Measles Guidance

Summer Programs and General Faculty / Staff 2019

Please review these FAQs before contacting Parton Health Center with questions about measles or immunizations.

What is measles?

Measles (Rubeola virus) is a highly contagious viral infection that spreads through coughing and sneezing.   More information is available at https://www.cdc.gov/measles/index.html.

I am studying and/or working at Middlebury this summer and do not have documented proof of measles immunity. What should I do?

Step 1: Contact your home healthcare provider and have your immunization record or test results proving immunity sent to you.  See other FAQs for more details.

Step 2: Contact your home healthcare provider and ask them to arrange a measles shot (MMR vaccine) at a local Middlebury, VT pharmacy.  They can fax a prescription to the pharmacy for you.

Local pharmacies link.

Last resort: Contact Parton’s Registered Nurse Triage Line, 802.443.3290 and ask for assistance for a blood test and/ or MMR shot prescription to a local pharmacy .  Keep your documentation!

Why is Middlebury recommending that individuals have immediate access to documentation/proof of immunity now?
  • The CDC is reporting increasing numbers of measles cases in the United States.
  • Current CDC and Vermont Department of Health guidance recommends excluding individuals from school and/ or work if they are not immune and have been exposed to measles.
  • Individuals without documented proof of immunity would be asked to leave school and may not be eligible for work if measles were present on campus.
What do I do with the documented proof of immunity for measles? Do I keep it or give it to someone?

Documented proof of immunity for measles should be obtained by all Middlebury students, faculty and staff and kept both in a personal home medical file and on file with their healthcare provider.

Students attending Language Schools in Middlebury will have an opportunity to provide a copy of the record at the arrival center.  That copy will be used for early intervention efforts if a case of measles occurs; however, students should also plan to provide a copy again if requested.

Middlebury faculty and staff do not need to give the information to their supervisor or human resources, but should be ready to provide it quickly during a measles outbreak if requested. This will allow individuals to remain eligible for work.

What is the risk that I would have to leave campus during a measles outbreak?

If a case of measles occurs on a Middlebury campus, many individuals could be exposed and be required to show proof of immunity in order to stay on campus for school or remain eligible for work.   The current risk of a case occurring on a Middlebury campus is low; however, the impact on exposed individuals without proof of immunity (i.e. school exclusion and or not eligible for work) is very high. 

What is considered proof of immunity?

Please visit this page for details regarding proof of immunity.

 

MiddTags:
How do I get proof of immunity?
  • First, check to see if you have record of immunization with an MMR vaccine or a lab report that documents immunity.  The CDC has advice about how to get copies of vaccination records: https://www.cdc.gov/vaccines/adults/vaccination-records.html.
  • Healthcare providers should not accept verbal reports of vaccination without written documentation as presumptive evidence of immunity.
  • If records are not available, and you were born during or after 1957 (when almost everyone had the actual disease and are thus considered immune), then talk to your healthcare provider about testing for immunity against measles (measles IgG test), or simply getting a dose of MMR vaccine.
  • If you do not have records of MMR vaccination, were born during or after 1957, and do not have lab evidence of measles immunity, then you should talk with your doctor about getting an MMR shot and getting documentation that you had that shot.  Explain that this will prevent you from being excluded in the case of a measles outbreak.
  • Individuals should also consider having a conversation with their health care provider about immunization and/or proof of immunity for other vaccine-preventable illnesses such as mumps, rubella, varicella, or pertussis.
Does the proof of immunity documentation need to be in English?
  • Yes.  Records must be legible and in English.  Certified English translated records are required.
  • College health officials will need to review many immunization records in the event of an outbreak and translation will delay this process.
  • Individuals with immunization records not in English should start the process of getting their record translated into English and have it sent to them as soon as possible.  In the meantime, bring your current record with you to campus.
How do I know if my immunization record is adequate? Should I contact Middlebury to be sure?

Do not send your immunization record or ask Middlebury to review your proof of immunity.  If you are concerned about not having adequate proof of immunity to avoid exclusion during an outbreak, please contact your healthcare professional to review the “proof of immunity” information and discuss your options.  In the event of an outbreak, you will be asked for your proof of immunity.  Criteria for adequate proof of immunity is included in these Frequently Asked Questions.  People without adequate proof of immunity risk exclusion from campus if an outbreak occurs.

I had measles when I was younger, but was born during or after 1957. Do I still need proof of immunity?

Yes.  Either a copy of a lab test or a medical report will be required for proof of immunity.  Criteria for adequate proof of immunity is included in these Frequently Asked Questions.  If you are concerned about not having adequate proof of immunity to avoid exclusion during an outbreak, please contact your healthcare professional to review the “proof of immunity” information and discuss your options. In the event of an outbreak, you will be asked for your proof of immunity.  People without adequate proof of immunity risk exclusion from campus if an outbreak occurs.

I changed my name since I was vaccinated so my immunization record does not include my new name. Do I need any additional documentation about this change?

Not at this time.

What should I do if I can’t get proof of immunity or get vaccinated before arrival at my summer program?

Ask your healthcare provider to order the blood test (measles IgG) and send the result to you at your summer program address. If the test is negative, contact the Parton Health Center during business hours to discuss getting an MMR shot.  Parton cannot guarantee that MMR vaccine will be available, and efforts should be made to get the MMR vaccine prior to arrival if possible.

Are there other illnesses that could cause school exclusion or ineligibility to work that I should be aware of?

Currently, Middlebury is focusing on measles due to the CDC report of increased cases in the United States.  Other vaccine-preventable illnesses can occur and result in exclusion such as mumps, rubella, and varicella.  Individuals are encouraged to consider having a conversation with their health care provider about immunization and/or proof of immunity for other vaccine-preventable illnesses such as mumps, rubella, varicella, or pertussis.

What if I can’t get the vaccine for medical or religious reasons?

Measles can cause serious health issues.  Individuals without documented proof of immunity would be asked to leave school or be ineligible to work if measles were present on campus.

Immunocompromised and/ or pregnant individuals should talk with their healthcare providers about recommendations if a measles outbreak occurs on campus.  In some cases, even if exposure did not occur, recommendations could mean leaving campus.

Does everyone staying on campus need to bring records this summer? What if I am expecting a visitor or family member for one or two weeks?

Exposed individuals without documented proof of immunity would be asked to leave school or be ineligible to work if measles were present on campus. That includes visitors, performers, family members, caregivers, dependents, etc. 

I’m studying at Bread Loaf’s New Mexico or Oxford campus. Do I need to bring immunization evidence with me?

Yes. That would eliminate the risk of exclusion in the event of an outbreak.  Exposed individuals without documented proof of immunity would be asked to leave school or be ineligible to work if measles were present on campus.  Also, the CDC recommends that international travelers get 2 doses of MMR vaccine.

I’m studying in Paris or Buenos Aires this summer. Do I need to bring immunization evidence with me?

Yes. That would eliminate the risk of exclusion in the event of an outbreak. Exposed individuals without documented proof of immunity would be asked to leave school or be ineligible to work if measles were present on campus. Also, the CDC recommends that international travelers get 2 doses of MMR vaccine.

Will I be required to show my proof of immunity when I arrive on campus?

No, but you will be asked for it immediately if there is a case on campus and you were exposed.  Students attending Language Schools in Middlebury will have an opportunity to provide a copy of the record at the arrival center.  That copy will be used for early intervention efforts if a case of measles occurs; however, students should also plan to provide a copy again if requested.

Are there health centers in Middlebury where I can get vaccinated or tested for immunity?

Possibly, but large numbers of people arriving and asking for testing and/ or vaccination would quickly saturate the local medical community.  Summer program individuals are encouraged to get the process started prior to coming to campus since testing and immunization may not be available once you arrive on campus unless there is an actual outbreak.

Is there an emergency plan for a Measles outbreak?

Yes. Middlebury would work closely with local Department of Health offices to identify possible exposures, vaccinate individuals who were exposed but not immune within 72 hours of exposure (though this cannot be guaranteed), and help monitor the community for additional cases. 

Will lab testing (titres) and immunizations be covered by my insurance?

All health insurance policies are different. You will need to contact your health insurance company and ask specifically if they will cover:

  • Rubeola (measles) IgG antibody (CPT code: 86765) (ICD 10 code Z01.84) – this is the lab testing done to determine if you currently have immunity to measles, either from prior exposure or vaccination
  • MMR vaccine
    • Vaccine availability cannot be guaranteed in Middlebury, Vermont and students who need vaccine should get it at home prior to coming to campus.
    • PLEASE NOTE: Most health care provider offices bill the medical benefit of a health insurance plan and immunizations (vaccine and administration fee) are typically covered.  Middlebury College Parton Health Centeronly see students (not faculty or staff), and does not bill insurance for services provided at the Health Center. If a student comes to the Health Center needing an MMR vaccine, a prescription is sent to a local Pharmacy that will bill the pharmacy benefit of a health insurance plan (Rx BIN # on insurance card required). There is no charge for administration of vaccine at the Health Center. If insurance does not cover the cost of the vaccine via the pharmacy benefit, students need to pay the Pharmacy directly for the balance due. Current cost in Middlebury is estimated at approx. $102.
Guidance for Middlebury employees covered by the College health plan for measles related blood test and vaccinations

Health Services
Centeno House
1st & 2nd Floor
Phone: 802-443-5135
Fax: 802-443-2066

Counseling
Centeno House
3rd Floor
Phone: 802-443-5141
Fax: 802.443.3407

Sports Medicine
Field House
Phone: 802-443-3636
Fax: 802-443-2094