LINCOLN- With the growing outbreak of measles in Texas, New Mexico and now likely Oklahoma, doctors in Nebraska are reviewing vaccination recommendations for the highly contagious viral illness. It turns out the details behind those guidelines are a bit more complicated — and confusing to patients — than a quick glance at the federal recommendations might indicate, thanks to the way the measles vaccine was developed and how vaccination recommendations evolved over the years, said Dr. Mark Rupp, an infectious diseases specialist with Nebraska Medicine.

As a result, some patients, generally those in their late 30s through early 60s, may be asked about their vaccination status and offered the shot. Most, however, won't need to rush to get it. Meanwhile, Rupp and his colleagues have been updating their guidance and disseminating it to Nebraska Medicine clinics and emergency rooms. Both the Nebraska Department of Health and Human Services and the federal Centers for Disease Control and Prevention also have posted guidance for healthcare providers.

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