Parent briefing: PA measles reaches 1,286 cases, Nara Organics botulism outbreak over, gripe water lot reminder

Pennsylvania's measles outbreak continues to grow. As of October 19, the state Department of Health confirmed 1,286 cases across 42 counties, up 26 from the October 16 update. Hospitalizations stand at 247, and five measles-associated deaths have been confirmed. A sixth reported death remains under review.

Nationally, the CDC listed 4,410 confirmed cases as of October 15, with 451 hospitalizations. Nearly all cases are in people who are unvaccinated or of unknown status. The CDC has deployed an Epidemic Intelligence Service officer to support Pennsylvania's response, including nowcast modeling.

Practical steps for households

• Check MMR status for everyone in the home, including older children and adults.

• Talk with your clinic about early infant doses if you live in or travel through an outbreak area.

• Watch for fever, cough, runny nose, red eyes, and the characteristic rash. Isolate and call ahead if you suspect measles.

Other notes this week

CDC has declared the Nara Organics powdered infant formula botulism outbreak over. Four confirmed cases were linked to the product; the investigation pointed to a shared supply chain with the earlier ByHeart outbreak. If you still have any Nara Organics formula with a 2027 best-by date, discard it. Do not feed it.

Pacific Health Sciences recalled one lot (25122bw) of Babies' Magic Tea Baby Sleep Gripe Water after FDA testing found undeclared ethanol, methanol, and isopropanol. Check any bottles and discard or return the affected lot.

Celebrate Babies Week continues through October 23. Local proclamations and events highlight early childhood supports.

Respiratory season is active. A recent independent evidence review reinforced that influenza, RSV (nirsevimab or maternal vaccine), and COVID-19 immunizations continue to reduce severe illness in infants and young children. Ask your clinic what is recommended for your baby's age and season.

Sources: Pennsylvania Department of Health (Oct 19), CDC measles update (Oct 16), FDA/CDC Nara Organics investigation, FDA gripe-water recall notice.