Measles is caused by the measles virus.
Measles is very contagious. The virus spreads from person to person through coughing or sneezing.
Until recently there were almost no cases of measles in Australia because most children were immunised against measles as part of the National Immunisation Program. But more Australian parents are not immunising their children, so there are more cases of measles.
Symptoms usually start to appear 10-12 days after infection with measles virus.
The earliest symptoms look like those of a heavy cold – runny nose, fever, conjunctivitis and dry cough. Early in the illness children can have tiny white marks on the insides of their mouths. These are called ‘Koplik spots’.
The measles rash typically appears on the third or fourth day of the illness, starting behind the ears and along the hairline. It consists of small, irregularly shaped patches that spread over the face and neck during the first 24 hours. The patches might look red on lighter skin or brown, grey or purple on darker skin.
The patches later spread to the body, arms and legs. The patches might join together to make the skin look blotchy. When this happens, children often get a high fever too.
Children usually start to feel better after 3-5 days. The rash starts to fade, and the fever goes down. Some children have skin peeling at this time.
Complications of measles
Encephalitis is another rare but very serious complication of measles.
If your child gets measles, they’re contagious from one week before until one week after the rash appears.
Medical help for measles symptoms or contact with measles
You should take your child to the GP if you’re worried your child might have measles. It’s a good idea to ring ahead in case your GP needs to take precautions to reduce the risk of measles spreading.
You should also see your GP if you or your child has been in contact with someone who could have measles, particularly if you or your child falls into a high-risk category. High-risk categories include:
- unimmunised children
- babies under 12 months of age
- children who have a weakened immune system because of illnesses like cancer
- pregnant women.
Take your child to your nearest hospital emergency department straight away if your child has measles and:
- becomes drowsy
- gets a severe headache
- has difficulty looking at bright lights
- has difficulty breathing.
You know your child best. If your child seems unwell, trust your instincts and seek urgent medical attention.
Tests for measles
Your GP might do a blood test or nose swab to confirm that your child has measles.
Children with measles or children who’ve been in contact with someone who could have measles should avoid contact with other children and unimmunised adults until after they’ve seen a GP.
Treatment for measles
There are things you can do to ease your child’s symptoms:
- Give your child paracetamol or ibuprofen in recommended doses if your child has a fever that’s making them feel uncomfortable.
- Encourage your child to drink plenty of water and get plenty of rest.
- Try dimming the lights in your house if your child complains of sore eyes.
Don’t give aspirin to children under 12 years unless it’s prescribed by a doctor. Aspirin can make your child susceptible to Reye’s syndrome, a rare but potentially deadly illness. If you’re giving your child any over-the-counter medicines, check with your pharmacist or doctor to make sure these have no aspirin.
Prevention of measles
The best way to avoid measles is to have your child immunised. This gives your child 99% immunity against measles.
As part of the Australian National Immunisation Program (NIP), your child gets 2 free measles immunisations. Your child needs both doses for the immunisation to work. They’ll get these immunisations at:
- 12 months, as part of the MMR vaccine, which protects your child from measles, mumps and rubella
- 18 months, as part of the MMRV vaccine, which protects your child from measles, mumps, rubella and varicella (chickenpox).
Some parts of the world have high rates of measles. You should speak to your GP about whether your child needs additional travel immunisations at least 3 months before travelling to these areas.
Always wash your hands carefully if you’re caring for a child with measles.