Measles cases reach 600: Experts warn of contagion risk and vaccine importance

by Matt Sheehan
OSF Healthcare

PEORIA - As measles cases continue to climb across the United States, the long-term implications can’t be ignored.

The respiratory viral infection, although thought eliminated in the U.S. in 2000, has reemerged, especially among unvaccinated individuals. As of early April 2025, the Centers for Disease Control and Prevention (CDC) has reported more than 600 confirmed cases of measles.

Measles is extremely contagious

"The key to measles is how highly infectious it is. Each person that has measles will infect between 12 and 18 people in an unvaccinated situation," says Doug Kasper, MD, an infectious disease specialist with OSF HealthCare. "The key for controlling measles is widespread vaccine use."

Doug Kasper, M.D.
OSF Infectious Disease Specialist


For reference, each influenza patient, on average, will infect one to two others.

The measles vaccine is normally offered once a child has reached one year of age. It's a two-shot series, which came on the market in 1963. Dr. Kasper says this gives medical experts decades of data that show a correlation between people receiving the vaccine, and close to zero circulation of the virus in the United States.

The states with measles outbreaks are in unvaccinated people, and no breakthrough cases (in those who have received the vaccine) have been reported, Dr. Kasper adds.

The long-term risks for unvaccinated measles patients
"There is emerging information that vaccination not only protects an individual from not becoming ill or having less severity of illness with a viral exposure, whether that's measles, chicken pox, influenza or COVID-19, but that there are long-term risks from viral infections that we do not appreciate in the moment," Dr. Kasper says. "Some of these have been associated with memory loss or dementia as somebody ages. Some of these are associated with organ disease like hepatitis or kidney disease."

Subacute Sclerosing Panencephalitis (SSPE)
SSPE is a rare, deadly degenerative disease of the central nervous system that can happen seven to 10 years after a measles infection. Young children, pregnant women and immunocompromised people are the most at-risk for SSPE. One to three out of every 1,000 children who become infected with measles will die from respiratory and neurologic complications, the CDC says.

SSPE symptoms happen over four stages.

  • Stage 1: Personality changes, mood swings or depression. There may also be fever and headaches, this stage can last up to six months
  • Stage 2: Muscle spasms and uncontrolled movement problems. Loss of vision, dementia and seizures can occur
  • Stage 3: Twisting movements and rigidity. Sometimes death
  • Stage 4: Serious brain damage, including areas of the brain that control breathing, heart rate and blood pressure, leading to coma and death

Immune amnesia
Another long-term impact of measles is known as immune amnesia. The American Society for Microbiology (ASM) calls immune amnesia “one of the most unique and most dangerous features of measles pathogenesis.” The extremely rare condition causes people’s immune systems to “forget” how to fight off infections and makes the person more susceptible. The ASM determined it normally takes two to three years after a measles infection for protective immunity to return.

A measles outbreak was declared in Northeast Illinois in early 2024 and declared “over” by the Illinois Department of Public Health (IDPH) in June. The expectation of statewide health experts is that measles will return to Illinois in the coming months. This is mainly due to heavy travel through Chicago airports and summer festivals. County health departments have now been tasked with keeping an eye on their measles vaccine rates and identifying areas where vaccine rates are low.

Peoria County's measles vaccine rate is quite high, around 95%. But outlying communities in central Illinois have lower vaccine rates, normally more rural counties. Health experts at Michigan Medicine call the Great Lake State “ripe for a measles outbreak,” as only 66% of toddlers receive the recommended childhood immunizations.

Measles symptoms
"Measles typically presents with a high fever, typically much higher than what we'd see with seasonal colds or influenza. Fevers can be 104 or 105 degrees Fahrenheit," Dr. Kasper says. "That's followed by a runny nose and a characteristic rash. This typically develops on the head and then spreads down the rest of the body."

“We don’t want to go back”
"Measles at its peak, in the 1950s before the vaccine, led to a significant number of hospitalizations in young children. Around 50,000 hospitalizations were estimated per year and about 500 deaths," Dr. Kasper says. "We don't want to go back to that scenario in any capacity, where we have a large number of unvaccinated people. The outcomes could be too severe."

Immunocompromised people like those who have received an organ transplant, cancer patients or those on long-term therapies that could impact their immune system, are at high risk for measles.

Why vaccines are so important right now
Summer travel along with large crowds at places like airports and theme parks, will likely bring more measles cases to the United States.

"This time, as good as any time, is to make sure somebody is updated on their vaccinations. If somebody isn't sure if they were vaccinated as a child, they should talk to their primary care provider about testing or receiving the vaccine. If someone is immunocompromised and they might be at a higher risk for measles through travel in areas that have exposure, they should talk to their primary care provider about the vaccine," Dr. Kasper says. "If someone has young children or is at an age where vaccine is recommended, we wholly recommend for them to discuss with their provider to remain up to date on their vaccine series."

Vaccine hesitancy continues to be a topic of discussion, one that Dr. Kasper recommends patients openly discuss with their medical provider.

Natural immunity is not a viable option with measles. The highly infectious nature of the virus, along with the severity of symptoms and potential for long-term complications, make it an illness people need to try and avoid entirely.


Facing inequities in maternal health care, Black mothers are more at risk to receive lower quality care


For Black women, one of the biggest issues is finding their voice when confronting health issues.


by Paul Arco
OSF Healthcare

As a practicing OB/GYN, Lisa Davis, MD, sees the maternal health challenges Black women deal with every day.

Lisa Davis, M.D.
OSF HealthCare Saint Anthony Medical

“Some of the issues that face black women when it comes to maternal health are issues with blood pressure,” says Dr. Davis, chief medical officer for OSF HealthCare Saint Anthony Medical Center in Rockford, Illinois. “So what we would call preeclampsia, a risk of preterm birth, which can result in low birth weight of the infant, postpartum hemorrhage, or hemorrhage that occurs right after delivery or during the latter stages of delivery.”

And it can lead to even more serious consequences. According to the Centers for Disease Control and Prevention (CDC), the pregnancy-related death rate for Black women is three times the rate for mothers of other racial and ethnic groups.

Nationally, April 11-17 is Black Maternal Health Week, a time to raise awareness and take action to improve the health of Black mothers.

Dr. Davis says for Black women, one of the biggest issues is finding their voice when confronting health issues, which include disparities such as getting quality healthcare, dealing with underlying chronic conditions and social drivers such as income, housing, transportation or child care.


Dr. Davis stresses to her patients the importance of making their own health a high priority.

“I think for black women in the maternal health space, it's being heard and too often, there is a misperception that sometimes is out there regarding their response to pain, their use of drugs and things that are all misconceptions,” she says. “That is a big challenge for us, and that includes me, to overcome. It doesn't matter what level of education or where you live. The research has shown that it is still an issue.”

Dr. Davis adds that the medical community can do better when it comes to listening and responding to their patients’ needs. “Every patient is special and different for us to slow down and really look at that person as the person, and understand and listen,” she says. “Sometimes patients, if they're not comfortable, won't disclose what's going on in the first few minutes, but as you get ready to leave, then you might start to get the real back story. And so, it's important for us to slow down and be in the moment.”

Another need is for more Black providers, according to Dr. Davis. She says studies have shown that Black patients tend to relate to someone their own color. “It's very important, I think, for that message to be out there and to encourage young people to look at health care as an option, especially young people of color, because in the future, that's what we're going to need.”

But there are things patients can do for themselves. Dr. Davis stresses to her patients the importance of making their own health a high priority. That includes maintaining a healthy diet, getting enough rest and exercise and attending prenatal appointments.

“If you're not at your best, how can you be good for anyone else?” she asks. “I think what moms suffer from is everyone's important, but sometimes they need to take that step back and focus on themselves, so they can be 100% for their kids, for their spouse, for their parents, for their siblings.”



Here's a few ideas to make allergy season less annoying


This spring, protect yourself from those triggers that you know will make you uncomfortable.

Person with allergies sneezing
Photo: Corina/Pixabay

by Paul Arco
OSF Healthcare

ESCANABA, MI - If you grew up without suffering from seasonal allergies, consider yourself one of the lucky ones.

But if you’ve reached your 40s or 50s and are now feeling miserable during the spring and fall months, welcome to the club. Adult-onset allergies are a real thing. And it happens to a lot of people.

Nearly 1 in 3 adults in the U.S. have seasonal allergies, eczema, or food allergies, according to recent data released by the Centers for Disease Control and Prevention (CDC). Nearly 75% of those are older than 45. Many of those people developed allergies in adulthood or were not diagnosed until they were adults.

Experts are unclear why or how allergies develop in adulthood. Some theories include moving from one geographic region to another, having a reduced immune system or owning a pet for the first time in your life. There is a belief, however, that having one severe allergic reaction or symptoms during childhood can increase your chances of developing allergies as an adult.

Breanne Gendron
OSF Nurse Practitioner

Many people who develop allergy symptoms early in life will outgrow their allergies by their 20s or 30s. But, really, it’s possible to develop an allergy to something – whether it’s an animal or pollen – at any point in life.

“People will have them as kids and sometimes grow out of it,” says Breanne Gendron, a nurse practitioner with OSF HealthCare. “Then the alternative happens, where something starts bothering you as you age. That’s when we teach you about all the different medications you can use to control your symptoms.”

Gendron says most people are bothered by things that bloom and that includes trees and grass in the spring. Ragweed pollen or other weed pollen are problematic in the fall. Spores from molds and fungi are typically around in warm-weather months. And don’t forget about house dust mite allergens, which tend to be present throughout the year.

Most allergy symptoms, while annoying, are mild. Examples are sneezing, itchy eyes and runny nose. In her practice, Gendron notices more adults suffering from sinus infections with their allergy issues, more so than her younger patients.

“The dilemma about having untreated allergies is that you can get extra congestion in your sinuses, which could lead to a sinus infection,” Gendron says. “When you get pressure in your face, and you generally feel a little rundown, then we want to treat you for that.”

Gendron recommends treating allergies with a combination of oral antihistamines, eye drops and steroid nasal sprays. Allergy shots may be in order as well. But first, talk to your doctor to see if you are a candidate for a skin test to determine your specific allergies. “Once the medication gets your symptoms to calm down, you can generally keep it in check with less medication,” she says.

There are other things you can do to help minimize your symptoms. Gendron recommends things like eliminating carpet in your bedroom and washing your sheets regularly to eliminate dust. Consider taking a shower before bedtime, especially after being outside, and keep the windows closed at night to prevent pollen from entering the home.

This spring, protect yourself from those triggers that you know will make you uncomfortable.

“If you are bothered by something in the environment and you know that it bothers you, such as mowing the grass or raking leaves, do yourself a favor by wearing a mask to prevent yourself from breathing in more allergens,” she adds. “And take your allergy pills before you do those things, to make sure that you're going to have less of a reaction.”



Op-Ed |
Congress is taking from the poor and giving to the rich


Let’s say you’re lucky enough to get housing at that wage. Do you then spend all your money on rent and skip nutritious meals for your family?

by Jocelyn Smith
      OtherWords

Foodbank products for people in need
Photo: Donna Spearman/Unsplash
I know how it feels to be hungry and homeless.

That’s why after work, I drive around town and pick up leftover food from restaurants, schools, grocery stores, and special events. My fellow volunteers and I set up in a big parking lot in our downtown to make this food available to anyone who shows up — no questions asked.

And it’s why other volunteers and I also work to find empty housing units that have fallen into disrepair because the landlords can’t afford the upkeep. We raise money and give them grants so they can bring the units up to code for use as low-income housing rentals.

I’m proud to do this work. But it’s no substitute for fair, living wages and a reliable public safety net. The minimum wage where I live is $12 — well below the $21 per hour the National Low Income Housing Coalition has calculated is necessary to afford a market rate two-bedroom rental locally.

Let’s say you’re lucky enough to get housing at that wage. Do you then spend all your money on rent and skip nutritious meals for your family? Or do you skip health care and medication? If you have a paycheck and a roof over your head, you might not qualify for food assistance, even if you don’t make enough to make ends meet.


foodbank photo
Photo: Joel Muniz/Unsplash

Foodbanks play a crucial role in addressing hunger and ensuring that vulnerable populations have access to nutritious food when they are unable to afford or access enough food on their own.

I work, volunteer, take care of my child, and I’m fortunate enough to have housing. But I still need to rely on SNAP — the Supplemental Nutrition Assistance Program, also known as “food stamps” — for my family.

My daughter has epilepsy, and thankfully I was able to get her onto Social Security Disability Insurance. However, she needs not only costly medication but also frequent neurological supervision and a device that helps to stop her seizures. There’s no neurologist in our town who can treat her, so we have to travel and lodge hours away for it.


when we need help, the bar for our income shouldn’t be so low that we must be nearly destitute, without any savings or emergency cushion, to qualify.

The expense is enormous, and that’s not even getting into expensive medications for my own heart problems and autoimmune disorders. Thankfully, we qualify for Medicaid. Otherwise, treatment would be out of reach.

But what does it say about our policy priorities when we need to say, “I’m disabled, taking care of my disabled daughter, I work, and I help feed my community, and yet I need assistance affording meals for my family?” These are the realities that a good society plans for so we can all thrive, no matter what obstacles life throws our way.

The programs our tax dollars pay for so families like mine can get help when we need it must be more robust. Programs like SSDI shouldn’t be so inaccessible. Food, housing, and health care shouldn’t be so expensive — and wages shouldn’t be so low that these basic necessities are unaffordable.

And when we need help, the bar for our income shouldn’t be so low that we must be nearly destitute, without any savings or emergency cushion, to qualify.

Is Congress working on any of this? Unfortunately, no. Instead, they’re doing the opposite right now.

In fact, the GOP budget proposal would slash $880 billion from Medicaid and $230 billion from food assistance. They’re also cutting government agencies that assist with affordable housing, transportation, safety, veterans, and children with disabilities.

Why? Because they need to find at least $4.5 trillion to give even more tax cuts to the wealthiest and largest corporations. They are reaching into my very shallow pockets, into my daughter’s life-saving medical care, and into the mouths of those who come to my food table in that parking lot.

They’re stealing from us to give to the rich, perpetuating a vicious cycle of poverty that keeps people homeless and hungry.

I don’t think that’s fair. Do you? We all deserve better.


Jocelyn Smith
Jocelyn Smith lives in Roswell, New Mexico. She works at a local talk radio station, runs a local Food not Bombs chapter, and volunteers at Rehab to Rental, helping to increase affordable housing options. This op-ed was produced in partnership with the Institute for Policy Studies and the Working Class Storyteller and distributed by OtherWords.org.



Which one is right for your pain? Choosing between ibuprofen and acetaminophen

Man with a headache
Photo: Vitaly Gariev/Unsplash

by Paul Arco
OSF Healthcare

ROCKFORD - Whenever you feel a headache coming on or you tweak your back, it’s common to reach into the medicine cabinet for a couple of acetaminophens (Tylenol) or ibuprofen (Advil). But does it matter which one you take? And is there anything wrong with taking both to fight off what ails you?

Acetaminophen is an analgesic, which is a type of drug that reduces pain signals within your nervous system. It’s used to treat discomfort like headaches and joint pain, and to reduce fever.

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is typically used to tackle issues such as back pain, menstrual cramps and toothaches. It also works to decrease fever.

OSF Pharmacist Sarah Sheley
Photo provided
Sarah Sheley
Sarah Sheley is a pharmacist with OSF HealthCare. She says it’s important to know that ibuprofen helps with inflammation and acetaminophen can’t do that.

"The difference between the two is the fact that the ibuprofen, that anti-inflammatory component, reduces pain by affecting the production of certain hormones in your body that cause inflammation," she says.

But each pain reliever comes with its own risks.

Acetaminophen is typically safer to use for most people. Some side effects include nausea, vomiting and headache. But it’s a drug that's absorbed by your liver so it’s not the best option for people with liver problems.

The side effects of ibuprofen include heartburn, nausea and stomach pain (it’s important to take it with food). Taking ibuprofen for a long time or at high doses can increase the risk of blood clots, kidney damage and ulcers.

Check with your pediatrician before giving your child any pain relievers.

"With ibuprofen there is more concern with patients using it if they had renal insufficiency, heart failure, GI (gastrointestinal) issues like Crohn's or IBS; they could cause a lot of irritation in the GI tract or stomach," Sheley says.

If you are taking a blood thinner ibuprofen can increase your risk of bleeding so opt for acetaminophen instead.

Sheley says that acetaminophen and ibuprofen are appropriate choices for children with fevers. However, stick with acetaminophen for infants 3 months or younger. The correct dose for your child is based on their weight, not their age. Do not guess their weight — acetaminophen and ibuprofen can be dangerous when given in the wrong dose. Check with your pediatrician before giving your child any pain relievers.

Be aware that ibuprofen and acetaminophen can have a negative interaction with some prescription and over-the-counter drugs.

Since the two pain relievers work differently, Sheley says it’s fine for most adults to use them interchangeably.

"As long as you don't have any kidney or liver issues, you can alternate between the two. It is safe," she says. "You want to keep the doses four to six hours apart to help maintain and it probably is a good thing to alternate those, if you want to hit the pain from two different mechanisms."

Sheley says the most important tip is to know why you’re taking a particular pain reliever and don’t overdo it. The recommended maximum dosage for adults is 3,000 milligrams a day for acetaminophen and 2,400 milligrams a day if you’re taking ibuprofen.

Additionally, other factors such as your medical history and underlying cause of pain also help determine which pain reliever is best for you.

"Making sure that you know the source of your pain is important, and make sure that you are aware of a total daily dose that you should be taking of either medication prior to starting it," Sheley says.

Be aware that ibuprofen and acetaminophen can have a negative interaction with some prescription and over-the-counter drugs. If you have any concerns or questions, consult with your primary care provider or your pharmacist.



Vaccination is key to ending a resurgence of measles and stopping a preventable disease from spreading

Baby with measles spots
Photo: CDC/ James Goodson, M.P.H.

The number of reported measles cases has soared past the number in all of 2024 this week. In the past, the mortality rate of children worldwide has been reduce by 51% thanks to vaccinations. Unfortunately, measles is making a resurgence because of the current vaccine hesitancy trend.

by Colleen Reynolds
OSF Healthcare

PEORIA - The third week of March marked a regrettable milestone. The number of measles cases soared past the number in all of 2024. Dana DeShon, APRN for Peoria, Illinois-based OSF HealthCare, says globally the mortality rate of children worldwide has been reduce by 51% by just the act of vaccinating them. Vaccines save more than 4-5 million lives each year and have prevented approximately 50 million deaths between 2000-2019.

OSF Pediatric Nurse Dana DeShon
Dana DeShon, APRN

However, DeShon worries that in the United States, vaccine hesitancy will bring measles back as a public health crisis. The advanced practice registered nurse has been involved with the United Nations Foundation initiative called Shot@Life through which she and others lobby Congress to fund vaccine support for children in low-income countries. According to Deshon, the funding accounts for less than 1% of the total U.S budget but saves 2.5 million lives every year worldwide.

However, these days, she’s focused on vaccinations at home.
DeShon says most of the population hasn’t seen the devastating impact of the highly contagious measles because it was eradicated in 2000. But measles is making a resurgence because of vaccine hesitancy. And measles is the most contagious of all vaccine-preventable diseases.

It begins with a runny nose, watery eyes and then a rash so people can be walking around, spreading the airborne virus before severe symptoms develop.

Vaccine hesitancy was fueled in the 1990s by a bad study from a physician who has since lost his license to practice medicine.

“You’re contagious four days before that rash and up to four days after so we could have 8 to 10 days of people walking around not even knowing they have measles and then they’re just spreading it around to people at risk. Obviously, the people most at risk, are the people who are not vaccinated,” DeShon points out.

That includes babies who can’t be vaccinated until age 1, along with pregnant women and immunocompromised cancer patients who can’t get vaccinated.

Vaccine hesitancy was fueled in the 1990s by a bad study from a physician who has since lost his license to practice medicine. The research, published in a respected medical journal, The Lancet, involved only 12 patients and falsely linked vaccines with autism. DeShon said the study has been retracted and there is, in fact, NO scientific evidence that vaccines cause autism.

She emphasizes the National Institutes of Health (NIH) spent millions on research.

“Outside research was also done and there were no links that they could find from that original Lancet study. It got to the point that they said, ‘We’re not going to do anymore studies because they did not see a link between autism and the MMR (measles, mumps and rubella) vaccine.”

Measles vaccination rates are falling
The Kaiser Family Foundation says measles vaccination rates in most U.S. states have fallen below the 95% threshold scientists consider necessary for so called ‘herd immunity’ to control the disease, and those rates have continued to drop. That’s concerning for DeShon.

“How are we going to stop this? It is not vitamin A. Vitamin A is not going to stop the measles outbreak. We need vaccinations. That is what is going to stop the outbreak that we are seeing, not just in west Texas, but all over in these pockets we’re seeing in the United States right now.”

DeShon stresses when the population is vaccinated, measles goes away. Receiving one and two doses of measles vaccine is 93% and 97% effective, respectively, in preventing measles.

Photo: CDC

The torso of a child with a skin rash due to a case of the three-day measles.

She points to an outbreak at a Chicago migrant shelter last year. Fifty-seven measles cases were associated with people in the shelter. Most cases occurred in people who were unvaccinated. A prompt and coordinated response with a mass vaccination campaign reduced the size and duration of the outbreak and stopped what might have become a statewide public health concern.

The Centers for Disease Control and Prevention (CDC) says measles can lead to severe complications, including pneumonia, encephalitis (inflammation of the brain), and in some cases, death. Children, especially those younger than 5 years old, are at a higher risk of developing serious complications from measles.

A school-age child in Texas died from the measles and the New Mexico Department of Health is reporting the death of an unvaccinated adult who tested positive for measles. Even if a child survives measles, it can have long-lasting effects.

A condition called subacute sclerosing panencephalitis, or SSPE, a degenerative neurological condition can develop seven to 10 years after a measles infection, according to DeShon.

The disease carries a heavy toll. So DeShon reminds everyone that while vaccination is a personal decision, it impacts health systems, communities, and the most vulnerable among us.

“When it comes to the point that this is something that is so contagious, and now deadly, then we really need to stop and think, ‘We need to be doing this, not because of me but because of those around me.’”

If you’re unsure whether you have immunity against measles, talk to your health care provider about your options.


Allergy season is just around the corner; some tips that might help you be less miserable

Allergy season sneeze
Photo: PEXELS/Edward Jenner

by Tim Ditman
OSF Healthcare

DANVILLE - Spring allergies will be here soon. If you’re suffering from a runny or congested nose, watery or itchy eyes or sneezing, it’s tempting to grab the first medicine that catches your eye at the pharmacy or rifle through the bathroom drawer for some pills you’re hanging on to.

Not so fast, says Maddy Draper, APRN, a health care provider at OSF OnCall. She says it’s important to know what to take and when in order to avoid side effects that can be serious.

OSF ARPRN Maddy Draper
Photo provided
Maddy Draper, APRN

What to take
Draper says an antihistamine like Astepro, Zyrtec, Allegra or Benadryl is a typical first line of defense.

“There are also decongestants for severe nasal congestion or sinus pain and pressure,” Draper adds. Sudafed is a well-known decongestant.

If a more severe case brings symptoms like face swelling or wheezing, Draper says treatment could be a steroid like Flonase or prednisone.

For more chronic (in other words, long term) allergy cases, the U.S. Food and Drug Administration says a provider may recommend immunotherapy to build up a tolerance. This could be an injection or a tablet under the tongue.

Misuse
It may not seem like over the counter allergy medications are ripe for misuse, but it can happen.

Draper says antihistamines, especially Benadryl, can make you drowsy. If you take too much or take it at the wrong time, you could, for example, find yourself sleepy behind the wheel. Or your attentiveness at work or school could suffer.

On the flip side, Draper says Sudafed can make you jittery, irritable or cause heart palpitations (the feeling of an irregular heartbeat). This could be a big issue, she says, for people with a heart condition.

“We want to avoid nasal sprays for people with nasal trauma. Things like a deviated septum or nasal sores,” Draper adds. “Putting something up the nose could cause further tissue damage.”

Draper says to take medication as directed by your provider. Or if it’s over the counter, follow the label instructions. She says these medications typically take a couple days to start working. So don’t be tempted to take an extra dose if you’re not seeing relief right away.

Think of the children! (and seniors)
Children and seniors may be more impacted by the side effects of allergy medications. An older adult who takes Benadryl, for example, may be drowsy to the point that they fall and suffer a serious injury.

So, Draper says providers will typically start with an antihistamine that doesn’t make you super drowsy. She says Zyrtec is approved for ages six months and up, and that’s often where providers will start.

“Any antihistamine label is going to tell you to consult your provider for use under the age of two,” Draper says. “So you’ll need to be seen by a provider or your pediatrician.” This could be a virtual visit or a message to your provider in your patient portal.

Plan ahead
Draper says knowing your allergy triggers and acting accordingly is key to avoiding unpleasant symptoms. For example, you know grass clippings will cause an allergic reaction, but you have no choice but to mow the lawn.

“Primary care providers and allergists typically recommend starting the medication prior to exposure,” Draper explains. “If you know you’re going to be outside on that windy, dry day to mow, start the antihistamine a couple days prior so it can fully take effect.”

If you can’t get a handle on a known allergy, or if you have unexpected allergy symptoms, Draper says it’s never a bad idea to go to an urgent care.

Or if you find yourself looking for an over the counter medication option: “Just ask the pharmacist,” Draper suggests. “They’ll give you recommendations.

“There’s usually a specific aisle for allergies,” she adds. “Find the right antihistamine. Flonase is another big one we see people use.”



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