Measles is an infectious diseases caused by viruses. It is one of the most contagious diseases of all . Measles is known as a classic childhood disease, but unprotected young people and adults can also become infected with the measles virus. Then the disease is usually more severe than in children. In Germany, the number of measles cases has decreased significantly in the past few decades. Nevertheless, several hundred people become infected every year because they are not vaccinated.
Measles symptoms: this is how the disease can be recognized
Parents and doctors usually recognize measles
quickly by typical signs. Always consult your pediatrician with your child
if you suspect that your child has measles. Measles in babies or children
usually has two phases.
Initial stage measles - these symptoms appear
The initial stages of measles begin about eight to
ten days after a person becomes infected with measles. The symptom of
measles are similar to those of the flu . This
phase, which lasts three to five days, is also called the pre-stage or prodomal
stage. The following signs of measles can develop:
- moderate fever
- dry cough
- Sore throat
- sniff
- Fatigue, tiredness, headache and stomach ache
also play a role .
- Conjunctivitis , increased sensitivity to light, watery eyes
- puffy face
- whitish coating on the cheek mucosa on the second to third day -
the so-called Koplik spots
Main stage measles - rash is typical
Then comes the second phase of measles, the so-called
rash stage. Measles patients get the typical reddish, blotchy skin rash ("measles rash "). The
following symptoms characterize the second stage:
- The measles rash starts on the face and behind the ears and can be
itchy.
- The red spots then spread all over the body. Only the palm and
soles of the feet are spared the rash.
- At the same time, those affected have another attack of fever,
which is typical of measles. Some experience febrile
seizures. Measles without a fever is almost non-existent.
- The rash subsides after four to seven days: the spots darken and
fade. The skin can flake off easily.
- At the same time, the fever drops within five to seven days.
Only when the measles rash has completely
disappeared, the sick are no longer considered to be infectious. If there
are no complications, you should expect the disease to last for around two
weeks. Measles in adults is often more severe than in babies and children.
Measles: infection happens very quickly
Measles are highly contagious. The
measles virus mainly attacks immune cells and nerve cells. Measles is
transmitted mainly through droplet infection ,
i.e. when coughing, sneezing or speaking. Measles sufferers catapult
millions of droplets into the air that contain the measles virus. If unvaccinated
people breathe these in, they can become infected. The measles virus can
enter the conjunctiva and enter the bloodstream. The transmission route
of smear infection is also known:
- Infection with measles is also possible if you come into contact
with infectious secretions from the mouth or throat.
- Even if you share objects contaminated with viruses, such as
cutlery or drinking glasses, you can catch measles.
Incubation period in measles
Usually eight to ten days pass between the
infection and the appearance of the first symptoms (incubation period), more
rarely it is up to 21 days. It usually takes two weeks for the typical
rash to develop. Those who contract measles are contagious about three to
five days before and about four days after the rash appears.
Measles virus is highly infectious
The measles virus is the cause
of measles disease . Almost every contact between an
unprotected person and a sick person leads to infection - even if they are a
few meters apart. Of 100 people who have not been vaccinated and who have
not yet had measles, 95 fall ill. The measles pathogen occurs only in
humans. So it can only be transmitted from person to person . Animals cannot become
infected and cannot pass the virus on.
Measles progression - often problem-free, but not always
In most cases, measles heals without complications
or consequential damage within about two weeks. However, around ten to 20
percent of measles sufferers develop complications, especially children under
five and adults over 20 years of age. Anyone who has ever had measles is
protected from this infectious disease for a lifetime. Because the body
forms defense substances against the pathogen, so-called antibodies. When
contact is made again, the immune system recognizes the culprit, attacks and eliminates
him.
Measles vaccination as an effective protection against disease
With a measles vaccination, you can effectively
protect your child and yourself from measles. Doctors recommend a combined
measles, mumps and rubella vaccination
(MMR vaccination with a combination vaccine). But there is also a single
vaccine against measles.
Measles vaccination - how often and when?
The following overview shows when and how often a
measles vaccination is recommended for children, adolescents and adults:
- Children: Experts recommend vaccination protection in two
steps. The first measles vaccine should be given to children by
vaccination between the ages of 11 and 14 months. The second
vaccination follows at the earliest four weeks after the first vaccination
and at the latest towards the end of the second year of life. Only
then is protection against measles complete. If children go to
daycare before they are eleven months old, they can also receive the first
vaccination earlier - but at nine months at the earliest.
- Unvaccinated
children and adolescents should get the
two measles vaccinations as soon as possible.
- Unvaccinated
adults born after 1970 should get the
measles vaccination if they were not vaccinated at all or only vaccinated
once as a child. People born before 1970 have probably already had
measles and are therefore protected.
When does the measles vaccination work?
Experts estimate that 91 percent of people are
protected from measles after the first vaccination and up to 99 percent after
the second vaccination. So getting measles despite being vaccinated is
extremely rare.
Another advantage of vaccination is the so-called herd
protection . If many people are vaccinated, they can no longer
transmit the pathogen. So you also protect those people who cannot be
vaccinated against measles. These include, for example, newborns, pregnant
women and people with chronic diseases and a weakened immune system.
Post-virus vaccination and passive immunization
Sometimes healthy but not vaccinated people come
into contact with measles sufferers. In this case, the measles outbreak
can be prevented by vaccination (MMR vaccine) in good time after
contact. People with weakened immune systems and chronic diseases benefit
from passive immunization . Doctors use finished
antibodies (human immunoglobulin) against the measles virus two to three days
after contact. The vaccine protection starts immediately, but does not
last long. Passive immunization is also an option for pregnant women and
children under six months of age. The active measles vaccination is not
possible in both cases.
Measles vaccination - possible side effects
Most people can take it very well to be vaccinated
against measles. The following side effects are possible with a measles
vaccination:
- In some people, the puncture site swells slightly and the skin
turns red.
- Sometimes the measles vaccine causes a fever and a rash. These
so-called vaccine measles are not
contagious and heal after a few days.
Vaccination critics believe that the measles vaccination
may be associated with autism or
Crohn's disease. So far, however, no study has been able to prove this
connection. The measles vaccination is safe , does not leave any damage and offers reliable protection.
Measles: treating symptoms
There is no measles therapy that directly
addresses the cause - the measles virus . Antibiotics have
no effect on measles because they only fight bacteria and not viruses. The
measles triggers are viruses. However, doctors can treat measles by
relieving symptoms, such as fever .
If you suspect that you or your childs may have
measles, you should call your doctor beforehand. In this way, the staff
can ensure that no other patient is infected in the doctor's office.
Helpful Measures Treatment Measures
- Measles patients are best to keep strict bed rest and take it
easy. The immune systems is already working at full speed. You
will not be able to get up until the fever has gone away for three
days. Because of the high risk of infection, measles patients are not
allowed to go to kindergarten, school or work.
- Bring fresh air into the bedroom and darken it. Because many
are sensitive to bright light.
- Eat several light meals throughouts the day that do not strain the
stomach or intestines.
- Consumes plenty of fresh fruit and vegetables to help strengthen
the immune system.
- Make sure you drink enough fluids, especially if you have a
fever. Choose herbal tea, water or fruit juice spritzers.
- Cold calf compresses lower the fever.
- Sometimes antipyretic drugs are also helpful - but only after
consulting your doctor.
- Cough suppressants relieve the urge to cough. In some cases,
agents that loosen the mucus also help. The same applies here: Always
ask the doctor first.
- Antibiotics help if you are also infected with bacteria, such as
pneumonia or otitis media .
Caution: febrile seizures, severely inflamed eyes, breathing problems, severe headache , vomiting , impaired consciousness or a stiff neck can indicate encephalitis - call the emergency doctor
immediately!