Just a word about measles: as cases rise, it’s important for immunocompromised patients to remember how easily it spreads. An infected person who coughs or sneezes can expel droplets that remain suspended in the air for up to two hours. Unfortunately, a person with measles can spread the virus to others from four days before the rash appears (before they even realize they are sick.) Since the MMR vaccine is a live vaccine, many of us cannot receive it. A past case of the measles or vaccination for measles (especially after 1968 when live vaccines were used) should still give some amount of protection. However, this is something I didn’t know: “If you think you were exposed to measles…, Immune Globulin (Ig) treatment is effective *within six days of exposure* for high-risk individuals.” I hope none of us are ever affected, but it’s nice to know there might be a treatment available if we are. https://www.michigan.gov/mdhhs/inside-mdhhs/newsroom/2025/03/14/first-measles-case-in-the-state-confirmed-in-oakland-county