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Parents are being urged to give their children the measles, mumps and rubella jab before the start of the new school year after an unprecedented surge of measles cases was recorded over the summer holidays.
Experts fear that hundreds of thousands of children returning to school as early as next week may cause the highly infectious disease to spread. Despite this the Government has ordered no extra stocks of the MMR vaccine and doctors may run out if they face a sudden rise in demand, The Times has learnt.
The Health Protection Agency (HPA) said that the number of confirmed cases of measles in children had more than trebled over recent months and was far higher than would normally be expected for this time of year.
By June 10 only 136 cases of measles had been confirmed. But just over 11 weeks later this number has risen to 480, with new cases being detected every day, the HPA said. This compares with 756 cases recorded during the whole of 2006 – the highest year on record.
Measles, which can be life threatening or cause severe disabilities, is most common among children aged 1 to 4 who have not been immunised, but can strike older children and adults, too.
It was difficult to explain the large increase this year, the HPA said, but parents not vaccinating their children and a lower uptake of a second MMR “booster” dose are thought to be key factors. The triple vaccine has proved highly controversial in recent years over unfounded concerns that it may be linked to autism. The study that first sparked fears about its safety is currently being scrutinised in a hearing by the General Medical Council, the medical watchdog. Andrew Wakefield and two co-authors of his research are currently appearing before the GMC on charges of serious professional misconduct.
MMR coverage began to drop in the late 1990s, though uptake is rising slowly again. The latest figures show that 88 per cent of British children begin school having had one dose of MMR.
But only three quarters of them have the full protection afforded by both doses. Until that figure is far higher, health officials say people should not assume that their children are safe from measles.
The latest data, for January to March 2007, showed particularly high numbers of measles cases in London and southeast England, East Anglia and Yorkshire and Humberside.
Mary Ramsay, a consultant epidemiologist at the HPA, said yesterday: “We’ve been very worried because the cases have stayed up over the summer holidays. This means it is crucial that children are fully immunised with two doses of MMR before they return to school.”
In previous decades, measles could cause an average of 20 deaths a year. Officials are nervous that the numbers could creep up again after gaps in vaccination coverage. “Although the numbers are still small, compared to the history of measles, we’re always worried about measles because very rarely it can kill,” Dr Ramsay added. “We hadn’t had any deaths from measles since the early 1990s, but unfortunately we had one death last year and we don’t want any more.
“Measles is a highly infectious and dangerous illness and, as there is increased close contact in schools, it can spread easily.”
Along with buying school uniforms and other preparations, “parents should think about adding the MMR vaccine to their back to school ‘to do’ list”, she added. “It is never too late to get vaccinated.”
But Laurence Buckman, chairman of the British Medical Association’s GPs’ committee, said that many doctors had not been warned to prepare for a sudden demand and could run out of supplies. “GPs will only have ordered as much vaccine as they would typically use at this time of year, so there may not be enough to satisfy a surge in demand,” he said. “Doctors and nurses will do their best, but at this short notice, they will not be able to run any extra clinics on the weekend and when they run out of supplies there is not much they can do.”
Doctors’ surgeries at Hackney, East London, are dealing with the effect of reduced levels of vaccination, with more than 120 measles cases in the past three months. Most of those were in children under 5 who had not been immunised.
Michael Fitzpatrick, a GP in the borough, said that he was disappointed but not surprised by the latest figures: “Scepticism about the MMR vaccine results in outbreaks of measles like this,” he said. “This was inevitable and I think the only surprise is this hasn’t happened earlier, and on a bigger scale.”
A spokeswoman for the Department of Health said that no extra stocks had been ordered, but added that supplies could be distributed to doctors with a day’s notice. “Vaccines are delivered to GP surgeries on a weekly basis. If GPs need additional supplies of MMR to meet demand, these can be ordered and then delivered within 24 hours. We currently have good stock levels of MMR.”
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my daughter is 6 had the seperates at desumo , she is only covered for Rubella & after having 2 mumps & 2 measels she STILL has no immunity , she had the MMR now as the risk of measels is too high.Had i not of had her blood tested i would never have known .DONT assume get the blood test.
tracey, midlands,
How dare Matthew from London call myself and other parents "ignorant and scientifically illiterate", I am very well educated thank you and I have not allowed my 20 month old daughter to have the MMR vaccination but I have my reasons.....my 4 year old little boy is now severely autistic..he can't speak...he screams and gets upset every minute of every day...he still wears nappies...now tell me I am ignorant. Give me a choice, give me seperate vaccines.
Barbara, Sunderland,
In Portugal is the same, this summer lots of children had the disease, even my family that came from Sweden, the children arrived and next day went to hospital.
estrelinha, Lisbon, Portugal
Well said Judy and bob! The medical profession is totally at fault for trying to save children from their ignorant scientifically illiterate parents. The propaganda I feel is coming from a little closer to home. Make science exams easier!
Matthew, London,
Deciding whether or not to immunise your child should be done regarding the symptoms and possible long term affects of the illness and the pros and cons weighed up seriously. Not on a whim because it is fashionable to question a system which has saved many lives and improved the quality and life expectancy for a number of years. It is not like deciding whether you will buy barn or free range eggs. You are deciding whether you would risk a small unproven link of a child developing autism or your child catching a horrible disease, then it spreading and mutating thus infecting those who are vaccinated. These vaccines are not developed and systematically given to children for free for the fun of it.
Louise, Nottingham, UK
When my daughters were young they had the measles jab on it's own preschool. At 13 they had the Rubella jab.They did not have the mumps jab Boys had the mumps jab at 13 but did not have the Rubella jab. This worked well for years. Then the drug companies brought out the MMR jab. We are told by the PTB that the old single jabs are "not safe". Utter rubbish!
The truth is the triple jab only saves time and money. It does not offer any significant extra protection. Rubella and Mumps are minor in young children. Maybe we should have the choice of the single Measles jab as before, and proper investigation into the measles jab and Autism? My grandson had the MMR a year later than normal. He ran temperatures of 106F and screamed like a trapped animal for 3 days. After this he went back to nappies and stopped talking. The Govt. should listen to parents, and stop telling us it is all a coincidence. More like a big cover up. Does compensation have anything to do with the denials?
Beryl, WINDSOR, England
To Annie, Cambridge, UK you are obviously not aware that a single jab is not available in this country. This story is just scare mongering as in 99% of cases with measles it is nothing more than a nuisance. Obviously in the very very small number where there are problems this is worrying but you child still has far more chance of being killed in a road accident than by having measles.
As a parent the benefits of the MMR do not outweigh the possible side effects and just because the government has pushed very hard for the medical establishment to agree that the MMR is safe does not make me think any differently. ``
joe kellie, edinburgh, scotland
The reason boys should be immunized against rubella is to prevent them from infecting older women who might be pregnant. Girls should be immunized against mumps to prevent them from infecting older boys and men. And anyone who has witnessed or cared for a child who has brain damage from high fevers associated with measles or any other reason would want to prevent this. As a woman who raised a child with brain impairment I would beg anyone to try to prevent this disease. While it should be administered with care, it should be administered.
Gail Dolly, McAlpin, Florida, USA
More facts please, measles hotspots where and what is the community makeup? Also how many of these cases can be attributed to immigrants as there are no medical checks carried out at our borders.
Steve P, Leeds, England
How gratifying for Dr Fitzpatrick - perhaps the loudest and least rational of DR Wakefield's critics - that one third of the new measles cases should occur in his own borough. Or could this be a coincidence?
Susan Hamlyn, London, UK
I would be more inclined to agree with MMR if the government could convince me that all of the immigrants being let into the UK have been immunised? From past experience immunisation does not stop one catching an illness, far from it. Personally I am cynical enough to think that the large pharmaceutical companies are just pushing their products once again! Both of my children were fully immunised, but, had I known then what I know now I would not have bothered. My son had a reaction to his second MMR jab, I was advised by my GP to leave out the measles portion on the next jab. I am very glad I did this, my son has grown up now (19) but I believe had I decided against my GP's advice my son may have been Autistic! He certainly shows some slight autistic tendencies - enough to convince me that not enough research has been done despite claims to the contrary! Methinks they protest too much. I would never have allowed my children to be guinea pigs had I been better informed in my 20s
JJ, Auckland, New Zealand
I had my children vaccinated with desumo in worcester and was very pleased with the service they provided as they ensured that all the vaccines were available to me and I do think the nhs ought to let people have the mmr in single vaccines if they wish
nicky, Kidderminster, Worcs
Any parent refusing to give their child a jab --- single or the MMR is grossly irresponsible and should be fined!
Annie, Cambridge, UK
If doctors were allowed to give measles vaccine separately this wouldnt have happened. It is only the insistence that children are vaccinated with mumps and rubella at the same time that has caused parents to hesitate.
Why do boys need to be vaccinated against rubella? Is there a serious risk if boys get rubella? It used to be girls of 13 that used to be vaccinated against it so that they would not contract rubella when pregnant.
Why are girls vaccinated against mumps. I know it can be unpleasant for older boys and men and can cause infertility in men but surely boys could be vaccinated later in life rather than pump all our babies full of multiple vaccines.
It is all too easy to blame parents for not giving their children MMR but no-one seems to be querying whether all these vaccines are necessary for both sexes.
Sue Paisley, Halstead, England
If Government would relent and bring back single vaccines parents would be more likely to vaccinate their children.
Caroline Vaughan, Porthcawl,
This is scaremongering, if your children are healthy, they can be nursed through measles, unpleasant as it is. Overloading your children with vaccine must surely be less advantageous. Beside which, how did we all survive before these 'compulsory' vaccines? How odd that the human race is at it's highest number ever, mainly in countries where there is no vaccination. How odd equally, that problems such as Autism, ADHD and specific learning difficulty are all increasing along with an increase of the number of vaccinations....25 by the age of two I believe.
Judy , Liverpool, england
My question is how much this rise is caused by immigration, and how much is really as a result of failure of the UK born population to immunise their children. To me it feels like something is being left unsaid as was the case when figures showing an increase in both TB and Aids were released a few years ago.
Peter Arnold, London,
these scare mongering stories are the real prpaganda. Measles was already on the decline when MMR was introduced
bob, harlow,
I can understand why the government want people to use the MMR vaccine, but I still don't understand why they will not allow parents to pay the extra to have the seperate vaccines.
Especially a government that supports 'choice'.
Mike Poulsen, Reading, Berkshire