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Important Information About Measles1

Measles cases are rising across the U.S., and as a parent or caregiver, it’s important to stay informed. Whether you’re concerned about symptoms, vaccines, or what to do if your child gets sick, we’re here to help you feel confident in taking the right steps to protect your family.

Understanding Measles

Measles, also known as rubeola, is a highly contagious viral illness. Although cases have been less common in recent years, outbreaks can still happen — especially when children haven’t received the MMR (measles, mumps, and rubella) vaccine.

Measles often starts with what looks like a cold:

  • High fever (above 101°F)
  • Cough
  • Runny nose
  • Red, watery eyes

After a few days, a rash appears — usually starting on the face and spreading to the rest of the body. The rash can also appear up to two weeks after exposure.

Measles spreads through the air when an infected person coughs, sneezes, or even talks. Your child can catch it just by being in the same room with a person who’s sick — even if they don’t have direct contact with them. The virus can linger in the air or on surfaces for up to two hours, making it easy to spread without close contact.

Children are contagious from four days before to four days after the rash appears — even if they don’t feel very sick at first. If one person has measles, about 90% of those nearby who are not immune or vaccinated can also get measles.

Protecting Your Child

The best protection is the MMR vaccine. It’s generally safe, effective, and recommended in two doses:

  • First dose: 12 – 15 months old
  • Second dose: 4 – 6 years old

Also, make sure everyone around your child — including parents, siblings, grandparents, and caregivers — is up to date on their MMR vaccination. This helps stop the spread of measles and adds an extra layer of protection for your child.

One dose gives about 93% protection — but two doses raise that to 97%. If your child hasn’t had both, it’s not too late — talk to their doctor about how to get them caught up.

In most cases, yes. Here are some guidelines used by health care providers:

  • 6 – 11 months: Can get an early dose if traveling or during outbreaks. This dose doesn’t count toward the routine series, so they should get two more doses after their first birthday.
  • 12+ months: Ready for the standard first dose.
  • Older children and adolescents: Need one or two doses if they don’t have evidence of immunity. Doses should be given at least 28 days apart.
  • Any child with a higher risk during an outbreak: An extra dose may be needed. Your doctor will tell you if your child is at increased risk and should get this extra dose.
  • If a measles outbreak is declared by your local health department, your provider should follow local and state recommendations.

Yes. The MMR vaccine has been used for decades and has been thoroughly tested for safety. Most children don’t have side effects — and if they do, they’re usually mild and temporary, like:

  • Sore arm
  • Low fever
  • Mild rash

No — serious side effects are extremely rare. The protection offered by the vaccine far outweighs the risks, especially with the rising cases of measles.

If You Think It Might Be Measles

Call your child’s doctor right away — before going in. This helps them take precautions to protect others.

 

If measles is confirmed:

  • Keep your child home from school, day care, and activities.
  • Avoid contact with others until at least four days after the rash appears.
  • Care at home, such as rest, fluids, and pain relievers, is often the only treatment your child needs. If your child has had measles, they can’t get it again.

Your child is considered immune if they:

  • Have received two MMR shots, or
  • Have a lab-confirmed history of measles.

Ask your child’s doctor to review your child’s vaccination record if you’re unsure.

The Risks of Measles

Measles isn’t just a rash and a fever — it can lead to serious health problems, especially for young children. These may include:

  • Ear infections
  • Pneumonia
  • Seizures
  • Brain swelling (encephalitis)
  • In rare cases, death

Children under age 5 and those with weakened immune systems are at higher risk for complications.

Yes. Even after recovery, measles can lead to long-term effects, including:

  • Permanent hearing loss.
  • Developmental delays.
  • A rare but fatal brain disorder called SSPE (Subacute Sclerosing Panencephalitis), which can develop years after infection.

Where to Find Reliable Information

If you have questions or want the latest updates on measles and vaccines, these are trustworthy places to start:

You can also check out Highmark’s Find a Doctor tool, which can connect you with a provider who can answer questions, check your child’s vaccine status, and schedule care.

You’re doing the right thing by staying informed

Protecting your child starts with simple steps — like staying on top of vaccines and knowing what to look for. If you have questions or concerns, reach out to your child’s doctor. They’re here to help.

1All information in this article is sourced from Centers for Disease Control and Prevention’s measles overview, https://www.cdc.gov/measles/index.html.