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With measles cases on the rise in the United States, some people are looking for alternatives to vaccination – such as vitamin A.

Vitamin pills forming a question mark
Vitamin pills forming a question mark

Myths and Misconceptions: Is Vitamin A a Cure-All for Measles?

With measles cases on the rise opens in a new window in the United States, some people are looking for alternatives to vaccination – such as vitamin A opens in a new window.

But when it comes to protecting personal and public health, vitamin A is not a substitute for vaccination. The vaccine, typically administered in two doses as the measles, mumps, and rubella (MMR) vaccine during early childhood, is the best way to prevent measles and has been shown to be 97% effective opens in a new window. Over the past several years, experts have warned that vitamin A misinformation could lead to excessive intake, resulting in vitamin A toxicity opens in a new window.

In fact, the National Foundation for Infectious Diseases opens in a new window (NFID) issued a clear and direct statement in 2020 on the relationship between vitamin A and measles:

  1. Vitamin A does not prevent measles.
  2. High doses of vitamin A can be harmful.
  3. Vaccination remains the most effective way to prevent measles.

An Ounce of Prevention is worth 200,000 IU of Cure

A typical vitamin A supplement contains about 900 International Units (IU) opens in a new window. For healthy adults, doctors strongly advise against consuming more than 10,000 IU of vitamin A per day opens in a new window for adults and not more than 2,000 IU for children from birth to three-years old opens in a new window.

However, in cases when young children are hospitalized with severe measles, the World Health Organization (WHO) recommends two doses of 200,000 IU of vitamin A opens in a new window over the course of two days to help reduce complications. It is important to note that this treatment is closely monitored by healthcare professionals.

Even in those cases, vitamin A is not a cure for measles – it only helps to manage symptoms, and no amount is going to prevent measles infection opens in a new window. In fact, excessive vitamin A opens in a new window consumption can lead to a host of problems. Vitamin A toxicity occurs when someone takes more vitamin A than their body can adequately process. Symptoms of overusing vitamin A include headaches, dizziness, and nausea opens in a new window and chronic overuse can eventually damage internal organs, including the liver and kidneys opens in a new window.

Physicians are already seeing the consequences of vitamin A overconsumption. In Lubbock, Tex., pediatricians have reported treating children with impaired liver function due to excess vitamin A opens in a new window. This comes as Texas is experiencing its largest measles outbreak in over 30 years opens in a new window.

The Limited Power of Vitamin A

While vitamin A is used routinely to aid measles cases opens in a new window, the context in which this treatment is used is key. Studies demonstrating the benefits of vitamin A were conducted in areas where deficiency was common opens in a new window – often due to poor nutrition. One study found that the patients who benefited most from vitamin A were already showing signs of severe malnutrition opens in a new window.

But what about places where vitamin A deficiency isn’t a widespread issue? Research in Italy opens in a new window found no significant improvements in measles outcomes after vitamin A supplementation.

Here in the United States, vitamin A deficiency opens in a new window is rare, meaning the risks of taking too much far outweigh any potential benefits. The NFID has called for more studies within the United States, but so far, there’s no evidence that vitamin A makes a meaningful difference in well-nourished populations.

Even if someone with measles benefits from vitamin A treatment, they can still spread the virus to those around them. That can have fatal impacts for people who cannot be vaccinated or with weakened immune systems, such as children too young to be vaccinated opens in a new window and people with cancer opens in a new window.

The only effective way to prevent infection is through vaccination. The measles, mumps, and rubella (MMR) vaccine opens in a new window, given in two doses during early childhood, is 97% effective at preventing measles.

The Bottom Line

While vitamin A can help in specific cases, it’s not a cure. The best way to prevent measles – and to protect those around you – is through vaccination.

To learn more about how to protect your health and the health of your community, talk to your physician or contact the Allegheny County Health Department opens in a new window.

About Robin Oliverio, Ph.D.

Robin holds a Ph.D. in neuroscience and is passionate about bridging the gap between science and policy. She focuses on using research to inform evidence-based policies that drive positive societal change. She is strongly committed to projects that make a meaningful difference in people’s lives, and she thrives in roles where science meets advocacy, communication, and impact.

If you have any questions or would like a particular topic to be featured, please reach out to Robin Oliverio, Science Communications & Media Specialist, at OliverioR@CarnegieScienceCenter.org

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