About Measles

The respiratory disease measles remains a leading cause of death among young children, despite the fact that a safe and effective vaccine has been available for 40 years. Measles is an acute illness caused by a virus of the paramyxovirus family.

It is one of the most contagious diseases and many children who do not have sufficient immunity contract measles if exposed. During the first few weeks after contracting measles, a child’s immune system becomes weakened, and a normal cold or diarrhoea can become a life-threatening illness.

About Rubella

Rubella is an acute, contagious viral infection. While rubella virus infection usually causes a mild fever and rash illness in children and adults, infection during pregnancy, especially during the first trimester, can result in miscarriage, fetal death, stillbirth, or infants with congenital malformations, known as congenital rubella syndrome (CRS).

Rubella is an infection caused by the rubella virus. A rash may start around two weeks after exposure and last for three days. It usually starts on the face and spreads to the rest of the body. The rash is sometimes itchy. A fever, sore throat, and fatigue may also occur. In adults joint pain is common. Complications may include bleeding problems, testicular swelling, and inflammation of nerves. Infection during early pregnancy may result in a child born with congenital rubella syndrome (CRS) or miscarriage. Symptoms of CRS include problems with the eyes such as cataracts, ears such as deafness, heart, and brain. Rubella has symptoms that are similar to those of flu. However, the primary symptom of rubella virus infection is the appearance of a rash (exanthem) on the face which spreads to the trunk and limbs and usually fades after three days (that is why it is often referred to as three-day measles). The facial rash usually clears as it spreads to other parts of the body. Other symptoms include low grade fever, swollen glands (sub-occipital and posterior cervical lymphadenopathy), joint pains, headache, and conjunctivitis.

Rubella can affect anyone of any age. It is usually spread through the air via coughs of people who are infected. People are infectious during the week before and after the appearance of the rash. Babies with CRS may spread the virus for more than a year. Only humans are infected. Insects do not spread the disease.

Rubella is usually mild in children. Sometimes it doesn’t cause any symptoms. A pink or red-spotted rash is often the first sign of infection. It starts on the face, and then spreads down to the rest of the body. The rash lasts about 3 days. This is why rubella is sometimes called the “3-day measles.”

In children rubella normally causes symptoms which last two days and include:

• Rash beginning on the face which spreads to the rest of the body.

• Low fever of less than 38.3 °C.

• Posterior cervical lymphadenopathy.

In older children and adults additional symptoms may be present including:

• Swollen glands

• Cold-like symptoms

• Aching joints

Adult women are particularly prone to arthritis and joint pains.

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