• Measles is a highly contagious, serious disease caused by a virus
called paramyxovirus (enveloped, single-stranded, negative-sense RNA viruses). • Measles is one of the leading causes of death among young children even though a safe and cost-effective vaccine is available. • In 2008, there were 164 000 measles deaths globally – nearly 450 deaths every day or 18 deaths every hour. • More than 95% of measles deaths occur in low-income countries with weak health infrastructures. • Measles vaccination resulted in a 78% drop in measles deaths between 2000 and 2008 worldwide. Causative Agent: rubeola virus/paramyxovirus Incubation Period: 10 days after exposure; 13-15days before appearance of rashes
Mode of Transmission: directly by DROPLET infection from
cough or sneeze; indirectly with articles contaminated with respiratory secretions from infected persons
Period of 9 days lasting from 4 days before to
Communicability: 5 days after appearance of rashes
Source of Infection: nose and throat secretions
Immunity: one attack confers a lifetime RISK FACTORS: • Unvaccinated young children are at highest risk of measles and its complications, including death. • Any non-immune person (who has not been vaccinated or previously recovered from the disease) can become infected. • Countries with low per capita incomes and weak health infrastructures; common in many developing countries – particularly in parts of Africa and Asia. • Measles outbreaks can be particularly deadly in countries experiencing or recovering from a natural disaster or conflict. *Damage to health infrastructure and health services interrupts routine immunization *Overcrowding in residential camps greatly increases the risk of infection.