Date
February 4, 2026
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Head2Toe Pediatrics Measles Safety Protocol

How We Are Protecting Families During the Current Increase in Measles in Florida

At Head2Toe Pediatrics, keeping families informed, protected, and cared for thoughtfully is a core part of how we practice medicine.

Following a recent notice from the Florida Department of Health and a current rise in measles cases in Florida, we are implementing and enforcing the following clinic-specific safety protocol. This protocol reflects public health guidance as well as the unique way our practice is structured.

Because we operate with a small patient panel, a private office, and the ability to provide home visits when appropriate, we are able to take a more detailed and individualized approach than traditional pediatric practices. These measures are designed to protect newborns, medically vulnerable children, and families with young infants while ensuring timely care.

Measles is a highly contagious airborne illness that often begins with fever and cold-like symptoms, followed by a rash that may not appear until 3–5 days later. Because children can be contagious before a rash is visible, this protocol applies to any child with a fever, even if no rash is present.

Our goal is transparency — to clearly explain how decisions are made and what families can expect.

Before any visit: pre-visit screening

Before scheduling any visit for a child with fever, we complete a brief screening with families. This allows us to determine the safest way and place to evaluate your child.

We will review:

  • Your child’s age and immunization status (already on file, including any medical exemptions)
  • Fever duration and highest temperature
  • Whether a rash is present, and if so, how it looks and when it started
  • Any known exposure to measles or other contagious illnesses
  • Recent travel
  • How your child is acting overall (energy level, feeding, breathing)

If a rash is present, we may request photos through our secure system.

Early fever testing at home

For any child with a fever, we recommend:

  • An at-home flu and COVID test on day 1 of fever

This helps guide next steps. A positive flu test is especially helpful because it may allow us to start antiviral medications such as Tamiflu or Xofluza, which are most effective when started within the first 48 hours of symptoms.

A negative flu or COVID test does not rule out measles, but it helps narrow early possibilities and guide care decisions.

How we decide where your child is seen

Because of our care model, Head2Toe Pediatrics is able to offer home visits when needed, which allows us to reduce exposure risks for other families.

A home visit will be done when:

  • A child has a fever AND
  • Is under-immunized due to age or a medical exemption, OR
  • Has had a known measles exposure, OR
  • Has a rash that cannot be clearly identified through screening and photos

For families not enrolled in a house call plan, a $150 home visit fee applies when a home visit is required for safety reasons.

In-office visits, newborns, and visit timing

Being a newborn does not automatically mean a home visit. Families enrolled in an in-office care plan will continue to be seen in our office, with enhanced safety measures in place.

Because Head2Toe Pediatrics is a private practice with a small patient panel, we are able to carefully control visit flow and timing throughout the day.

How we structure visits to minimize risk:

  • Newborns and higher-risk patients are scheduled early in the morning
  • Sick visits with fever are scheduled later in the day, after newborns and well visits have been completed
  • This reduces overlap between vulnerable infants and children with contagious symptoms

Additional precautions for fever visits:

  • Masking is required for the child (when developmentally appropriate), caregivers, and staff
  • Immediate rooming on arrival (no shared waiting room)
  • Heightened cleaning and air filtration between visits

This structure allows families on in-office plans to continue receiving care safely while minimizing exposure risks.

How we are keeping families extra safe

Our small patient panel allows us to take additional precautions, including:

  • A private office with no shared waiting room
  • Immediate rooming upon arrival
  • Masking when appropriate
  • Enhanced cleaning protocols
  • Use of specialized air filtration, medical-grade disinfectants, and additional safety tools such as lights, probes, and filters when indicated
  • Extra time between visits when needed

These measures are difficult to implement in larger practices but are possible within our care model.

Measles testing if needed

If measles is suspected based on symptoms or exposure:

  • Testing is coordinated with the Florida Department of Health
  • Testing follows specific public health timing and guidance
  • Families will be guided through each step if testing is needed

When urgent or emergency care is recommended

We will direct families to urgent or emergency care if a child has:

  • Trouble breathing
  • Severe lethargy or difficulty waking
  • Signs of dehydration
  • A rapidly spreading or purple/bruising rash
  • Any signs of serious illness

Measles vaccination guidance

The routine measles vaccination schedule includes:

  • First dose at 12 months
  • Second dose at 4 years

This two-dose series provides excellent protection and remains the schedule we are currently following.

In certain situations, measles vaccination can be given as early as 6 months of age (for example, during increased community risk or known exposure). Families should know:

  • A dose given before 12 months does not count toward the routine series
  • Children vaccinated under 1 year will still need two additional doses
  • This results in a total of three doses to complete the series

At this time, we are following the 12-month and 4-year schedule, but we will reassess if Florida guidance or local conditions change and will communicate clearly with families if earlier vaccination becomes recommended.

Why this protocol matters

This protocol is in place to:

  • Protect newborns and medically vulnerable children
  • Reduce unnecessary exposure during periods of increased community risk
  • Allow us to continue offering safe, personalized care
  • Keep families informed and confident in how decisions are made

Thank you for trusting Head2Toe Pediatrics and partnering with us to keep our community safe.

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