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Pharmacy Care provides information about self-care, that is how to treat minor medical conditions with products available at the pharmacy. Find out how your pharmacist can help you to manage minor conditions yourself.
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Rubella, also known as German measles or three-day measles, is an infectious illness caused by a virus. It is not the same as measles. Rubella is caused by a different virus and people are normally less unwell with it.
The illness, which is most common in school-aged children, is spread by coughing and sneezing. After the person has been infected by the virus it takes 14 to 21 days for the illness to develop (the ‘incubation period’).
Someone with rubella is infectious from about one week before the rash appears, and for one week after it appears, though some children may not experience a rash. Children should be kept home from school until fully recovered or for at least four days after the onset of a rash. Pregnant women should avoid contact with exposed individuals for six weeks.
Symptoms
The symptoms of rubella are mild and may not even be noticed, particularly in children under five years old. However, there may be:
a mild fever
a pinkish-red rash that starts on the face and spreads rapidly to the rest of the body, especially the chest, lasting two to three days
aching joints
feeling ‘off-colour’
headache
swollen glands behind the ears and neck
Complications
Adults are more likely to develop complications from rubella than children. Complications include ear infections and, rarely, swelling of the brain.
Rubella is most serious if you are pregnant, particularly during your first three months of pregnancy. Rubella can be passed to your unborn baby, causing miscarriage, stillbirth or birth defects, such as deafness, cataracts, brain damage, cerebral palsy, growth retardation and heart problems. This is known as congenital rubella syndrome and is the main reason why we vaccinate. Pregnant women must be checked for rubella immunity, usually with a routine blood test in early pregnancy. If a pregnant women is exposed to a suspected or confirmed case of rubella, they should seek medical advice and be tested. There is no risk coming into contact with those just vaccinated against the disease.
Vaccination
Australia’s National Immunisation Program includes free immunisation for children against rubella. The rubella vaccine is given as part of the measles–mumps–rubella (MMR) vaccine. Children who are immunised according to the schedule receive the MMR vaccine at ages 12 months and 4 years.
Women planning to get pregnant
Women who are planning to get pregnant should visit their doctor to check if they have immunity to rubella. If necessary, they can have the rubella vaccination. Note: women who have the rubella vaccination should not try to get pregnant for one month after having the vaccine.
See Your Pharmacist or Medical Professional
if you think you are pregnant and may have been exposed to rubella
if your child develops ear pain
Meningitis
Meningitis is a medical emergency that can cause permanent disability and death. It involves the inflammation of the meninges, the membranes which line the brain and spinal cord. Meningitis is a different infection from rubella, but as there can be some similar symptoms, it is important for parents to be aware of the signs. It is important to be aware that the vaccination available does not cover all types of meningitis, and a rash does not always appear. Meningitis can affect infants, children and adults.
Meningitis can occur very suddenly and requires immediate medical treatment; see a doctor urgently or call 000 for ambulance.
For more information on signs of meningitis, see the link in Related Health Information below.
Treatment Tips
encourage the child to rest
encourage the child to drink plenty of fluids
give paracetamol or ibuprofen to relieve fever and help with pain (see Treatment Options below)
do not give aspirin to children under 16 years old because it may cause Reye’s syndrome, a serious condition
keep the child or person at home and try to avoid contact with anyone who might be in the early stages of pregnancy
Treatment Options
Medications to reduce fever and relieve pain
[PHARMACY ONLY]
e.g. paracetamol liquid preparations (Dymadon Drops, Dymadon Suspension, Panadol (Children)); ibuprofen liquid preparations (Dimetapp Children's Ibuprofen Pain & Fever Relief Suspension, Dimetapp Infant's Ibuprofen Colour Free Pain & Fever Relief Suspension, iProfen Suspension for Children, Nurofen for Children, Nurofen for Children Infant Drops)
paracetamol is suitable for most people but it is important not to give more than the recommended dose; check labels for dosage instructions appropriate to the age of the child, and dose by weight
paracetamol is a common ingredient in other medicines, e.g. cold and flu preparations, (which may be used by adults and adolescents) so be careful not to double dose
paracetamol and ibuprofen are also available in other forms (e.g. tablets), which are often medicines classified for General Sale; these may be preferred by older children and adults. Check labels for dose appropriate to age; you can also ask your pharmacist for individualised advice
paracetamol and ibuprofen can be used together, because they work differently They are usually given at different times; ask your pharmacist for dosing advice
ibuprofen is not suitable for everyone. Check with your pharmacist before giving ibuprofen if the child or person:
is dehydrated
has a history of stomach problems, such as ulcers or indigestion
has asthma; some people with asthma find their condition is made worse by these types of medicines
has kidney problems or a heart condition
takes other medications
More Information
Phone helplines
If you are concerned about your child there is a national 24-hour health advice helpline and also parenting helplines in each state and territory:
National helplines:
healthdirect 24-hour health advice line: 1800 022 222
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