Low MMR Vaccination Rates in US Adult Travelers
Seventy-four percent of those who refused MMR vaccination were not worried about measles.
HealthDay News — More than half of eligible Americans traveling abroad don't get a measles vaccine, and a key reason is lack of concern about the disease, according to a study published in the Annals of Internal Medicine.
Emily Hyle, MD, of Massachusetts General Hospital in Boston, and colleagues looked at 40,810 US adults born after 1956 who were seen at pre-travel clinics from 2009 through 2014. Of those, 84% were immune to measles, primarily due to vaccinations. Of the remaining vaccine-eligible travelers, 53% were not vaccinated during their clinic visit. In 48% of those cases, the patients refused the vaccine. In 28%, health care providers did not suggest vaccination, and in 24% of the cases, the traveler was referred elsewhere.
Among those who refused the measles, mumps, rubella (MMR) vaccine, 74% were not worried about measles, 20% were concerned about vaccine safety, and 6% had issues with the cost, according to the researchers.
"We can definitely improve how often providers specializing in pre-travel medical advice offer MMR vaccine to eligible travelers, and encourage clear discussions with patients about the risks of contracting measles and of spreading the disease after their return to the US," Dr Hyle said in a hospital news release. "Since more than 60% of the measles importations into the country are due to returning US travelers, increasing the number of travelers who are immune to measles will reduce the number of measles cases."
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Hyle EP, Rao SR, Jentes ES, et al. Missed opportunities for measles, mumps, rubella vaccination among departing US adult travelers receiving pretravel health consultations [published online May 16, 2017]. Ann Intern Med. doi: 10.7326/M16-2249.