Please note
This page is only intended for children who have already been diagnosed with measles. If your child has not been diagnosed with measles, but has a rash, please refer to our rashes symptom page. View rashes symptom page
There has been a recent rise in measles cases in the UK (January 24). Measles is spread when an infected person coughs or sneezes. It can spread very easily.
You can protect your child by making sure they get 2 doses of the MMR vaccine. Normally the 1st is given at 12 months and the 2nd around 3 years 5 months old. Even if you or your children have missed these vaccines, it’s not too late to get them. Contact your GP practice.
If your child has had both doses of their MMR vaccine, there is almost no chance of them getting measles (unless they have a severely weakened immune system).
What are the symptoms?
Measles starts with:
- fever
- red, sore, watery eyes (conjunctivitis)
- runny nose
- cough
After a few days:
- Small white spots may appear inside their mouth and on the back of their lips
- A rash. The rash starts on the face and behind the ears. It then spreads all over the body. The spots of the measles rash are sometimes raised and often join together to form blotchy patches. They are not usually itchy. The rash looks brown or red on white skin. It may be more difficult to see on brown or black skin
Measles usually starts to get better on its own in about a week. Most children do not need to come to A&E or stay in hospital.
A small number of children will develop complications because of measles. This includes:
- Earache
- Diarrhoea and dehydration
- Difficulties breathing
- Confusion or changes in conscious level
The people most at risk from these are children under 5 years of age and adults over 20 years of age who have not had their measles vaccinations, pregnant women and people with weak immune systems.
Notice to parents
If your child has been diagnosed with measles, they cannot go back to school or nursery for 4 full days after the start of the rash, as measles can be easily spread to others. They should also avoid contact with babies, pregnant women, people who have not had 2 doses of MMR vaccine an people with weak immune systems.
When should I worry and what should I do?
Call 999 or go to A&E now if your child:
Your child is having difficulty breathing
Your child may require emergency treatment. You should call 999 or take them to your nearest Children’s A&E where they can be assessed.
There are long pauses (more than 10 seocnds when your child breathes)
Your child may require emergency treatment. You should call 999 or take them to your nearest Children’s A&E where they can be assessed.
Is pale, blue, mottled or feels unusually cold to touch
Your child may require emergency treatment. You should call 999 or take them to your nearest Children’s A&E where they can be assessed.
Difficult to wake up, very sleepy or confused
Your child may require emergency treatment. You should call 999 or take them to your nearest Children’s A&E where they can be assessed.
Has a fit (seizure)
Your child may require emergency treatment. You should call 999 or take them to your nearest Children’s A&E where they can be assessed.
Is under 3 months old with temperature more than 38°C or under 36°C
Your child may require emergency treatment. You should call 999 or take them to your nearest Children’s A&E where they can be assessed.
Call 111 or ask for an urgent GP appointment if your child:
Is breathing a bit faster than normal or working a bit harder to breathe
Your child does not need to be rushed to A&E but you should seek medical advice today.
You can:
- Phone NHS 111 – dial 111
- Ring your GP surgery during their opening usual opening hours
- Contact your nearest Walk-in Centre
If your child develops any symptoms in the Red Box above, click and follow advice for that symptom.
Has dry skin, lips or tongue
Your child does not need to be rushed to A&E but you should seek medical advice today.
You can:
- Phone NHS 111 – dial 111
- Ring your GP surgery during their opening usual opening hours
- Contact your nearest Walk-in Centre
If your child develops any symptoms in the Red Box above, click and follow advice for that symptom.
Has not had a wee or wet nappy for 12 hours or more
Your child does not need to be rushed to A&E but you should seek medical advice today.
You can:
- Phone NHS 111 – dial 111
- Ring your GP surgery during their opening usual opening hours
- Contact your nearest Walk-in Centre
If your child develops any symptoms in the Red Box above, click and follow advice for that symptom.
Poor feeding in babies (less than half of their usual amount)
Your child does not need to be rushed to A&E but you should seek medical advice today.
You can:
- Phone NHS 111 – dial 111
- Ring your GP surgery during their opening usual opening hours
- Contact your nearest Walk-in Centre
If your child develops any symptoms in the Red Box above, click and follow advice for that symptom.
Is under 33 months old with temperature 38°C, or is 3-6 months old and has a temperature of 39C or higher
Your child does not need to be rushed to A&E but you should seek medical advice today.
You can:
- Phone NHS 111 – dial 111
- Ring your GP surgery during their opening usual opening hours
- Contact your nearest Walk-in Centre
If your child develops any symptoms in the Red Box above, click and follow advice for that symptom.
The temperature has lasted more than 5 days
Your child does not need to be rushed to A&E but you should seek medical advice today.
You can:
- Phone NHS 111 – dial 111
- Ring your GP surgery during their opening usual opening hours
- Contact your nearest Walk-in Centre
If your child develops any symptoms in the Red Box above, click and follow advice for that symptom.
Your child is much more sleepy than normal or irritable
Your child does not need to be rushed to A&E but you should seek medical advice today.
You can:
- Phone NHS 111 – dial 111
- Ring your GP surgery during their opening usual opening hours
- Contact your nearest Walk-in Centre
If your child develops any symptoms in the Red Box above, click and follow advice for that symptom.
If none of the above symptoms are present:
Treat with paracetamol and ibuprofen if they seem uncomfortable
You child does not seem to have any symptoms of serious illness or injury. You can get general advice on the NHS website or from your local Pharmacy.
If your child develops any of the symptoms in the Red or Amber boxes above, click on that symptoms and follow the advice.
Fever does not need treatment if the child is well
You child does not seem to have any symptoms of serious illness or injury. You can get general advice on the NHS website or from your local Pharmacy.
If your child develops any of the symptoms in the Red or Amber boxes above, click on that symptoms and follow the advice.
Encourage fluids
You child does not seem to have any symptoms of serious illness or injury. You can get general advice on the NHS website or from your local Pharmacy.
If your child develops any of the symptoms in the Red or Amber boxes above, click on that symptoms and follow the advice.
Where should you seek help?
- If it is non-urgent, speak to your local pharmacist or health visitor
- Or contact you GP practice and a qualified member of the clinical team will assess if your child needs to be seen urgently. For an urgent out-of-hours GP appointment, call NHS 111
- You should only call 999 or go your nearest A&E department in critical or life threatening situations
MMR Vaccines
Two doses of MMR vaccine provide the best protection against measles, mumps and rubella. Book yours today.
Book MMR Vaccine