German Measles

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                    German Measles (Rubella)


This disease is more common in school going children. The child is infectious from a days before  the rash appears, to a week there after.

German measles can be serious in pregnant women. All women of reproductive age should  be familiar with this disease. When German measles affects the pregnant woman, her baby may develop certain 
deformities, Specially if she acquires the infection in first three months of pregnancy. As the deformities may be serious (involving the brain, eyes and heart), all pregnant woman should stay away from a known case of German measles.

If you are pregnant and have come in contact with the patient who had an illness with fever and rash, but you are not sure if it is German measles, the best thing for you would be to speak to your doctor. He may order you to have blood test to confirm. At times, the blood test needs to be repeated.. If your doctor concludes that you have been recently infected with German measles, he may  suggest an abortion. As mentioned earlier, the risk to the baby is greater if the infection takes place in the first three months of pregnancy. You should than discuss the issue with the doctor along with you husband and than decide whether or not to have an abortion.

Symptoms
Atypical case of German measles comes with fever,  rash and painful glands in the neck.The fever is not very high. The rash is also not so severe as in measles. The distinctive feature is the enlargement of the glands behind the ears and the back of the head and neck, which feels tender to touch. The total illness last about 5 days. The rash starts on the face and than spreads downwards to disappear within 2 to 3 days.

Treatment
Treatment is often not required. If fever bothers the child, he may be given paracetamol. The important precaution that the parents, must take is to restrict the movement of the child having German measles so that he does not  come in contact with a pregnant woman.

Prevention
M.M.R vaccine (against measles, mumps and rubella or German measles) is available It is quite effective and can be given after the age of one year. If your child has been given the measles vaccine around the age of nine months, M.M.R vaccine is to be given around 15 months of age. Rubella vaccine may also be repeated at puberty.







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