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should be collected. The loca l health department can arrange for the shipping of specimens to the ODH Laboratory. Q Who should be vaccinated? A: All children, adolescents, a nd adults born in 1957 or later without a valid contraindica- tion should have documentation of vaccination or other evidence of immunity. Additionally, during an outbreak, healthcare personnel who were born before 1957 without evidence of measles immunity should receive two appropriately spaced doses of MMR vaccine. Q Which adults need two doses of MMR vaccine? A: Certain adults are at higher risk of exposure to measles, mumps, and/or rubella and may need a second dose of MMR unless they have other evidence of immunity; this includes adults who are + S t u d e n t s i n p o s t s e c o n d a r y educational institutions + Healthcare personnel + Living in a community experiencing an outbreak or recently exposed to the disease + Planning to travel internationally + People who received inactivated (killed) measles vaccine or measles vaccine of unknown type during 1963-1967 should be revaccinated with two doses of MMR vaccine. All people working in a healthcare facility in any capacity should have documentation of vaccination or evidence of immunity, including full- or part-time employees, medical or non-medical, paid or volunteer, students, and those with or without direct patient responsibilities. Facilities should consider vac- c i n at i n g he a lt hc a re p ers on nel born before 1957 with two doses of MMR vaccine who lack laborator y ev idence of mea sles, mumps, or r ubella im mu nit y or laborator y confirmation of prev ious disease. These facilities should vaccinate hea lt hc a re p erson nel w it h t wo doses of MMR during an outbrea k of a ny of t he disea ses, rega rdless of bir t h yea r. Additional Information for Healthcare Providers For additional information, please contact your local health department or v i sit t he Oh io D ep a r t ment of Health website at w w w.odh.ohio.gov or the CDC website at http://w w w. cdc.gov/measles/hcp/index.html. Dr. Mary DiOrio is State Epidemiologist a n d Me d i c a l D i r e c t o r, D i v i s i o n o f Prevention and Health Promotion, Ohio Department of Health. ■ ORTHOPEDIC REHABILITATION & SKILLED NURSING ASSISTED LIVING & INDEPENDENT LIVING HOME HEALTH CARE & HOSPICE ALZHEIMER'S & DEMENTIA CARE SprengerHealthCare.com Visit us at the Discover Ten convenient locations throughout Northeast Ohio to serve you! For more information, contact us at 800-772-1116. Connect with Sprenger on Facebook and Twitter SprengerAd_2014.indd 1 6/2/14 11:46 AM 2 0 1 4 J U LY/AU G U S T ■ M D N E W S . CO M ■ MD NEWS Cleveland/Akron/Canton | 2 9