Measles - South Africa: (Free State)

The Free State Department of Health has issued an urgent public health alert following a confirmed measles outbreak in the Lejweleputswa District, specifically affecting Nala (Bothaville) and surrounding municipalities including Masilonyana, Matjhabeng and Tswelopele.

According to provincial health spokesperson Mondli Mvambi, a total of 64 cases of the highly contagious viral infection have been reported, with the most affected group being children aged 5 to 9 years. Health officials are calling for immediate community awareness and vaccination action to prevent further spread.

“Measles is a highly contagious viral infection that can lead to serious health complications. It is crucial for parents and guardians to be vigilant and aware of the symptoms,” Mvambi said.

Symptoms of measles to watch out for

Fever
Runny nose
Cough
Red eyes (conjunctivitis)
General fatigue
Red rash (typically starting on the face and spreading to the body)

Health department’s appeal: vaccinate to protect

Mvambi strongly encouraged all parents and caregivers to ensure their children are up-to-date with their measles vaccinations, describing the vaccine as both safe and effective.

“We urge all parents to ensure that their children are vaccinated against measles. The measles vaccine is safe and effective and is the best way to protect your child and the community from this disease,”he said.

The department is actively deploying response teams to the affected areas to monitor cases, support local clinics, and assist with vaccination drives.

Public safety measures and action steps for parents

The Department of Health recommends the following:

Monitor children for any symptoms listed above, especially fever and rash.
Visit your healthcare provider immediately if symptoms develop.
Confirm your child’s vaccination status with your clinic or healthcare provider.
Encourage others in your community to vaccinate their children and be alert to symptoms.
Practice good hygiene, including regular handwashing and avoiding contact with infected individuals.

Community support is critical

The outbreak comes amid ongoing efforts to strengthen childhood immunisation in the province. Health officials have reiterated that measles can be deadly if not addressed early, particularly in young children and those with weakened immune systems.

“Your health and the health of our community are our top priorities. Together, we can prevent the spread of measles and protect our children,” said Mvambi.

Need help or information?

Residents are encouraged to visit their nearest clinic for more information or to check their child’s vaccination records. Clinics across the affected municipalities have been briefed to respond promptly to suspected cases and to assist with community education.

Background on measles

Measles is caused by a virus that spreads through respiratory droplets from coughing, sneezing, or close contact with infected individuals. It is one of the most contagious diseases but can be completely prevented with 2 doses of the measles vaccine, typically administered during early childhood.

Affected areas in Free State:

Nala (Bothaville)
Masilonyana (Brandfort, Theunissen)
Matjhabeng (Welkom, Odendaalsrus)
Tswelopele (Hoopstad, Bultfontein)

Communicated by: ProMED-EAFR

Moderator Comments

Measles is a vaccine-preventable disease. According to the World Health Organization, “Measles is a highly contagious, serious airborne disease caused by a virus that can lead to severe complications and death. Measles vaccination averted more than 60 million deaths between 2000 and 2023. Even though a safe and cost-effective vaccine is available, in 2023, there were an estimated 107 500 measles deaths globally, mostly among unvaccinated or under vaccinated children under the age of 5 years. The proportion of children receiving a first dose of measles vaccine was 83% in 2023, well below the 2019 level of 86%” (https://www.who.int/news-room/fact-sheets/detail/measles).A high percentage of herd immunity is necessary to avert outbreaks.