[Music] with recent measles outbreaks as close as Washington State Oregon in British Columbia it's a good time to make sure your immunizations are up to date children should get two doses of MMR or measles mumps and rubella vaccine starting at age 12 to 15 months with a second dose at four to six years of age measles typically starts with a fever runny nose cough and red eyes two or three days later tiny white spots may appear inside the mouth then a rash breaks out the rash usually begins as flat red spots that appear on the face at the hairline and spread downward to the rest of the body small raised bumps may also appear as part of the rash when the rash appears fever may spiked to 104 degrees Fahrenheit measles was declared eliminated in the United States in the year 2000 due to effective vaccination programs but outbreaks are again occurring nationally and internationally primarily among unvaccinated people measles can be a serious disease complications can include diarrhea and ear infections or severe complications include pneumonia which affects up to one in 20 young children with measles and one in ten older kids and adults measles can be fatal protect yourself and your family in the whole community by keeping current on all vaccinations