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
Which facilities are affected?
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.
Who must provide proof of vaccination?
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.
What must be proven?
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.
How can proof be provided?
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.
By when must proof of vaccination be provided?
Proof must be provided before childcare or work begins.
What happens if no proof is provided?
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.
How is it ensured that no forged documents are used?
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.
What happens if the health authority is informed?
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.
Are there any exceptions to a ban on entry or work?
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.
What are the consequences of a ban on entering or working?
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.
What measles vaccines are available?
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.
Is there any risk associated with the MMR vaccination if you are already immune to one of the diseases?
No, there are no concerns.
How common are adverse reactions to the vaccination?
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).
Who pays for the vaccination?
The costs of the measles vaccination are covered by health insurance.
Can parents pay a fine to be exempt from the vaccination requirement?
No, in addition to the fine, a penalty payment may also be imposed. A fine does not exempt you from the obligation.
Can someone be forced to be vaccinated?
No, there is no compulsory vaccination.