The next step is to classify fever in measles. For a child who has fever and no signs of measles, classify the child for fever only, and for a child who has signs of both fever and measles, classify the child for both. You will use classification tables for fever and measles bellow.

Assess and classify fever in high-risk malaria area

SIGNS CLASSIFY TREATMENT
  • Any general danger sign or
  • Stiff neck.
  • Bulged fontanel.
    		•  VERY SEVERE FEBRILE DISEASE
  • Give the first dose of Cotrimoxazole.
  • Give the first dose of Artesunate rectal suppository if available.
  • Give one dose of Paracetamol in the clinic for high fever (≥38.5°C).
  • Advise mother to breast feed more frequently.
  • Advise mother on the need for referral.
  • Refer URGENTLY to the hospital or health centre.
    		•
  • RDT positive If not available
  • Fever (by history or feels hot or temperature 37.5°C or above).
    		•  MALARIA
  • Treat with an oral antimalarial. Coartem for P. falciparum and mixed infections. Chloroquine for P. Vivax (as confirmed by multi species RDT).
  • Give one dose of Paracetamol in the clinic for high fever (≥38.5°C).
  • Advise mother on fluid and food.
  • Advise mother when to return immediately.
  • Follow-up in 2 days if fever persists.
  • If fever is present every day for more than 7 days, refer for assessment.
  • If weight is <5kg refer the sick child to a health centre or hospital.
    		•
  • RDT Negative
    		•  Fever Malaria unlikely
  • Give one dose of Paracetamol in the clinic for high fever (≥38.5°C).
  • Advise mother on fluid and food.
  • Advise mother when to return immediately.
  • Follow-up in 2 days if fever persists.
  • If fever is present every day for more than 3 days, refer for assessment.
    		•

    Assess and classify fever in low and no malaria risk area

    SIGNS CLASSIFY TREATMENT
  • Any general danger sign or
  • Stiff neck.
  • Bulged fontanel.
    		•  VERY SEVERE FEBRILE DISEASE
  • Give the first dose of Cotrimoxazole.
  • Give the first dose of Artesunate rectal suppository if available.
  • Give one dose of Paracetamol in the clinic for high fever (≥38.5°C).
  • Advise mother to breast feed more frequently.
  • Advise mother on the need for referral.
  • Refer URGENTLY to a hospital.or health center.
    		•
  • RDT is positive.
  • If not available.
    NO runny nose and
    NO measles and
    NO other cause of fever.
    		•  MALARIA
  • Treat with an oral antimalarial. Coartem for P. falciparum and mixed infections; Chloroquine for P. Vivax (as confirmed by multi species RDT )
  • Give one dose of Paracetamol in the clinic for high fever (≥38.5°C).
  • Advise mother on fluid and food.
  • Advise mother when to return immediately.
  • Follow-up in 2 days if fever persists.
  • If fever is present every day for more than 7 days, refer for assessment.
    		•
  • Negative RDT.
  • If not available: Runny nose PRESENT or Measles PRESENT or Other cause of fever PRESENT.
    		•  FEVER - MALARIA UNLIKELY
  • Give one dose of Paracetamol in the clinic for high fever (≥38.5°C).
  • Advise mother on fluid and food.
  • Advise mother when to return immediately.
  • Follow-up in 2 days if fever persists.
  • If fever is present every day for more than 3 days, refer for assessment.
    		•
    FOR NO MALARIA RISK AREA
  • Any general danger sign or
  • Stiff neck.
  • Bulged fontanel.
    		•  VERY SEVERE FEBRILE DISEASE
  • Give the first dose of Cotrimoxazole.
  • Give one dose of Paracetamol for high fever (38.50C or above)
  • Advise mother on the need for referral.
  • Advise mother to breastfeed more frequently.
  • Refer URGENTLY to hospital or health centre
    		•
  • Any fever.
    		•  FEVER (NOMALARIA)
  • Give one dose of Paracetamol for high fever (38.50C or above).
  • Advise mother on fluid and food.
  • Advise mother when to return immediately.
  • If fever is present every day for more than 3 days, refer for assessment.
  • Follow-up in 2 days if fever persists.
    		•