What Are The Symptoms Measles (Focus On Measles More, Then Talk About Mumps and Rubella)

 What are the symptoms Measles (focus on measles more, then talk about mumps and rubella)
 Measles, also known as rubeola, is a viral infection commonly remembered by the 3 C's: cough, coryza (or
runny nose), and conjunctivitis (irritated eyes). Oftentimes, children who get measles will also have high
fever and a rash that spreads from head first then to trunk and extremities. While the symptoms may not seem
too dangerous, measles still kills more than 100,000 people a year, the majority being children.
 Mumps is another viral infection that affects children with its defining symptoms of pain in the cheeks lasting
more than a couple of days and worse with eating or swallowing and orchitis (or inflammation of the testes),
which if left untreated can leave a child unable to have children when they mature.
 Rubella is known as the 3 day measles and presents with a rash that also begins on the face and spreads to the
trunk, but children who get rubella have a milder fever than those who have measles. The problem with
rubella is that pregnant women who get this infection are at risk of bearing children with birth defects
 Routine schedule for MMR age, timing, dates. https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html
CDC recommends all children get two doses of MMR (measles-mumps-

rubella)vaccine, starting with the first dose at 12 through 15 months of age, and the
second dose at 4 through 6 years of age. Children can receive the second dose earlier
as long as it is at least 28 days after the first dose.
 Catch up vaccinations or missed vaccinations.
 It is important to keep accurate records of your child's vaccination status.
 For measles or mumps, there has to be a record of two doses of each vaccine that were given starting at 12
months of age. Each dose of immunization separated by about a month's time :
 For rubella, there should be one dose of vaccine given starting at 12 months of
age.
 To check for immunity, antibody levels to each virus can be checked. However, those who have documented evidence
of immunity or who have documentation of age-appropriate schedule do not require catch-up immunization.
 Special Situations (pregnancy/immunocompromised, egg allergies)
 Current illness — Whether MMR should be administered to children with current

illness depends upon the severity of the illness:
 ●Moderate to severe illness – We suggest that MMR be delayed in children
with moderate to severe illness (eg, illnesses more severe than upper respiratory
tract infection, otitis media, gastroenteritis), with or without fever, unless the
vaccine is being administered for measles exposure (see 'Postexposure
prophylaxis' above). Delay of vaccination of children with moderate to severe
illness avoids superimposing any adverse effects of the vaccine on the
underlying illness and mistakenly attributing a manifestation of the underlying
illness to the vaccine [1].
 ●Mild illness – MMR and measles, mumps, rubella, and varicella combination
vaccine (MMRV) can be safely administered to children with mild illness, with or
without fever (eg, upper respiratory infection, otitis media, diarrhea);
seroconversion is not affected by mild illness [95-97]. Failure to vaccinate
children with minor illnesses results in delayed immunization and increased
duration of susceptibility
Egg allergy — Egg allergy is not a contraindication to MMR or MMRV; these vaccines
can be safely administered to children with egg allergy without prior skin testing or
special protocols
Measles, mumps, or rubella infection — Children who have a history of measles,

mumps, or rubella infection that was diagnosed without laboratory confirmation should
be vaccinated as if they have not had infection [1]. (See 'Routine immunization' above.)
 International travels (if appropriate)
 Early administration of the first and/or second dose of MMR is recommended for children
living in or traveling to areas where there is a measles outbreak (defined as ≥3 cases
linked in time and space) and children traveling outside the United States [1,56]. The
Centers for Disease Control and Prevention maintains a current list of measles cases
and outbreaks in the United States.
 In a measles outbreak setting or before departure for international travel [1,56]:

 •Children 6 through 11 months should receive one dose of MMR. Children who
receive the first dose of MMR before age 12 months should receive two
additional doses, separated by at least 28 days, beginning at age 12 to 15
months.
 •Children ≥12 months of age should receive two doses of MMR separated by at
least 28 days, with the first dose administered on or after the first birthday.
 ●In a mumps outbreak setting, children who are incompletely immunized against
mumps should receive age-appropriate immunization. (See 'Catch-up
immunization' below.)
 In addition, children who previously received two doses of mumps-containing
vaccine and are identified by public health authorities as being at increased risk
(eg, intense exposure setting) of mumps in an outbreak should receive a third
dose of mumps-containing vaccine
Indeed, young children are at highest risk of getting sick or dying if they get these diseases,
which is why it is important to vaccinate early to get their immune system up and running.
Getting several vaccines at the same time does not cause any chronic health
problems and will save parents time, money, and can be less traumatic for the
child. Do the right thing. Vaccinate your kids. There is solid medical and scientific
evidence that the benefits of vaccines far outweigh the risks, despite what certain celebrities
might have you believe.

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 What are the symptoms Measles (focus on measles more, then talk about mumps and rubella)

 Routine schedule for MMR age, timing, dates. https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html

CDC recommends all children get two doses of MMR (measles-mumps-

 Catch up vaccinations or missed vaccinations.

 It is important to keep accurate records of your child's vaccination status.

 Special Situations (pregnancy/immunocompromised, egg allergies)

 Current illness — Whether MMR should be administered to children with current

Measles, mumps, or rubella infection — Children who have a history of measles,

 International travels (if appropriate)

 In a measles outbreak setting or before departure for international travel [1,56]:

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