So there has been an outbreak of measles in my region. I take public transportation regularly and I’m not a hermit, so there is a real chance that I could be exposed to the measles virus if an infectious person is nearby.
I have received the MMR vaccine in the past but it was so long ago that I don’t know when it was — probably about 20 years ago! I don’t know how much my immunity to measles has decreased since then, so I went to my family doctor to get a measles titre to measure my antibodies against it.
The test results won’t be back for a week. In the meantime, I found out that the MMR vaccine is contraindicated in people on biologics, including Remicade (More references, this time from the USA: Cleveland Clinic/Advisory Council on Immunization Practices, Center for Disease Control and Prevention (CDC)). The measles vaccine is a live vaccine — in people on biologics, the immune system is suppressed to the point where the vaccine can cause a case of measles.
So now, instead of worrying about when the best time to schedule the vaccine would be (if it turns out that I’m not immune to measles), I am stressing about not being able to even get the vaccine. And I’m also wondering how come my family doctor didn’t look into this on my behalf. Now I’m going to have to leave a message at my doctor’s so that the staff there can give other patients in the same boat the right information.