Stages of Measles

Measles follows a predictable course in five stages.

Stage 1: incubation (about 10 to 14 days)

The virus multiplies in the body. There are no symptoms. The person is not yet contagious for most of this period.

Stage 2: prodrome (2 to 4 days)

Fever, cough, runny nose and red eyes begin. The person is contagious. Koplik spots may appear inside the mouth near the end of this stage.

Stage 3: rash (about 5 to 7 days)

The rash starts on the face, spreads downwards, and fever rises, often to its peak. The child often looks very unwell. This is the stage when complications such as pneumonia, ear infection and diarrhoea are most likely.

Stage 4: recovery

The fever drops, the rash fades in the order it appeared, and a fine peeling may follow. Cough can last 1 to 2 weeks. Tiredness may continue.

Stage 5: after-effects

• Temporary weakening of the immune system for weeks to months, which makes other infections more likely
• Poor appetite and weight loss
• Rarely, later brain complications such as SSPE

Contagious period

From 4 days before the rash until 4 days after. Keep the child at home, away from babies, pregnant women and people with weak immunity, during this time.

Ayurvedic view

Ayurveda describes fever stages by Dosha and digestion. This is a traditional way of thinking and does not set a care plan for measles.

Key point

Watch closely during the rash stage. Seek urgent care for breathing trouble, fits or dehydration.

Key point

Watch the child closely during the rash stage, when fever peaks and complications are most likely. Seek urgent care for breathing trouble or fits.