OSSSC Nursing Disease Guide

Communicable · High priority

Measles and rubella

Core disease facts with the linked government programme, prevention and treatment or cure reality.

TypeViral diseases — measles and rubella are caused by different viruses.

Image-based identification

Koplik spots on the inner cheek in measles
What to identifyKoplik spots are tiny blue-white lesions on the buccal mucosa and are a classic measles clue.Image credit: CDC / Heinz F. Eichenwald, MD — public domain

Government programmes, schemes and services

  • Programme: Universal Immunisation Programme: Provides two routine Measles–Rubella vaccine doses and surveillance to prevent outbreaks and congenital rubella syndrome.
  • Mission: Mission Indradhanush: Runs special drives to vaccinate children and pregnant women who were missed or only partly covered by routine immunisation.
  • Service: U-WIN: Digitally registers beneficiaries and records individual vaccination events; it does not replace the national immunisation schedule.

Prevention

  • Prevent: Two Measles-Rubella vaccine doses, high community coverage, case isolation, surveillance, outbreak response

Treatment and cure reality

  • Treat: No specific antiviral cure. Supportive care; vitamin A for measles according to protocol; treat complications.

Must remember

  • Measles spread: Highly contagious airborne infection.
  • Measles clues: Fever, cough, coryza, conjunctivitis, Koplik spots, then a descending maculopapular rash.
  • Complications: Pneumonia, diarrhoea, otitis media, encephalitis, malnutrition, and death.
  • Vitamin A: Given to children with measles according to protocol; reduces complications and mortality.
  • Infectious period: Approximately 4 days before through 4 days after rash onset.
  • Rubella: Usually mild, but infection early in pregnancy can cause congenital rubella syndrome.
  • Congenital rubella syndrome triad memory: Cataract, congenital heart disease, and sensorineural deafness.
  • Vaccine: Live attenuated Measles-Rubella vaccine; avoid during pregnancy.
  • Indian schedule: Measles-Rubella first dose at 9–12 months and second dose at 16–24 months.
  • Exam distinction: Measles disease is treated supportively; vaccination prevents it but is not a treatment for an active case.