveling internationally, infants aged 6 to 11 months should have one dose of MMR vaccine and children aged 12 months and older should have two doses of MMR vaccine. Parents should consult with their child’s healthcare provider to ensure they are up to date with their MMR vaccines and any additional vaccines that may be needed.

Measles symptoms appear 7 to 14 days (sometimes up to 21 days) after contact with the virus. Symptoms include high fever, cough, runny nose, and watery eyes, followed by a rash of tiny, red spots that starts at the head and spreads to the rest of the body. Individuals infected with measles are contagious from 4 days before the rash starts through 4 days afterward. Measles can cause serious complications, especially for babies and young children.

Individuals with symptoms of measles should contact their healthcare provider immediately. DO NOT go to the doctor’s office, the hospital, or a public health clinic without FIRST calling to let them know about your symptoms. Healthcare providers who suspect measles in patients should notify public health immediately.

For more information about measles, log on to https://dph.georgia.gov/epidemiology/acute-disease-epidemiology/vaccine-preventable-diseases/measles or https://www.cdc.gov/measles/index.html. A list of countries with confirmed measles outbreaks can be found on the CDC website at https://wwwnc.cdc.gov/travel/notices/level1/measles-globe.

[JPG, 147.60 KB]

If your summer travel plans include an international trip, now is the time to book an appointment for required immunizations and recommended prescriptions.  The Coastal Health District has two travel health clinics to assist you in Savannah and Brunswick. Planning ahead is essential as some countries require specific vaccines for entry, and most vaccines must be given about 15 to 30 days in advance for full protection. Some prescription treatments, like those to prevent malaria, must also begin before you travel.

“Nothing ruins a great vacation faster than getting sick,” said Dr. Bonzo Reddick, health director of the Coastal Health District. “Our travel health specialists can help you get the required and recommended vaccinations and medications for your destination on time, but only if you call us early. You can’t wait until the last minute to get your travel shots or prescriptions.”

Travel appointments can fill quickly, so travelers are advised to schedule an appointment as soon as they know their dates of travel, and at least one month before the trip.

Travel health services are offered by appointment only in the following clinic locations in the Coastal Health District:

• Chatham County Health Department: 1395 Eisenhower Dr. in Savannah. Schedule an appointment by calling 912-353-3182 or send an email to cchd.travelvax@dph.ga.gov. Please include your travel destination, departure date, number of persons, and contact information, including a telephone number in your correspondence.
• Glynn County Health Department: 2747 Fourth St. in Brunswick. Schedule an appointment by calling 912-264-3961 extension 6004.

In addition to destination-specific vaccines and medications, it’s important to be current on routine vaccines as well. Routine vaccinations protect you from infectious diseases such as measles that can spread quickly in groups of unvaccinated people. Many vaccine-preventable illnesses are not common in the United States but are still common in other countries.

“I also put together a travel health kit before every trip,” said Dr. Reddick. “Make sure you pack enough of your prescriptions and over-the-counter medicines to last your entire trip, plus extra in case of travel delays.” Depending on your destination you may also want to pack a mask, insect repellent, sunscreen, alcohol-based hand sanitizer, water disinfection tablets, and your health insurance card.

For more information, visit our travel health page.

The following press release was issued by the Georgia Department of Public Health:

The Georgia Department of Public Health (DPH) has confirmed a case of measles in an unvaccinated resident of the metro Atlanta area. The individual was exposed to measles while traveling out of the country. DPH is working to identify anyone who may have had contact with the individual while they were infectious.

Measles is very contagious and spreads through the air when an infected person coughs or sneezes. Measles virus can stay in the air or on surfaces for up to two hours after an infected person has left the room.

Measles symptoms appear 7 to 14 days after contact with the virus and typically include high fever, cough, runny nose, and watery eyes. Then a rash of tiny, red spots breaks out. It starts at the head and spreads to the rest of the body.

Measles can be prevented with the MMR (measles, mumps, rubella) vaccine. The vaccine is safe and effective. The Centers for Disease Control and Prevention (CDC) recommends children receive their first dose of MMR vaccine between 12-15 months of age and a second dose between 4-6 years old. More than 95% of the people who receive a single dose of MMR will develop immunity to all three viruses. A second dose boosts immunity, typically enhancing protection to 98%.

The last reported case of measles in Georgia was in 2020.

People with symptoms of measles should contact their health care provider immediately. DO NOT go to the doctor’s office, the hospital, or a public health clinic without FIRST calling to let them know about your symptoms. Health care providers who suspect measles in a patient should notify public health immediately.

For more information about measles, log on to https://dph.georgia.gov/epidemiology/acute-disease-epidemiology/vaccine-preventable-diseases/measles or https://www.cdc.gov/measles/index.html.

The following press release was distributed by the Georgia Department of Public Health.

If you have not gotten a flu shot yet, do not wait any longer. Flu activity is widespread throughout Georgia, and the current flu report lists flu activity at the highest level.

“It is not too late to get a flu shot. Every individual over the age of six months should get a flu vaccine – not just for their own protection, but to protect others around them who may be more vulnerable to the flu and its complications,” says Kathleen E. Toomey, M.D., M.P.H., DPH commissioner. “Even if the vaccine doesn’t completely prevent illness from flu, it can help reduce the severity and risk of serious complications and keep people out of the hospital.”

Flu symptoms and their intensity can vary from person to person, and can include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills, and fatigue. Some people are at higher risk of developing serious flu-related complications if they get sick. This includes people aged 65 years and older, people of any age with certain chronic medical conditions such as asthma, diabetes, or heart disease, pregnant women, and children younger than 5 years old, but especially those younger than 2 years old.

Flu vaccine is widely available at public health departments, doctors’ offices, grocery stores, neighborhood clinics and pharmacies. To find a location near you, click on https://www.vaccines.gov/find-vaccines/.

In some cases, healthcare providers may recommend the use of antiviral drugs that fight against the flu in your body. Antiviral drugs are prescription medicines and are most effective when taken within 48 hours of symptoms appearing.

There are other tried and true measures you can take to help prevent the spread of flu:

• Frequent and thorough handwashing with soap and warm water.
• Use an alcohol-based gel if you don’t have access to soap and water.
• Cough or sneeze into the crook of your elbow or arm.
• Avoid touching your face as flu germs can get into the body through mucus membranes of the nose, mouth, and eyes.
• If you are sick, stay home from school or work. You should be free of a fever, without using a fever reducer, for at least 24 hours before returning to school or work.

For more information about flu and how to prevent it, log on to https://dph.georgia.gov/flu. You can monitor Georgia weekly influenza reports at https://dph.georgia.gov/flu-activity-georgia. The reports are updated each Friday.

A CDC food safety alert regarding an outbreak of Salmonella infections linked to cantaloupes has been updated: https://www.cdc.gov/salmonella/sundsvall-11-23/index.html

Key Points:

[JPG, 46.11 KB]

• So far, 117 people from 34 states have been infected with this outbreak strain of Salmonella, including Georgia.
• Malichita and Rudy brand whole cantaloupes have been recalled. Many pre-cut cantaloupe products have also been recalled. New recalls include pre-cut cantaloupe products from Kwik Trip, Bix Produce, and Kroger, Sprouts Farmers Market, and Trader Joe’s.
• CDC is advising people not to eat pre-cut cantaloupes if they don’t know whether Malichita or Rudy brand whole cantaloupes were used.
• CDC is concerned about this outbreak because illnesses are severe with more than half hospitalized, and people in long-term care facilities and childcare centers have gotten sick. 14 people resided in long-term care facilities and 7 children attended childcare centers before they got sick.
• CDC advises facilities that care for people who are at higher risk for severe illness to not serve cantaloupes that may be contaminated. This includes recalled cantaloupes and cantaloupe that was supplied pre-cut if the brand of whole cantaloupes used are not known.

What You Should Do:

• Do not eat pre-cut cantaloupes if you don’t know whether Malichita or Rudy brand cantaloupes were used. This includes cantaloupe chunks and fruit mixes with cantaloupes at restaurants and grocery stores.
• Do not eat any recalled whole or pre-cut cantaloupe products. If you have any, throw them away or return them to the store.
• If the whole cantaloupe does not have a sticker, check with the store to make sure it is not a Malichita or Rudy brand cantaloupe.
• Wash items and surfaces that may have touched the cantaloupe using hot soapy water or a dishwasher.

Call your healthcare provider if you have any of these severe Salmonella symptoms:

• Diarrhea and a fever higher than 102°F
• Diarrhea for more than 3 days that is not improving
• Bloody diarrhea
• So much vomiting that you cannot keep liquids down
• Signs of dehydration, such as:
• Not peeing much
• Dry mouth and throat
• Feeling dizzy when standing up

What Long-Term Care Facilities, Childcare Centers, and Hospitals Should Do

• Do not use any recalled whole or pre-cut cantaloupes.
• Do not serve any cantaloupe that was supplied pre-cut if you don’t know whether Malichita or Rudy brand cantaloupes were used.

What Businesses Should Do

• Do not sell or serve recalled cantaloupes or products made with recalled cantaloupe, even if they have been washed.
• Washing does not remove all germs and does not make recalled products safe to eat.
• Wash and sanitize items and surfaces that may have come in contact with recalled cantaloupes.

Salmonella Symptoms:

• Most people infected with Salmonella experience diarrhea, fever, and stomach cramps.
• Symptoms usually start 6 hours to 6 days after swallowing the bacteria.
• Most people recover without treatment after 4 to 7 days.
• Some people—especially children younger than 5 years, adults 65 years and older, and people with weakened immune systems—may experience more severe illnesses that require medical treatment or hospitalization.