Guidance

Measles: information for Children and Young People Secure Estate (CYPSE) staff in England

Updated 1 March 2024

Applies to England

Due to the current number of cases of measles reported in the community this information sheet has been developed for people working in the Children and Young People Secure Estate (CYPSE).

Measles and how it spreads

Information about measles:

• measles is a viral infection most commonly found in young children who have not been immunised. However, older children and adults can also catch measles if they have not had it before or have not been immunised against it
• it begins with fever and there is often a cough, runny nose and conjunctivitis (red, sore eyes)
• after a few days a red-brown spotty rash will appear. This starts on the face and upper neck, spreading down the upper body and then extends to the arms, hands, legs and feet
• after about 5 days the rash starts to fade

Complications of measles:

• measles is an unpleasant illness and easily passed from one person to another
• in some people it can cause complications, such as ear infection, chest infections and even pneumonia
• in very rare cases some people who get measles can develop serious complications, which can be fatal

How you catch measles:

• the measles virus lives in the nose and throat of infected people
• measles is caught through direct contact with an infected person or through the air when he or she coughs or sneezes
• a person with measles can infect other people from the day before the start of initial symptoms of fever, cough, runny nose and sore eyes until 4 days after the rash appears

MMR vaccine

How to prevent measles

Measles can be prevented by a highly effective vaccine. This is part of the measles, mumps and rubella (MMR) childhood immunisation programme with a first dose at 12 months and a second dose at 3 years 4 months.

However it’s never too late to have the MMR vaccine, if you haven’t had it or are unsure then you can be vaccinated as an adult to protect you against measles.

Why you should consider having the measles vaccine

In recent times we have seen a significant rise in measles cases in the community and outbreaks in many settings.

There is a significant risk of measles outbreaks in secure settings because:

• measles is highly infectious
• there may be many children, young people and staff who are vulnerable to infection
• even a single infectious person could result in many more cases

Therefore, to protect the health and well-being of staff, children and young people and to avoid disruptions to routine activities, we are recommending that staff are checked to see if they are potentially vulnerable to infection and then offered MMR if appropriate.

How to tell if you’re protected against measles or if you need the vaccine

Those who are protected against measles:

• people who have had measles are unlikely to get it again
• people born before 1970 are likely to have been exposed to measles as a child and have natural immunity
• people born after 1970 are less likely to have natural immunity and unless they have had 2 doses of MMR (or other measles containing vaccine) they may be at risk of getting measles
• people who have had 2 doses of MMR are very unlikely to get measles
• if there is doubt about whether you’ve had the MMR vaccine it is better to have an extra dose than to risk not being fully protected

Those who need the vaccine:

If you were born after 1970 and do not have documented evidence of 2 previous doses of a measles-containing vaccination or have not previously had measles. However, although the the risk of developing measles is smaller in those born before 1970, vaccination for this age group is still available on request if you have not previously been vaccinated.

How to get the vaccine

Your local GP practice should be able to provide you with the vaccine.

Pregnancy

If you have had 2 doses of MMR you and your pregnancy are protected against measles, mumps and rubella.

Measles and rubella can be very serious in pregnancy. If you are not vaccinated, please avoid anyone who has measles. If you have another child with measles, please urgently inform the health team.

You can’t be given the MMR vaccine if you are pregnant. If you think you have been in contact with someone with measles, let the healthcare team know as soon as possible.

Weak immune system

If you have a weak immune system you should seek medical advice from your GP if you suspect that you have come into contact with someone with measles.

Further information

More information on measles and the MMR vaccine is available:

• measles on NHS.UK
• measles on GOV.UK

Download print copies

This guide is available as a PDF to download and print.