Many single as well as mixed outbreaks of measles, german measles, varicella and herpes joster were investigated. In outbreak settings, it is usually observed that more than one viruses are concurrently infecting the population, e.g., measles and german measles can go simultaneously; Likewise laboratory confirmed measles with chickenpox outbreaks had also been investigated in Himachal Pradesh. The presenting complaints are quite confusing in the beginning. Mild febrile rashes are present both in german measles and measles and symptomatogy is so similar and fleeting. Nowadays there is distinct change in the measles and mumps disease pattern due to measles and MMR vaccination. More and more case patients of measles and rubella are being examined in higher age group adolescent children. Crowding, intense exposure and lack of vitamin A supplementation were the some of the factors responsible for its spread. Is MMR is the vaccination of choice or something more?

Keywords: Measles-rubella and varicella; Triple outbreak; Atypical rash; MMR Vaccination; Kangra.