The Western Cape is experiencing an increase in measles outbreaks in several parts of the province and local health authorities are calling for swift action to protect children and families.

Although the Breede Valley, Drakenstein, Langeberg, Stellenbosch and Witzenberg areas are not currently experiencing outbreaks the Western Cape Department of Health and Wellness says residents in these districts must remain alert as the risk of spread remains high.

Falling vaccination rates raise concern

Health officials warn that the rise in cases is part of a wider national trend. South Africa has seen a decline in childhood-vaccination uptake, a development that poses a serious threat to public health and undermines efforts to eliminate vaccine-preventable diseases. These gaps in immunity have already contributed to multiple outbreaks of measles, rubella and diphtheria across the province.

The department says boosting immunisation coverage remains a top priority. Since October 2024 vaccination teams have stepped up their work to protect young children from severe and life threatening illnesses. An early-warning and -response system has been put in place, which strengthens coordination of outbreak responses, increases disease surveillance, improves clinical management of cases and enhances community engagement. Areas showing rapid increases in measles cases will receive targeted vaccination outreaches.

Serious complications remain a danger

Parents are encouraged to familiarise themselves with the symptoms of measles, which include high fever, rash, runny nose, red eyes and coughing. Health practitioners can diagnose the illness through these symptoms and confirm through blood tests. Families are advised to keep children at home if they present with any of these signs in order to limit transmission. Any child who develops a fever becomes unusually sleepy or struggles to eat should be taken to the nearest clinic immediately.

Measles can lead to serious complications such as pneumonia, diarrhoea, brain infection and blindness. Infants under two years of age and children who are malnourished face the highest risk.

Free childhood vaccines are available at all public health facilities and catch up doses can be provided if a child has missed a routine vaccination. Vaccines are also available at private facilities and through private public partnerships.

The department urges parents not to assume immunity. Routine immunisation remains the strongest defence and parents are asked to sign consent forms when school vaccination teams visit.