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*Measles*  ☑️ Measles is a *highly contagious viral infection* caused by the *measles virus,* a paramyxovirus of the genus Morbillivirus.  ☑️ It primarily affects children but can occur at any age in *unvaccinated* individuals. ▶️ *Etiology* 	📌	Caused by the measles virus. 	📌	*Transmitted via respiratory droplets or airborne spread.* 	📌	*Incubation period:* 10–14 days post-exposure. 	📌	*Unvaccinated* populations are most at risk.*Signs and Symptoms* ▶️ *Initial (prodromal) symptoms:* 	✏️	High fever (up to 40°C) 	✏️	Cough 	✏️	Coryza (runny nose) 	✏️	Conjunctivitis (red eyes) 	✏️	Koplik spots (white spots inside the cheeks) ▶️ *Later (after 3–5 days):* 	🖌️	Maculopapular rash starting from the head and spreading downwards 	🖌️	Fatigue, loss of appetite ▶️ *Possible complications:* otitis media, pneumonia, encephalitis, diarrhea 📍 *Laboratory Investigations* 	☑️	Clinical diagnosis often sufficient 	☑️	*Serologic testing:* IgM antibodies for measles 	☑️	*RT-PCR:* Detection of viral RNA in blood, throat swab, or urine 	☑️	CBC may show *leukopenia**Treatment* (Medscape, BNF) ▶️ *First-Line Management* (Supportive care) 	💊 	*No antiviral cure;* treatment is symptomatic 	💊 	*Paracetamol or Ibuprofen:* ☑️ *Paracetamol:* 10–15 mg/kg every 4–6 hours (Max 60 mg/kg/day in children) ☑️ *Ibuprofen:* 5–10 mg/kg every 6–8 hours (Max 30 mg/kg/day) 	💊 	*Hydration:* Ensure adequate fluid intake 	💊 	Rest ☑️ *Vitamin A Supplementation:* 	•	WHO *recommends* for children: 	💊 *<6 months:* 50,000 IU orally for 2 days 	💊 *6–11 months:* 100,000 IU for 2 days 	💊 	*12 months:* 200,000 IU for 2 days ▶️ *Second-Line / For Complications* 💊 *Antibiotics:* Only for bacterial complications 	☑️	E.g., Amoxicillin for pneumonia: *Adults:* 500 mg TID for 5–7 days *Children:* 20–40 mg/kg/day in divided doses ▶️ *Hospitalization for:* 	✏️	Severe dehydration 	✏️	Respiratory distress 	✏️	Neurological symptoms*Non-Pharmacological Measures* 	📌	*Isolation:* Patient should avoid contact for at least 4 days after rash appears 	📌	Public Health Notification 	📌	*Encourage vaccination in susceptible contacts* (MMR) 	📌	Good respiratory hygiene ▶️ *Prevention* 	📌	*MMR Vaccine:* ☑️ *1st dose:* 12–15 months ☑️ *2nd dose:* 4–6 years ☑️ ≥95% coverage needed for herd immunity. follow up for more health related updates, remember to share
*Measles* ☑️ Measles is a *highly contagious viral infection* caused by the *measles virus,* a paramyxovirus of the genus Morbillivirus. ☑️ It primarily affects children but can occur at any age in *unvaccinated* individuals. ▶️ *Etiology* 📌 Caused by the measles virus. 📌 *Transmitted via respiratory droplets or airborne spread.* 📌 *Incubation period:* 10–14 days post-exposure. 📌 *Unvaccinated* populations are most at risk.*Signs and Symptoms* ▶️ *Initial (prodromal) symptoms:* ✏️ High fever (up to 40°C) ✏️ Cough ✏️ Coryza (runny nose) ✏️ Conjunctivitis (red eyes) ✏️ Koplik spots (white spots inside the cheeks) ▶️ *Later (after 3–5 days):* 🖌️ Maculopapular rash starting from the head and spreading downwards 🖌️ Fatigue, loss of appetite ▶️ *Possible complications:* otitis media, pneumonia, encephalitis, diarrhea 📍 *Laboratory Investigations* ☑️ Clinical diagnosis often sufficient ☑️ *Serologic testing:* IgM antibodies for measles ☑️ *RT-PCR:* Detection of viral RNA in blood, throat swab, or urine ☑️ CBC may show *leukopenia**Treatment* (Medscape, BNF) ▶️ *First-Line Management* (Supportive care) 💊 *No antiviral cure;* treatment is symptomatic 💊 *Paracetamol or Ibuprofen:* ☑️ *Paracetamol:* 10–15 mg/kg every 4–6 hours (Max 60 mg/kg/day in children) ☑️ *Ibuprofen:* 5–10 mg/kg every 6–8 hours (Max 30 mg/kg/day) 💊 *Hydration:* Ensure adequate fluid intake 💊 Rest ☑️ *Vitamin A Supplementation:* • WHO *recommends* for children: 💊 *<6 months:* 50,000 IU orally for 2 days 💊 *6–11 months:* 100,000 IU for 2 days 💊 *12 months:* 200,000 IU for 2 days ▶️ *Second-Line / For Complications* 💊 *Antibiotics:* Only for bacterial complications ☑️ E.g., Amoxicillin for pneumonia: *Adults:* 500 mg TID for 5–7 days *Children:* 20–40 mg/kg/day in divided doses ▶️ *Hospitalization for:* ✏️ Severe dehydration ✏️ Respiratory distress ✏️ Neurological symptoms*Non-Pharmacological Measures* 📌 *Isolation:* Patient should avoid contact for at least 4 days after rash appears 📌 Public Health Notification 📌 *Encourage vaccination in susceptible contacts* (MMR) 📌 Good respiratory hygiene ▶️ *Prevention* 📌 *MMR Vaccine:* ☑️ *1st dose:* 12–15 months ☑️ *2nd dose:* 4–6 years ☑️ ≥95% coverage needed for herd immunity. follow up for more health related updates, remember to share

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