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Would you know measles if you saw it?

Blog post | 10 Apr 2018

Measles is one of the most easily spread of all human infections – you can be infected with it simply by being in the same room as a person who has measles.

It’s normally not a problem in Australia, as most Aussies are typically immunised against measles at a young age. Babies are given the combined MMR vaccine (measles, mumps and rubella) at 12 months of age, followed by a second dose at 18 months. 

But the New South Wales, Victorian and Western Australian government departments of health recently issued warnings about measles outbreaks – traced to other countries where immunisation may be less common.

Even though a safe and cost-effective vaccine is available, measles is one of the leading causes of death in young children worldwide. In 2016 there were almost 90,000 deaths due to measles globally. 

Where is measles in Australia... and who’s at risk?

An outbreak in Melbourne has infected up to 9 people and is probably linked to a flight from Kuala Lumpur to Tullamarine airport on March 7. There were 3 more cases of measles reported in Melbourne in March, not related to that flight. These infections were most likely acquired overseas, in different locations. 

In NSW in March, 5 people were infected with measles, including 3 infants who acquired their infections while overseas.

Two adults returning to WA in March were infected with measles while on separate holidays in Southeast Asian countries.

Anyone born since 1966 – just before the vaccine was introduced to Australia – who has not been vaccinated, can’t show documented evidence of immunity to measles, or has a weakened immune system, is at risk of infection.

State health departments list known locations visited by people infected by measles (often visited before they realise they have it). You can check it here (in Victoria), here (in NSW) and here (in WA).  

Measles is highly infectious – here’s what to look for 

Measles is an airborne viral disease, meaning it’s spread through the air. A person is usually infected when they ‘breathe in’ the droplets of measles virus that have been coughed or sneezed into the air by a person who already has it.

Toddler with measles rash.
Measles rash begins behind the ears and spreads to the face and neck, then the rest of the body.

People with measles are often infectious before symptoms begin and until 4 days after a rash appears. The time between exposure and becoming sick is usually 10 days, and the rash usually appears 14 days after exposure.

Early symptoms of measles can include fever, bad cough, conjunctivitis or sore, watery eyes, and cold-like symptoms. The rash looks like red, slightly raised spots and may be blotchy but not itchy. It begins behind the ears and spreads to the face and neck, then the rest of the body.  

Where to seek more help

Measles is rare in Australia but it can be very serious, leading to complications in up to one-third of people, such as pneumonia (lung infection) and encephalitis (brain infection).  

If you suspect you, or someone in your family, may have measles, call your doctor before you visit their clinic. The doctor might suggest a home visit or ask you to come in during a slow period, to avoid spreading the infection to other patients.

You can also call healthdirect on 1800 022 222 if you’re not sure what to do. 

Of course, prevention is the best cure. It’s safe to be vaccinated against measles, mumps and rubella again in your lifetime, so talk to your doctor if you’re unsure of whether you had the MMR jab previously – as a child, for example.

Parents of children aged less than 12 months who are planning to visit Asia should discuss their travel plans with their doctor, as the first dose of measles vaccine can be given earlier than usual under special circumstances. 

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