More cases than usual: measles outbreak in Cologne – just before Carnival. Almost every contact between a person without immune protection and a sick person leads to an infection.

The virus is transmitted through infectious droplets when speaking, coughing and sneezing. The characteristic rash only appears after a few days. The Standing Vaccination Commission (Stiko) recommends vaccination for all adults born after 1970. For children, two vaccinations would ensure good protection. For confidential support call the Samaritans in the UK on 08457 90 90 90, visit a local Samaritans branch or click here for details.