Measles in children: Interview with Dr Christine Stettner, MD
Dr. med. Christine Stettner
April 27, 2026
6 min
According to the World Health Organisation (WHO), measles has been considered "eliminated" in Switzerland since 2019. Nevertheless, there are still isolated cases and small outbreaks. What does this mean for parents and how can they protect their children? In this blog post, which we wrote together with Dr Christine Stettner, senior paediatrician, you will find all the important information on symptoms, progression, causes and other relevant aspects.
What causes measles and how is the disease transmitted?
Measles is caused by the measles virus, which is one of the most contagious viruses. The disease is mainly transmitted by droplet infection when an infected person coughs, sneezes or speaks. Direct contact with nasal or throat secretions can also spread the virus.
How does measles progress and what are the typical symptoms?
After infection, it takes eight to twelve days for the disease to break out (incubation period).
The disease begins with a preliminary stage: a rash in the mouth (Koplik's spots), conjunctivitis, a cold, cough and fever. After a brief improvement, the "main illness phase" follows. It is characterised by a sharp rise in temperature, a poor general condition and finally - on the 14th day of illness - a skin rash. This rash starts behind the ears and spreads over the face, body, arms and legs. The face may swell. The rash disappears after a few days in the same order in which it appeared.
Complications of measles include otitis media, pneumonia and encephalitis.
Measles is contagious as early as five days before and up to about five days after the onset of the rash.
How can I act quickly if I suspect I have measles and what should I do?
There is no treatment for the measles virus. However, the disease can be made more bearable with antipyretics. Complications such as pneumonia or middle ear infection may require antibiotic treatment. Inflammation of the brain cannot be treated. Measles must be reported!
What are the benefits of the measles vaccination and (when) should a child be vaccinated?
The measles vaccination provides reliable protection against the disease and its complications. It is crucial to prevent the spread of the disease and to achieve herd immunity in the population.
The vaccination is recommended as a basic immunisation for all infants aged 9 and 12 months. The vaccination is usually carried out with a combined vaccine that protects against measles, mumps and rubella. Since 2023, a new vaccine (MMRV) has been introduced in Switzerland that is also effective against varicella.
What side effects can occur after the measles vaccination and how dangerous are they?
Vaccination against measles is safe and well tolerated. Possible side effects include a slight fever, skin rash or swelling at the vaccination site. These reactions are usually mild and temporary. Severe side effects are extremely rare. The benefits of the vaccination far outweigh the risk of side effects.
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