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Measles Protection Act

Safety for children and communities

The Measles Protection Act has been in force since 1 March 2020 to protect children in nurseries, schools and people in communal facilities. All children and adults who are cared for or work in these facilities must prove that they have been fully vaccinated against measles.

Frequently asked questions and answers

The following are affected:

  • Kindergartens, after-school care centres, schools and other facilities where children and young people are cared for.
  • Day care centres for children.
  • Children's and youth homes.
  • Accommodation for refugees and people without residence permits.
  • Hospitals.
  • Facilities for outpatient surgery and rehabilitation facilities.
  • Dialysis centres and day clinics.
  • Maternity wards.
  • Doctors' surgeries, dentists' surgeries and practices for other medical professions such as physiotherapy or speech therapy.
  • Public health facilities that carry out examinations or treatments.
  • Outpatient nursing services that care for seriously ill people.
  • Emergency services.

Everyone born after 1970 who works in or is cared for in the above-mentioned facilities. This also applies to people who do not have direct contact with patients or children. Patients themselves do not need to provide proof. People who are cared for in a children's or youth home or in accommodation for refugees must provide proof within 8 weeks.

Proof must be provided that:

  • you have received two measles vaccinations or
  • you are immune to measles.
  • People who cannot be vaccinated for health reasons must provide proof of this in the form of a medical certificate.

Proof can be provided by the following documents:

  • Vaccination card.
  • Medical certificate confirming vaccination or immunity to measles.
  • Medical certificate confirming that vaccination is not possible for health reasons.
  • Confirmation from the institution or a government agency that proof has already been provided.
  • The costs for a new vaccination card and a vaccination certificate for a vaccination are covered by health insurance.
  • Without vaccination, the vaccination card costs between £2.50 and £5.00.
  • An antibody test to prove immunity to measles costs between £28.00 and £43.00.
  • A medical certificate confirming a medical exemption costs between £7.50 and £17.00. These costs must be paid by the individual.
  • The management of the respective institution.
  • Your employer.
  • A central office within the company.
  • The health authority during the school entrance examination.

Proof must be provided before childcare or work begins.

Anyone who does not provide proof will not be allowed to attend childcare or work in the affected facilities. Exceptions apply to:

  • School-age children and children under one year of age are exempt.
  • If someone works or is cared for in an affected facility, the health authority must be informed. The health authority will receive personal data about these individuals.
  • People who live in children's and youth homes or in accommodation for refugees and asylum seekers may continue to live there and receive care.

Documents in a foreign language or suspicious documents do not have to be accepted. In such cases, the health authority must be informed. Falsifying vaccination documents is a criminal offence.

The health authority decides whether a ban on entry or work will be imposed after a period of eight weeks. Fines may also be imposed. Even if the institution does not report the case, the persons concerned must provide proof upon request.

Children of school age are exempt from a ban on entry. An exception may be made if there is a supply shortage of vaccines. The supply shortage must have been officially reported.

The health authority may prohibit an employee from entering the facility or working. The consequences are governed by labour law regulations. If an employee loses their wages as a result of the ban, they are not entitled to compensation.

There are only combination vaccines that offer several vaccinations at the same time:

  • Mumps-measles-rubella (MMR).
  • Mumps-measles-rubella-varicella (MMRV).
  • There are no single vaccines for measles.

No, there are no concerns.

Serious side effects are rare. Mild reactions may occur 6 to 12 days after vaccination:

  • Redness and swelling at the injection site (in 5 to 15 percent of those vaccinated).
  • Fever for 1 to 2 days (in 5 to 15 percent of cases).
  • Skin rash ("vaccine measles") for 1 to 3 days (in 5 percent).
  • Joint pain after the first vaccination (in 1 percent).

The costs of the measles vaccination are covered by health insurance.

No, in addition to the fine, a penalty payment may also be imposed. A fine does not exempt you from the obligation.

No, there is no compulsory vaccination.