Measles: Symptoms, Prevention, and Treatment

Introduction

Measles is one of the most contagious viral diseases known to humanity. Despite the availability of an effective vaccine, measles continues to be a significant public health concern globally, with occasional outbreaks occurring even in developed nations.

What is Measles?

Measles, also known as rubeola, is a highly infectious viral disease that primarily affects children but can occur at any age. The virus belongs to the paramyxovirus family and spreads through respiratory droplets or direct contact with infected fluids.

Measles
Skin of a patient after 3 days of measles infection (Source: Wikimedia Coomons)

Key Statistics

Region Annual Cases (2023) Vaccination Rate Mortality Rate
Global ~140,000 81% 1-3 per 1000 cases
Americas <1,000 94% <0.1%
Africa ~50,000 69% 3-6%
Europe ~15,000 90% <0.1%
Asia ~70,000 85% 1-2%

Symptoms and Progression

The disease typically progresses through several stages:

  1. Initial Phase (Days 1-4)
    • High fever (up to 104°F/40°C)
    • Persistent cough
    • Runny nose
    • Red, watery eyes
  2. Koplik’s Spots (Days 2-3)
    • Tiny white spots inside cheeks
    • Considered a diagnostic sign
  3. Rash Phase (Days 4-7)
    • Red, blotchy rash
    • Starts on face and spreads downward
    • Fever may spike
    • Most contagious period
  4. Recovery Phase (Days 8-14)
    • Rash fades
    • Fever subsides
    • General improvement
Koplik's Spot Measles
Koplik’s Spot (Source:Wikimedia Commons)

Complications

Serious complications can occur, particularly in:

  • Children under 5 years
  • Adults over 20 years
  • Pregnant women
  • People with weakened immune systems

Common complications include:

  • Pneumonia
  • Encephalitis
  • Ear infections
  • Pregnancy complications
Measles in children
Measles in children (Source: Wikimedia Coomons)

Prevention and Treatment

Prevention

The MMR (Measles, Mumps, Rubella) vaccine is the primary preventive measure:

Age Vaccine Dose Effectiveness
12-15 months First dose 93% protection
4-6 years Second dose 97% protection

Other Preventive Measures

  • Avoid close contact with infected individuals.
  • Practice good hygiene, such as frequent handwashing.
  • Stay informed about local measles outbreaks.

Treatment

While there’s no specific antiviral treatment for measles, supportive care includes:

  • Rest and hydration
  • Fever reduction
  • Vitamin A supplementation
  • Management of complications

Frequently Asked Questions

Q: Can you get measles if you’ve been vaccinated? A: While possible, it’s extremely rare. The MMR vaccine is 97% effective after two doses.

Q: How long is someone contagious with measles? A: People with measles are contagious from four days before to four days after the rash appears.

Q: Can measles be cured? A: There’s no specific cure, but the body’s immune system usually fights off the virus within 2-3 weeks with proper supportive care.

Q: Is the MMR vaccine safe? A: Yes, the MMR vaccine has been extensively studied and proven safe. Side effects are generally mild and temporary.

When to Seek Medical Attention

Seek immediate medical care if you or your child:

  • Develops a high fever
  • Shows signs of the characteristic rash
  • Has been exposed to someone with measles
  • Experiences severe complications

References

  1. World Health Organization (WHO) – Measles Fact Sheet: https://www.who.int/news-room/fact-sheets/detail/measles
  2. Centers for Disease Control and Prevention (CDC) – Measles: https://www.cdc.gov/measles/index.html
  3. American Academy of Pediatrics – Red Book Online: https://redbook.solutions.aap.org/book.aspx?bookid=2591
  4. European Centre for Disease Prevention and Control – Measles: https://www.ecdc.europa.eu/en/measles
  5. National Institutes of Health – Measles Information: https://www.niaid.nih.gov/diseases-conditions/measles

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