 >280 new cases  >38 children hospitalised  Epidemiological statistics - 1 expected case of death when case counts reach to 500  Every new case has a potential to infect another 20 individuals  Highest risk – children under 1 and pregnant women who were not vaccinated

 Public Health will distribute letters to parents with all children with no documented MMR vaccination to approach GPs for vaccination  All children over 1 yr age and adults born after 1970 can get MMR vaccination if not been vaccinated before

 Health Visitors will advise older children & adults in family who have not been vaccinated to protect under 1 yr olds  Midwifes will advise same to protect pregnant women  Measles in pregnancy has high incidence of pre-mature labour

 Virus is contained in the millions of tiny droplets that come out when an infected person coughs or sneezes.  Measles is caused by breathing in these droplets or touching a surface contaminated these droplets and the hand going near your nose and mouth.

 Cold, fever, red eye, sensitivity to light  Takes 7-12 days from exposure to development of rash  Red brow rash which blanches comes usually from behind the ear and spread all over the body, takes up to 8 days to disappear  Infectious from days of rash

 MMR in UK (90% protection measles, 95% Rubella)  Age 12 months – 1 st Dose  Age 3yr 4 months-5 years – 2 nd Dose No upper limit of age, 2 doses need 28 days at least apart

 1998 study of 15 children – involved a lot of Bias  Follow up studies of >250 children –no link between MMR and autism  Tri vaccine MMR safer than single measles vaccine  Single vaccine – anaphylactic risk high

 Person who has not been vaccinated in been in exposure to Measles can be infectious for up to 21 days from time of exposure  Vaccination with MMR within 72 hours of exposure can prevent from developing Measles.

 Measles can be extremely unpleasant  It can lead to -  Pneumonia, Meningitis, Encephalitis, Long Term Spinal Cord Damage  In rare cases, people have died from measles

 Buccal Swabs  Serology  IgM – current Infection  IgG- previous infection or immunised  MEASLES IS A NOTIFIABLE DISEASE, CAN NOTIFY PUBLIC HEALTH BY PHONE OR FAX – PHONE NUMBER :