Recommendations

For the general public

• Anyone who has attended a listed exposure site during the specified date and time should monitor for symptoms and seek medical care if symptoms develop for up to 18 days after the exposure.
• Symptoms of measles can initially resemble a cold or flu and include fever, cough, sore or red eyes (conjunctivitis), runny nose, and feeling generally unwell, followed by a red rash. The rash usually starts on the face before spreading down the body.
• Anyone who develops symptoms of measles should seek medical care. Call the health service beforehand to advise that you may have been exposed to measles and wear a mask.
• The measles-mumps-rubella (MMR) vaccine provides safe and effective protection against measles. The MMR vaccine is available for free:
  • on the National Immunisation Program, routinely given at 12 months and 18 months of age.
  • for anyone born during or after 1966 who have not already received two doses of measles-containing vaccine, are unsure of their vaccination status, or do not have evidence of immunity to measles.
  • for young infants aged 6 to 12 months prior to overseas travel to countries where measles is endemic or where outbreaks of measles are occurring. If an infant receives an early dose of MMR vaccine prior to travel, they should still receive routine doses at 12 months and 18 months of age as per the National Immunisation Program schedule.
• For further information, speak to your immunisation provider.
• Anyone planning overseas travel should make sure they have received appropriate travel vaccinations.

For health professionals

• Anyone who is not fully vaccinated for measles may be eligible to receive the MMR vaccine if they present within 72 hours (3 days) of exposure. Anyone who is immunocompromised or pregnant and not fully vaccinated for measles may be eligible to receive normal human immunoglobulin (NHIG) if they present up to 144 hours (6 days) after close exposure to a measles case.
• Clinicians are advised to be alert for measles in patients presenting with compatible illness, particularly those with overseas travel or who attended a listed exposure site during the specified dates and times or who are not fully vaccinated against measles.
• Anyone who presents with signs and symptoms compatible with measles should be tested and notified to the Department of Health immediately. There should be an especially high level of suspicion if they have travelled overseas or visited any of the sites listed above and are unvaccinated or partially vaccinated for measles.
• Suspected cases should be tested, isolated, and notified to the Department of Health immediately by calling 1300 651 160 and connecting to the relevant Local Public Health Unit.
• Discuss the need for polymerase chain reaction (PCR) testing using nose and throat swabs with the Local Public Health Unit (PCR testing for measles does not attract a Medicare rebate).
• Take blood samples for measles serology in all suspected cases.
• Minimise the risk of measles transmission within your practice/department:
  • avoid keeping patients with fever and rash in shared waiting areas (send to a separate room).
  • if measles is suspected, give the patient a single use, fitted mask and isolate under airborne precautions until a measles diagnosis can be excluded.
  • leave all rooms that were used to assess the suspected case vacant for at least 30 minutes after the consultation.
• Offer MMR vaccine to people born during or after 1966 who do not have documented evidence of receiving two doses of a measles-containing vaccine or documented evidence of immunity. Serology is not required before vaccinating. People who are not Medicare eligible can also receive the free MMR vaccine. Refer to the Australian Immunisation Handbook – Measles for further guidance on immunisation.