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Measles Flowchart 2011 To prevent false negative results, blood specimens should be collected at least 72 hours after rash onset. VPD Epi=Angie Cierzniewski (317) 233-7112 Yes No No Stop! Not Measles Yes How high fever? Fever less than 101°F Fever 101°F or greater Cough, cold or conjuctivitis No Received MMR w/in 45 days? Rash & on fever reducing meds? No Yes Stop! Patient would need to meet clinical case def and be epi linked to a confirmed case. Contact VPD Epi for more info. Rash and fever at the same time? Contact VPD Epi PRIOR to the shipment of specimens to ISDH lab. START HERE! No Yes Yes Stop! Not Measles Stop! Not Measles Does the patient have a KNOWN measles exposure? Contact Field Epi/VPD Epi PRIOR to the shipment of specimens to ISDH lab. Known measles exposure means they were in direct contact with a confirmed case of measles.