Measles Follow-Up Guide: What Parents Need to Know

Understanding Measles

What is it? Measles is a highly contagious virus that is spread through droplets in the air or contact with someone else

How to Stop the Spread - Know that: 

  • It can take 7-14 days after exposure for symptoms to develop 
  • A child is contagious 4 days before the onset of signs and symptoms and 4 days after the rash develops

Common Symptoms

  • Fever and Rash 
    • The rash is most commonly a deep, red, blotchy, flat rash that starts on the face and spreads down the whole body. The rash starts as small distinct lesions, which then combine into one big rash after a few days
  • The “3 C’s” 
    • Cough 
    • Coryza (which means a runny nose) 
    • Conjunctivitis (redness to the white part of the eyeball) 

How to Treat 

  • Immunization is the #1 way to prevent measles, which is highly contagious - up to 6 times more contagious than COVID-19 and spread through the air. 
  • In some cases, a special immunoglobulin or prophylaxis MMR shot may be helpful, which is why identifying exposure and symptoms of measles promptly and speaking to a medical professional in a timely manner is important! 
  • Unlike COVID-19 the complications of measles for children are much more common and much more debilitating, and include pneumonia, meningitis, hearing loss, and death. 

-Seek Medical Care 

📱 Call your Pediatrician and go for an in visit appointment after giving them a heads up by phone. 

When to Manage at Home

  • Measles should only be managed at home after you confirm your child’s diagnosis and have reviewed with your medical provider the signs and symptoms that would require being hospitalized. 
  • ⚠️ As measles is very contagious, positive children should not come in contact with the following:
    • Pregnant women (as measles in pregnant women can cause birth defects)
    • Those who are immunocompromised
    • Unimmunized persons
    • Infants under 2 years 

Medications

  • Vitamin A should only be used if dosing is approved by a medical provider; too much can cause toxicity, since it is a fat soluble vitamin, which means the body stores excess in fat tissue instead of clearing it through the kidneys like water-soluble vitamins like vitamin C. 
  • Motrin and Tylenol can be used to treat the fever 

When to Go to the ER

🚨 Seek immediate emergency care if your child is: 

  • Persistent high fever (≥104°F)
  • Lethargy or altered mental status
  • Signs of respiratory distress
  • Seizures
  • Worsening rash with bruising or petechiae
  • Persistent vomiting or signs of dehydration

*If you think your child has measles please tell the sign in desk immediately when you arrive at the Emergency Room or Medical Office before proceeding into the check in area*

If your gut tells you something is wrong, don't hesitate to reach out. Need help? Reconnect with our on-demand team of medical staff available 24/7.

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