
Ingham County: Vaccination triggered false positive measles test for Michigan baby
'When we test for measles, the first test is very sensitive and can pick up both real infections and traces of the vaccine virus,' said Dr. Nike Shoyinka, Ingham County's medical health officer, in a statement May 14. 'Further testing showed the symptoms were likely from an unrelated illness and the positive test result was due to a recent vaccination, not a case of measles.'
The boy was exposed to a 1-year-old girl who had a confirmed case of measles earlier in April. He was undergoing monitoring by the health department when he developed general respiratory symptoms. That led health officials to test the boy for measles.
The test was positive, which triggered additional monitoring and public notification of his case. However, additional testing by a regional public health reference lab supported by the U.S. Centers for Disease Control and Prevention confirmed that the initial positive measles test result was caused by a recent vaccination with the measles, mumps, rubella (MMR) vaccine.
The MMR vaccine contains weakened live measles virus. This type of detection is not considered an infection and the child was not contagious, the health department said.
"With the availability of the additional testing, this case will no longer be counted as a confirmed measles infection by ICHD or MDHHS," the statement said.
'This situation is a reminder of why timely vaccination is so important,' Shoyinka said. 'The MMR vaccine is the best way to prevent measles and protect public health.'
More: Montcalm County has Michigan's first measles outbreak of 2025
More: What are the symptoms of measles? And other answers to common questions.
In Michigan, there have been eight confimed measles cases this year, including a cluster of four cases in Montcalm County that constitute an outbreak.
An adult from Oakland County who traveled internationally with an unknown vaccination history and was the state's first measles case of 2025. The person exposed others March 8-10 at a restaurant in Rochester and at Henry Ford Rochester Hospital.
A traveler from Kent County who potentially exposed hundreds of other people to measles March 24-28 when visiting Metropolitan Airport in Romulus and the Gerald R. Ford International Airport in Grand Rapids, along with a restaurant in Kentwood and a Corewell Health facility in East Grand Rapids.
An adult from Macomb County who traveled to the Windsor-Essex County area of Ontario, Canada. The case was announced April 4, and the person is not believed to have gone out in public while infectious, so there are no known exposure sites.
A 1-year-old girl from Ingham County who got one dose of the MMR vaccine the day before traveling through a Michigan airport out of state with her family. But it wasn't enough time for her body to mount an immune response. Her infection was reported April 14, and she exposed others at multiple locations in Lansing, East Lansing, and Okemos, including at a farmers market, a preschool/day care center, a restaurant, a hospital emergency department and a building on the Michigan State University campus.
Four cases in Montcalm County that were identified in April and are tied to an ongoing outbreak in Ontario, Canada.
Nationally, the CDC has confirmed 1,001 measles cases in 30 states as of May 8. Of them, about 68% have been among children and teenagers, and 96% have been among people who were either unvaccinated or whose vaccination status was unknown.
One dose of the MMR vaccine provides about 93% protection against the virus, and two doses offer about 97% coverage, the CDC says. It recommends the following for MMR vaccines:
A first dose for children at 12 months-15 months old, with a booster dose administered between ages 4 and 6.
Anyone born during or after 1957 without evidence of immunity against measles or documentation of having been vaccinated with two doses of MMR vaccine should get vaccinated.
People exposed to measles who cannot document immunity against the virus should get post-exposure prophylaxis — a dose of the vaccine to potentially provide protection within 72 hours of initial exposure, or immunoglobulin within six days of exposure.
The CDC changed its recommendations in 1989 from one dose of the MMR vaccine to two doses, which provides longer-lasting and more robust protection. People born between 1957 and 1989 who have had just a single dose of the vaccine may be at a higher risk of contracting the virus in an outbreak setting.
Contact Kristen Shamus: kshamus@freepress.com. Subscribe to the Free Press.
This article originally appeared on Detroit Free Press: Vaccination led to false positive measles test for Ingham County baby
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