The Utah Department of Health recommends a routine two-dose measles vaccination schedule to provide protection for those who don't respond to the initial vaccination.

In Utah, 147 measles cases have been reported in 1990, the most in the state since 1976. By the end of October, more than 23,500 cases of measles had been reported in the United States this year, the largest number of cases since 1978. In California, 47 people have died from the disease.The department recommends a first dose for toddlers at 15 months and a second dose before entering school but after the fourth birthday. Both doses should be given as a combined measles, mumps, rubella vaccine.

The department has received supplemental federal funding to help vaccinate kindergartners. The vaccine is being distributed to local health departments for use in public immunization clinics for school-based immunization programs.