The determination that a case of measles, diagnosed at the Martha’s Vineyard Hospital and later confirmed by state public health epidemiologists was not measles has raised questions about how state and local public health officials work with the hospital and Island doctors.

With more than 600 doses of the vaccine that prevents measles, the Martha’s Vineyard Hospital began inoculating unvaccinated children and adults Wednesday evening, following a confirmed case of measles on the Island.

Martha’s Vineyard Community Services has spent more than a year working on a plan in collaboration with the Martha’s Vineyard Hospital to establish a new short-term outpatient care facility to cope with the problem and provide a new option for treating substance abuse.

For the second year in a row, the Martha’s Vineyard Hospital has been named one of the top 20 critical access hospitals in the country.