Measles can affect all children who are not immune.

In developing countries in children under 2 years of age, while in developed countries often affects preschoolers. In areas with high population density. This disease can be endemic, whereas in areas with low population densities often occur Extraordinary Events (KLB) (Sudarjat Suraatmaja, 1995: 36).

In children with good nutrition, the disease rarely causes death. In contrast to the children malnourished group, the disease often leads to death due to complications of pneumonia (Sudarjat Suraatmaja, 1995: 36).

1) Causes of MeaslesMeasles is an acute and highly contagious disease. This disease is caused by infection with measles virus (Sudarjat Suraatmaja, 1997: 35).
2) Transmission of MeaslesHow to measles transmission is through droplets or splashes when coughing mucus (nasal secretions), direct contact with mucus from the nose and mouth of an infected person (Sudarjat Suraatmaja, 1997: 35).Measles is highly contagious, infectious period had occurred before the typical symptoms such as a rash on the skin arise until approximately 7 days after the onset of rash on the skin.

3) Incubation Period MeaslesAn average of 10 days, varying 7-18 days from exposure to fever, usually 14 days until the onset of rash (Sudarjat Suraatmaja, 1997: 35).

4) Clinical MeaslesThe first symptoms of disease resembling influenza that arise, such as fever, cough, runny nose and inflammation of the eye (conjunctivitis) for 3-7 days. Then comes a rash on the skin from the neck or behind the ear which then spread throughout the body that lasts for 4-6 days(Sudarjat Suraatmaja, 1997: 35).

5) Symptoms and Signs of MeaslesThere are 3 signs and symptoms of measles include catarrhal stage, stage of eruption and konvalensi stage. Catarrhal stage with symptoms of fever, lethargy (malaise), cough, afraid to light (photophobia), red eyes (conjuctivitis), decongestants sudden (coriza), Koplik spots in the mucosa bucalis. Stadium erupted with coriza symptoms and cough increased. Arising in the hard palate of red dot and platum mole or palate, Koplik spots, redness (rash) that starts from behind the ear andthe hair along the lateral neck radiating to the face. Higher body temperature, chapped lips, eyes red and watery.Sometimes there slight bleeding of the skin, face, nose, digestive tract. Itching, swollen face, enlarged lymph nodes, enlarged spleen (splenomegaly), diarrhea and vomiting.While the stadium erupted konvalesensi have reduced symptoms, arising hyperpigmentation, scaly skin inflammation (Central Java Provincial Health Office, 2005: 89).

6) Prevention of MeaslesMeasles can be prevented by immunization against measles in the area around the location of Extraordinary Events (KLB); improve patient nutrition; prevent contact with the patient (not out of the house, school, playing for seven days), cover your nose and mouth when people sneeze (Provincial Health Office Central Java, 2005: 89).

Measles VaccineMeasles immunization is given to obtain immunity against measles actively. Measles vaccines containing live measles virus that has been attenuated. Circulating measles vaccine in Indonesia can be obtained in the form of a single or in a dry packing dry packs combined with mumps vaccine and rubella (German measles) (AH Markum, 2002: 26).

To determine the minimum and immunization schedulesimmunization, there are 2 things to note are:1). Age distribution of the children who fell ill and died.2). Immunological response in relation to the innate immunity.In Indonesia, the disease often affects infants or young children, it is recommended immunizations given at age 12-15 months (Sudarjat Suraatmaja, 1997: 39).
reference
A.H. Markum. , 2002. Immunization. Jakarta: Faculty of medicine.
Ministry of Health. , 1999. Nutritional Status and Immunization in Mothers and ChildrenIndonesia. London: Department of Health.
Dick, George. , 1995. Immunization in Practice. Jakarta: Hippocrates.Central Java Provincial Health Office. , 2005. Fixed handling procedures OutbreakDisaster and Central Java Province. Semarang: Department of HealthCentral Java Province.. , 2005. Guidelines for Implementation of Immunization. Semarang: OfficeHealth Central Java Province.
Endah Widiarti. , 2001. Factors Associated with Immunization Coverage inUluagung subdistrict of Magelang regency. Thesis S-1. UniversityDiponegoro Semarang.I.G.N. Ranuh, et al. , 2005. Immunization guidelines in Indonesia. New York: AssociationIndonesian Pediatricians.
Sri Mumpuni. , 2002. Factors Related to Immunization Status inKendal Kendal Town districts. Thesis S-1. UniversityDiponegoro Semarang.Sudarjat Suraatmaja. , 1995. Immunization. Jakarta: Arcan.Sugeng Hari. , 2003. Developmental Psychology. Semarang: UPT UNNESPress.Sugiarti. , 2002. Some Factors Related to Immunization Status forBabies in Magelang regency Gunung Jati Health Center. Thesis S-1.Diponegoro University.
Sunarti. 2000. Some Factors Related to Immunization StatusMeasles in Children Aged 9-35 Months Working Area Health Center Platunganand Sukorejo 1 Kendal. Thesis S-1. Diponegoro UniversitySemarang.
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