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The measles vaccine with Dr Hina Lutui
We know that measles is actually really really contagious.
If one person is infected, you can actually spread it to around 15 to 18 people and it's not a nice disease to have it can make you feel really sick and awful.
Quite often people can end up in hospital because they're so sick and unwell from the infection.
There is no real good treatment to be honest, so the best thing that you
can do is actually get vaccinated so you get your body ready to fight off the infection.
If you're all protected, so if I'm vaccinated, every one of my family is vaccinated and someone comes to the house and they've got measles or mumps they actually don't pass it on to us, because the vaccine has actually helped protect us from actually getting the measles, or if we do get it we fight off so well that we don't spread it around we don't give it to other people.
How does the measles vaccine work? What are the side effects?
The vaccine which protects us against measles comes in a combination it's called the MMR.
So measles, mumps, rubella so you actually get protected against 3 different diseases at the same time, which is great news.
MMR vaccine is supposed to stimulate your body to be able to fight off infection if it sees the disease in real-time and so that potentially means that you can have some of those side effects that occur when you are vaccinated.
Getting a temperature that you may actually get a rash afterwards for the vaccine that's actually quite common.
Some people might find their glands actually go up after having the vaccine and some people they can have a little bit of an achy body.
For some people the symptoms may occur in the first few hours, for others it can occur up to a week or two weeks later, but actually they stay well with it, so despite having some mild side effects they actually stay very well.
What should I do if I'm not sure if I have had a measles vaccine?
So if you're not sure if you're vaccinated or not then just talk to your GP or GP nurse, they'll be able to look it up on their system.
Sometimes you may have had your childhood imms book. We can have a look through there and see if you've had the full vaccinations because you only need 2 doses to be fully vaccinated.
But even if we're not sure, if we can't find the records or we think you might be partially vaccinated. It actually does you no harm to have an extra vaccination.
What the MMR vaccine protects you from
The MMR vaccine protects against 3 viral infections — measles, mumps and rubella.
Measles
Measles is one of the most dangerous and contagious diseases. If you are not vaccinated and come into contact with someone who has it, you are very likely to catch it and pass it on to others.
Measles can cause a rash, flu-like symptoms, or more serious problems like brain swelling, chest infections, or death.
If you are pregnant, measles can make you very sick and can harm your baby.
Find out more about the symptoms, spread and treatment.
Mumps
Mumps is an infectious illness caused by a virus. It leads to painful swelling in the salivary glands around the face.
In rare cases, there can be serious complications such as hearing loss, an infection of the membranes that cover the brain and spinal cord (meningitis, or inflammation of the brain (encephalitis).
Aotearoa New Zealand had an outbreak of mumps in 2017. This only settled and finally disappeared with the first COVID-19 lockdown because the disease was not able to spread easily.
Find out more about the symptoms, spread and treatment.
Rubella
For children, rubella is usually a mild viral illness that causes a spotty rash. If you catch it when you are pregnant, however, it can cause serious birth defects in your baby such as deafness, heart defects, and brain damage.
Find out more about the symptoms, spread and treatment.
Health videos for ethnic communities
The Ministry for Ethnic Communities and Health New Zealand have developed a series of videos about measles, MMR vaccines, and misinformation.
Measles, mumps and rubella videos — Ministry for Ethnic Communities (external link)
When to get the MMR vaccine
If there is a measles outbreak, or if you are travelling to a country with an active measles outbreak, pēpi between the ages of 6 and 11 months may be advised to have an additional free dose of the MMR vaccine early. Talk to your doctor, nurse, or healthcare provider about this.
It is very important your child still has their scheduled 2 doses at 12 and 15 months old.
The MMR vaccine is free and offered to tamariki at 12 months and 15 months.
If your child missed their MMR vaccine it is free for them to catch up.
If you are unable to confirm if they have already had 2 doses, they should get vaccinated anyway. There is no risk in having extra doses.
Many adults and rangatahi (young people) born between 1989 and 2004 in Aotearoa New Zealand were not vaccinated against measles.
Adults need to be up to date with MMR vaccinations to protect themselves and their community. For best protection, 2 doses are needed, a minimum of 4 weeks apart.
To check whether you have been vaccinated, contact your doctor, nurse, or healthcare provider.
If you are unable to find out if you have been vaccinated, it is recommended you get vaccinated as soon as possible. There is no additional risk in getting extra MMR doses — it is important to know you have had 2 doses.
The MMR vaccine is free for:
- everyone aged 18 years old and under (it does not matter what their visa or citizenship status is) and
- those eligible for free healthcare in New Zealand.
Eligibility for publicly funded health and disability services — Health New Zealand (external link)
Most people who lived in New Zealand before 1969 do not require a measles vaccination. Measles was common at the time so you will have developed natural immunity through being exposed. However, if you are travelling overseas we recommend you talk to your healthcare provider as they might recommend a vaccine to make sure you are immune.
Anyone who has a severely weakened immune system cannot have the MMR vaccine — for example, people having cancer treatment.
To protect them, it is very important all whānau around immunocompromised people are fully vaccinated against MMR.
If there are cases of measles in Aotearoa New Zealand, it is recommended that immunocompromised people take extra precautions to keep safe — such as staying away from crowded places.
If there are measles cases at your child’s school, or early childhood centre, you will be advised on what to do to keep your child safe.
You cannot have the MMR vaccine when you are pregnant. If you are planning a baby, it is free to find out if you are immune to measles and rubella. If you are not immune to measles or rubella, it is free to get vaccinated if you are under 18 years of age or over 18 and and New Zealand resident.
After your baby is born, it may be recommended that you have a free measles, mumps and rubella (MMR) immunisation. You should do this as soon as you can.
Pregnancy and immunisations (internal link)
If you are travelling to countries that have measles in their community, it is really important you and your whānau are up to date with your MMR vaccinations.
You can check current outbreaks on the following website.
Global Measles Outbreaks — Centers for Disease Control and Prevention (external link)
Find out if you need a measles vaccine
How to protect tamariki from measles
Protect your tamariki from measles – it can be very dangerous. Measles spreads faster than almost any other disease.
Measles can cause:
- high fever
- cough
- runny nose
- sore red eyes
- a rash starting on the head and moving down the body.
Tamariki can get so sick that they need to go to hospital. Some children can die from measles.
Immunisation rates are low for all tamariki in Aotearoa. They are very low in Māori and Pasifika babies and children.
This means there is a real risk of measles spreading widely and affecting Māori and Pasifika tamariki the most.
Now's the time to protect tamariki. 2 doses of the measles vaccine gives the best protection.
If you're not sure whether your child has had measles immunisation, check with your Well Child Tamariki Ora nurse or your GP practice.
If you still don't know, it's safe for your child to get 2 doses again.
Measles immunisation is free from GP practices and Māori and Pacific immunisation providers.
Book an MMR vaccine
It is easy and free to get immunised against measles, mumps, and rubella.
For ages 13 and over
Vaccinations for individuals or groups aged 13 or over can be booked online or over the phone.
- Book a vaccine online (external link)
- Book over the phone: 0800 28 29 26 (8am to 5pm, Monday to Friday).
For under age 13
Contact your usual doctor, nurse, or healthcare provider to book an appointment for someone under 13.
People over 3 years old can get an MMR vaccine at lots of pharmacies. You can search for one near you on Healthpoint.
Pharmacies offering MMR vaccinations — Healthpoint
Some places offer group appointments for immunisations. Contact your doctor, nurse, healthcare provider, or pharmacy to see if your whānau can have a group appointment so you can all get vaccinated together.
More information on bookings and support services
Find more information on booking a vaccine, or how to get specific support for your needs.
Which vaccine is used
The vaccine we use in New Zealand is Priorix. This vaccine which protects against measles, mumps, and rubella. 2 doses, at least a month apart, are needed for best protection.
It is not possible to separate these diseases out. For example, there is no ‘measles only’ vaccine available in New Zealand.
Priorix is a live vaccine. Live vaccines contain bacteria or viruses that have been weakened so that they cannot cause disease. This small amount of virus or bacteria stimulates an immune response.
The Priorix vaccine does not contain porcine (pork) products.
Side effects and reactions
Like most medicines, vaccines can sometimes cause reactions. These are usually mild, and not everyone will get them.
Mild reactions are normal and shows that your immune system is responding to the vaccine.
If you are going to have any reactions, they normally happen in the first few days after getting vaccinated. The vaccine itself is gone from your body within a few hours or days.
The most common reaction to an immunisation includes:
- a slight fever
- pain or swelling where the needle went in.
Other reactions
Other common reactions of the MMR vaccine include:
- mild rash — between 6 and 12 days after immunisation
- high fever — over 39°C between 6 and 12 days after immunisation
- swollen glands in the cheeks, neck, or under the jaw
- temporary joint pain — 2 to 4 weeks after immunisation.
A very rare side effect is bruise-like spots that appear 15 days to 6 weeks after immunisation. This is mild, and usually goes away within 6 months.
Allergic reactions
Serious allergic reactions are extremely rare. Only about 1 in 1 million people will experience this.
Your vaccinator is well-trained and knows what to look for and can treat an allergic reaction quickly if it happens.
Serious allergic reactions normally happen within the first few minutes of vaccination, this is why you need to wait for up to 20 minutes after immunisation.
More information
Find more information about common side effects, what to look for and how to report side effects.