Information on measles-rubella vaccination

For measles / rubella vaccination, a measles-rubella mixed vaccine is used, and a total of 2 doses are given, the 1st stage and the 2nd stage.
It is said that more than 95% of people can acquire immunity against measles virus and rubella virus by inoculating the measles-rubella combination vaccine. In addition, by receiving two vaccinations, many people who could not be immunized by one vaccination can be immunized.
If you wish, you can get a measles or rubella vaccine alone.

* Vaccinations for “measles,” “rubella,” and “mixed measles and rubella” for people other than the target age for routine vaccination are voluntary.

You can search for medical institutions that carry out vaccinations for “measles,” “rubella,” and “mixed measles and rubella” as voluntary vaccinations on the site “Chiba Medical Navi.” (“Search by purpose”-> Select a medical institution / region and “Search by vaccination”)

Click here for　the website of “Chiba Medical Navi”(Link to external site)(Open in a new window)　

* Please contact each medical institution directly for the availability of each vaccine.

※ a result of the antibody test, for it is low antibody titers, because there is a cost subsidy program of measles and rubella combined vaccine vaccination (with the subject requirements), details, ” measles and rubella combined vaccine any vaccination expense furtherance of the guidance of” Please see the page.

* Regarding the rubella antibody test conducted for men born between April 2, 1958 and April 1, 1979, and the routine immunization for the fifth phase of rubella based on the provisions of the Immunization Law. , Please see the page of “Rubella antibody test and regular rubella vaccination based on the Vaccination Law for men born between April 2, 1958 and April 1, 1979.” ..

Measles symptoms

Measles is caused by airborne, droplet, or contact infections of the measles virus.
After being infected with the virus, the asymptomatic period (incubation period) lasts about 10 to 12 days. After that, symptoms begin to appear, but the main symptoms are fever, cough, runny nose, rheumatism, and redness. For 3 to 4 days after the onset of symptoms, fever of around 38 degrees, cough, runny nose, and rheumatism continued, and when I thought that the fever was about to drop, it became a high fever of 39 to 40 degrees, and red rashes from the neck and face. Begins to appear, and then the onset spreads throughout the body. The high fever disappears in 3 to 4 days, and the rash gradually disappears, but the pigmentation remains for a while.
It causes complications in about 30%, and the main complications include bronchitis, pneumonia, otitis media, and encephalitis. Of the 100 measles patients, otitis media is about 7-9 and pneumonia is about 6. Encephalitis occurs in about 1 in 1,000 people.
In addition, measles may develop severe encephalitis called subacute sclerosing panencephalitis (SSPE) after several to ten years. This is seen in about 1 in 100,000 people with measles.
Of those who have measles, about 1 in 1,000 may die.

Rubella symptoms

Rubella is caused by a droplet infection of the rubella virus.
Even if infected with the virus, symptoms do not appear immediately, and there is an incubation period of about 14 to 21 days. After that, the main symptoms are red rash, which is lighter than measles, fever, and swollen lymph nodes behind the neck. Other symptoms may include coughing, runny nose, and red eyes (red eye conjunctiva). In the case of children, the onset and fever often heal in about 3 days, so it is sometimes called “three days.”
Joint pain, thrombocytopenic purpura, and encephalitis have been reported as complications. Thrombocytopenic purpura is associated with about 1 in 3,000 rubella patients, and encephalitis is associated with about 1 in 6,000 rubella patients. If you take it after becoming an adult, it tends to become more severe than when you were a child.
When a pregnant woman gets rubella early in pregnancy, a disease called congenital rubella syndrome can give birth to babies with disabilities such as heart disease, cataracts, and hearing loss.

Effect of vaccination

Over 95% of vaccinated children can acquire immunity. Immunity in the body can prevent measles and rubella.
Since one inoculation is not enough, inoculate twice. Stronger immunity can be obtained by inoculating twice.

About side reactions

Major side effects of measles-rubella combination vaccine

(Used when vaccination against measles and rubella is carried out at the same time. Usually, this vaccine is given.) The
main side reactions are fever (about 20% of those who have been vaccinated) and rash (of those who have been vaccinated). About 10% of them). These symptoms are common between 5 and 14 days after vaccination. Fever, rash, and itching, which are considered to be hypersensitivity symptoms, may occur immediately after inoculation and the next day, but these symptoms usually subside within 1 to 3 days. Occasionally, redness, swelling, induration (lumps), and swollen lymph nodes may be seen at the site of inoculation, all of which are transient and usually disappear within a few days.
Rare and severe side reactions have been reported to include anaphylactic symptoms (shock symptoms, urticaria, dyspnea, etc.), acute thrombocytopenic purpura (purpura, nasal bleeding, oral mucosal bleeding, etc.), encephalitis and convulsions. increase.

Major side effects of measles vaccine

(Used when only vaccination against measles) The
main side reactions are fever of 37.5 degrees or more and less than 38.5 degrees (about 5% of those who have been vaccinated), 38.5, mainly 5 to 14 days after vaccination. There is a degree of fever (about 8% of those who have been vaccinated) and measles-like development (about 6% of those who have been vaccinated). However, the period of fever is usually 1-2 days, and the onset may be close to natural measles from a small number of erythema and hills. In addition, redness, swelling, febrile convulsions (about 1 in 300), urticaria, etc. may be observed at the site of inoculation, but most of them are transient.
Anaphylaxis-like symptoms, encephalitis encephalopathy (less than 1 person per 1 to 1.5 million inoculations), and acute thrombocytopenic purpura (about 1 person per 1 million inoculations) are known as rare and severe side reactions.
Subacute sclerosing panencephalitis (SSPE) that occurs after vaccination is extremely rare, and it has been reported that it is less than one-tenth of the case (1 in 100,000) when infected with the natural measles virus. increase.

Major side effects of rubella vaccine

(Used when only vaccination against rubella) The
main side reactions are rash, hives, erythema, itching, fever, swollen lymph nodes, and joint pain.
Rare and severe side reactions include shock and anaphylaxis-like symptoms, and acute thrombocytopenic purpura (about 1 per million inoculations) has been reported.

Inoculation time

	Inoculation age	Inoculation method
Phase 1	1 year old and under 2 years old	Inoculate once.
Second stage	5 to 7 years old and 1 year before entering elementary school (April 1 of the year before entering elementary school-March 31 of the year of entering elementary school)	Inoculate once.

Inoculation cost

free.

Belongings

Maternal and Child Health Handbook
Address, age, name can be confirmed (health insurance card, etc.)
Vaccination number sticker (If you have already put it on the pre-examination slip, you do not need it)

* If you do not have the pre-examination slip, please use the one available at the city cooperating medical institution. You can also find it at the Infectious Disease Control Division of the Health Center and the Health Division of each ward Health and Welfare Center, or you can download it from the link below.
Download the pre-examination slip (mixed measles-rubella) (PDF: 251KB)　

* Vaccination must be accompanied by a guardian. A power of attorney (PDF: 105KB) is required if someone other than a guardian is to take it .

* Please see here if you would like to have the pre-examination slip mailed .

Precautions for inoculation

As a general rule, vaccinations should be given on a good day. If your child is not in good health, consult your doctor before deciding whether or not to inoculate.
In addition, you cannot be vaccinated in the following cases.

If you have a clear fever (usually above 37.5 degrees)
When it is clear that you have a serious acute illness
If you have had anaphylaxis due to the components of the vaccination solution you should receive
If you have a disease with apparently abnormal immune function or if you are receiving treatment that causes immunosuppression
In addition, when the doctor determines that the condition is inappropriate

General precautions after vaccination

Observe your child at a medical institution or get in touch with your doctor for 30 minutes after vaccination. Sudden side reactions may occur during this time.
Watch out for side reactions for a week after inoculation.
Keep the inoculation site clean. You can take a bath, but do not rub the inoculation site.
Avoid strenuous exercise on the day of inoculation.
If you experience any abnormal reactions or changes in your physical condition at the site of inoculation after inoculation, see a doctor immediately.

Inoculation medical institution

You can receive it at the vaccination cooperation medical institution designated by Chiba City.

Cooperating medical institutions have a link to the list in “Implementation method” of ” Information on routine immunization “.

* Reservations must be made by phone to a medical institution in advance.

About health damage relief system by vaccination

If a serious side reaction caused by routine vaccination causes health problems such as medical treatment or leaving a disability that interferes with your life, the Immunization Law You can get compensation based on.
There are categories of medical expenses, medical allowances, child-rearing pensions for children with disabilities, disability pensions, lump-sum death allowances, and funeral fees according to the degree of health damage, and the amount stipulated by law is paid. Except for the lump-sum death allowance and funeral fee, payment will be made until the treatment is completed or the disability is healed.
However, the causal relationship between the health hazard caused by vaccination or another factor (infectious disease that was mixed in before or after vaccination or another cause, etc.) is determined by vaccination / infectious disease. After deliberation by a national examination committee consisting of experts in various fields such as medical care and law, y