1. Measles disease
An acute viral infection spread via respiratory secretions or aerosols
Classic manifestations:
Maculopapular rash
Fever +cough + coryza/conjuctivities
Complications and mortality highest in children < 2 yrs. and in adults
Case Fatality Ratio (CFR):
Ranges from (0.1 – 10) %
Up to 30% in humanitarian emergencies
Can occur in vaccinated but disease is less severe and rarely fatal
Viral multiplication occurs principally in the respiratory tract

2. Rubella & congenital Rubella syndrome
Rubella: A mild, self limiting viral illness
(>90% infection in India is < 15 years)
Congenital rubella syndrome (CRS): Rubella infection during early pregnancy
may result in miscarriage, birth defects or fetal death
Public health importance of rubella is due to its potential to cause CRS
Burden of CRS is high in countries that have not introduced rubella vaccination
Incidence of rubella substantially reduced in many countries through effective rubella vaccination

4. Complications Rubella Congenital Rubella Syndrome (CRS)
lymphadenopathy
Arthritis
Children: rare
Adult female up to 70%
Thrombocytopenic purpura
1/3000 cases
Encephalitis
1/6,000 cases
CRS is the most potential complication
90% chance if infected during 1st trimester of pregnancy)
Hearing Impairment
Cataracts / Glaucoma
Heart defects ( PDA )
Microcephaly
Developmental Delay
Mental retardation
Hematological disorder
Liver and spleen damage

5. Reported Measles Incidence Rate*, Aug 2015 to Jul 2016 (12M period)
*Rate per 1'000'000 population
<1
(94 countries or 48%)
≥1 - <5
(31 countries or 16%)
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≥5 - <10
(20 countries or 10%)
≥10 - <50
(29 countries or 15%)
≥50
(11 countries or 6%)
No data reported
to WHO HQ
(9 countries or 5%)
Data source: surveillance DEF file
Data in HQ as of 5 September 2016
Not applicable

6. Let us all join hands to eliminate Measles & control Rubella/Congenital Rubella Syndrome (CRS) from the lives of our children
THANK YOU