Should You Test for Measles Antibodies Before MMR Vaccination? - Family Medicine

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When considering whether to test for measles antibodies before receiving the MMR (measles, mumps, and rubella) vaccination, several factors should be taken into account, especially given your upcoming travel to Europe, where measles outbreaks have been reported.

1. Understanding Immunity: The MMR vaccine is highly effective, providing immunity against measles, mumps, and rubella. Generally, two doses of the MMR vaccine are recommended for full protection. If you received both doses during childhood, you would typically have long-lasting immunity. However, immunity can wane over time, and it is not uncommon for individuals to lose some level of protection as they age.

2. Testing for Antibodies: Given your uncertainty about whether you contracted measles in childhood or received the MMR vaccine in the past decade, testing for measles antibodies can be a prudent step. A blood test can determine if you have sufficient immunity against measles. If the test shows that you have adequate levels of antibodies, you can travel with confidence, knowing you are protected. If the test indicates low or no antibodies, it would be advisable to receive the MMR vaccine before your trip.

3. Timing of Vaccination: If you decide to get vaccinated, it is important to note that the MMR vaccine takes about two weeks to provide immunity. Therefore, if your travel date is approaching, you should plan accordingly. Ideally, you should receive the vaccine at least two weeks before your departure to ensure that your body has enough time to build immunity.

4. Cost and Accessibility: You mentioned that you have inquired with the health department but could not find records of your vaccination history. If you choose to get tested for antibodies, this can typically be done at a local clinic or laboratory. The cost of the antibody test can vary, so it is advisable to check with your healthcare provider or local health services for pricing. If you need to receive the MMR vaccine, the cost will also vary by location, so it’s best to inquire directly with the clinic or pharmacy where you plan to get vaccinated.

5. Public Health Recommendations: The Centers for Disease Control and Prevention (CDC) and other health organizations recommend that individuals traveling to areas with known measles outbreaks ensure they are vaccinated. This is particularly important for adults who may not have received the vaccine as children or who are unsure of their vaccination status.

In summary, considering your travel plans and the current measles situation in Europe, it would be wise to test for measles antibodies first. If the test shows that you are not immune, getting the MMR vaccine would be the next step. This approach not only ensures your protection but also contributes to public health efforts to control measles outbreaks. Always consult with a healthcare provider for personalized advice based on your medical history and travel plans.