MMR Decision Aid - Comparing the risks - Measles
Common symptoms of measles
These are usually mild symptoms and include fever, loss of appetite, rash, diarrhoea, runny nose, cough and red painful eyes. Children who get measles usually have to spend about 5 days in bed and have to take 10 to 14 days off from school, if there is no serious complication.
Complications of measles
These are usually serious conditions and include ear infections, pneumonia, fits or convulsions, croup, inflammation of the brain (encephalitis), which could result in hospitalisation. A late complication of measles is subacute sclerosing panencephalitis (SSPE), which causes progressive brain damage and nearly always results in death.
The table below compares the potential problems caused by measles with the potential problems caused by the MMR vaccine.
Green - Common, usually mild symptoms that can be treated at home.
Yellow - Moderate complications that need medical attention but may not include hospitalisation.
Red - Serious complications that need urgent medical attention and could include hospitalisation.
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Potential risks in a group of 100
Most children will have the common and usually mild (in green) symptoms of measles e.g. fever, cough, runny nose, red, painful eyes, rash. Some may have more than one of these symptoms at the same time. |
Potential risks in a group of 100
Most will have common and usually mild (in green) symptoms of the MMR vaccine e.g. pain or swelling at the injection site, joint pain and stiffness. Some may have more than one of these symptoms at the same time.
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26 in 100 may have moderate
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14 in 100 may have moderate |
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15 in 100 may have serious (in red) symptoms |
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Rare Complications
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Rare Complications |
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3 in 1,000 children who get measles may die as a result of the disease itself
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4 in 100,000 children may have a temporary tendency for bruising or bleeding (thrombocytopenia) |
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1 in 100, 000 children may get subacute sclerosing panencephalitis (SSPE), a late complication of measles, which causes progressive brain damage and nearly always results in death
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Up to 4 in 1 million children may get a severe allergic reaction (anaphylaxis). Anaphylaxis from any reason, may result in death |
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1 in 1 million children may have inflammation of the brain (encephalitis). Encephalitis from any reason may result in children surviving with permanent brain damage or death |
Copyright University of Leeds and NCIRS 2009 - Last updated date 16 Sept 2009



