Measles Epidemic Warning: Health Officials Urge World Cup Fans Heading To Russia To Have The MMR Jab
Health officials have urged World Cup fans heading to Russia to have the measles, mumps and rubella (MMR) jab.
Public Health England (PHE) tweeted yesterday: ‘We’re advising fans heading to Russia for the World Cup to ensure they are up to date with their MMR vaccine because of measles outbreaks across the continent.’
The football tournament runs from 14 June to 15 July in Moscow.
This comes after figures reveal there have been around 1,201 suspected measles cases in England so far this year.
PHE claims travel between European countries experiencing measles epidemics is behind England’s outbreak, as well as people failing to take up the recommended MMR vaccines.
Dr Mary Ramsay, head of immunisation at PHE, previously said: ‘The majority of cases we are seeing are in teenagers and young adults who missed out on their MMR vaccine when they were children.’
Romania, Italy, Germany, Greece and France are all experiencing unprecedented cases of the highly infectious, life-threatening condition.
The ‘elimination’ of measles has been achieved in the UK, global health leaders said in September.
The elimination of measles or rubella can be verified once a country has sustained ‘interruption of endemic transmission’ for at least 36 months, according to the World Health Organization (WHO).
The European Regional Verification Commission said the UK achieved elimination status for measles as of 2016.
Dr Mary Ramsay, head of immunisation at Public Health England, said: ‘We are delighted that the WHO has confirmed that the UK achieved measles elimination in 2016 and that rubella elimination continues to be sustained.
‘In addition, national vaccine coverage of the first MMR dose in five year olds has hit the WHO’s 95 per cent target.
‘This is a huge achievement and a testament to all the hard work by our health professionals in the NHS to ensure that all children and adults are fully protected with two doses of the MMR vaccine.
‘We need to ensure that this is sustained going forward by maintaining and improving coverage of the MMR vaccine in children and by catching up older children and young adults who missed out.’
WHAT WERE THE MEASLES, MUMPS AND RUBELLA VACCINATION RATES IN TWO-YEAR-OLDS ACROSS ENGLAND IN 2015-TO-2016?
Region of England % vaccinated
North East 95
North West 92.9
Yorkshire & Humber 94
East Midlands 94.1
West Midlands 93.1
East of England 93.5
London 86.4
South East 91.9
South West 92.9
Source: NHS immunisation statistics
‘It is never too late to have the vaccine’
This comes after 15 students from Chichester High School in West Sussex were diagnosed with measles last month.
Dr Sarah Lock, consultant in health protection with PHE South East, said at the time: ‘It is important to be aware that it is never too late to have the vaccine.
‘While the cases in Chichester are among children, it is important to remember that measles is not just a childhood illness, as proven by the number of recent cases among adults in other parts of Sussex and Surrey.
‘So if you’ve not received two doses of the vaccine in the past or you’re unsure, speak to your GP. There’s no harm in receiving an additional dose where there is any uncertainty.’
Vaccination clinics have been set up for Chichester High School’s students who have not been vaccinated or missed out on one of the MMR doses.
The first clinic is open for students and their siblings today. The second is by appointment only for the wider area on Wednesday.
Since January, Surrey and Sussex have had at least 70 confirmed measles cases, compared with 20 in the same time period last year.
Where in England are outbreaks occurring?
London has had the most measles cases, with a confirmed minimum 164 incidences so far this year.
This is followed by the South East where 86 people suffered between January 1 and May 21.
The West Midlands had 78 incidences and the South West 42.
West Yorkshire is also experiencing a local outbreak with 37 confirmed cases in just over five months.
Officials urge people to get vaccinated
Dr Ramsay said: ‘The measles outbreaks we are currently seeing in England are linked to ongoing large outbreaks in Europe.
‘The majority of cases we are seeing are in teenagers and young adults who missed out on their MMR vaccine when they were children. Anyone who missed out on their MMR vaccine in the past or are unsure if they had two doses should contact their GP practice to catch-up. This serves as an important reminder for parents to take up the offer of MMR vaccination for their children at 1 year of age and as a pre-school booster at three years and four months of age.
She added: ‘We’d also encourage people to ensure they are up to date with their MMR vaccine before travelling to countries with ongoing measles outbreaks.
‘The UK recently achieved World Health Organization (WHO) measles elimination status and so the overall risk of measles to the UK population is low, however, we will continue to see cases in unimmunised individuals and limited onward spread can occur in communities with low MMR coverage and in age groups with very close mixing.’
The WHO claims people’s fear of vaccines, along with complacency, means many, particularly young children, are unprotected.
To prevent a measles outbreak, it is recommended that 95 per cent of the population is immunised against the infection.
Only 91.9 per cent of children were vaccinated against measles between 2015 and 2016 compared to 94.2 per cent in 2014-to-2015 and 94.3 per cent in 2013-to-2014, according to NHS immunisation statistics.
Epidemics in Europe
Earlier this year, the WHO warned measles was spreading across Europe in regions where vaccination rates are low, such as Poland, Switzerland and Ukraine.
Data published in November 2017 by the European Centre for Disease Prevention and Control in the Communicable Disease Threat Report show that from January 2016 to November 2017, more than 19,000 measles cases were reported in the EU, including 46 deaths.
The highest number of cases in 2017 were reported in Romania, where 7,759 people suffered, followed by Italy with 4,775 cases and Germany with 898 sufferers. Greece also experienced a measles outbreak, with at least 368 cases, and one death, since May 2017.
Dr Ramsay said: ‘Due to ongoing measles outbreaks within Europe, we will continue to see imported measles cases in the UK in unimmunised individuals.
‘This serves as an important reminder for parents to take up the offer of MMR vaccination for their children when offered at one year of age and as a pre-school booster at three years, four months of age.’
WHAT IS MEASLES, WHAT ARE THE SYMPTOMS AND HOW CAN YOU CATCH IT?
Measles is a highly contagious viral infection that spreads easily from an injected person by coughing, sneezing or even just breathing.
Symptoms develop between six and 19 days after infection, and include a runny nose, cough, sore eyes, a fever and a rash.
The rash appears as red and blotchy marks on the hairline that travel down over several days, turning brown and eventually fading.
Some children complain of disliking bright lights or develop white spots with red backgrounds on their tongue.
In one in 15 cases, measles can cause life-threatening complications including pneumonia, convulsions and encephalitis.
Dr Ava Easton, chief executive of the Encephalitis Society told MailOnline: ‘Measles can be very serious.
‘[It] can cause encephalitis which is inflammation of the brain.
‘Encephalitis can result in death or disability.’
Treatment focuses on staying hydrated, resting and taking painkillers, if necessary.
Measles can be prevented by receiving two vaccinations, the first at 13 months old and the second at three years and four months to five years old.
Source: Great Ormond Street Hospital
ARE AUTISTIC CHILDREN MISSING OUT ON VACCINATIONS?
Autistic children are missing out on life-saving vaccinations, research suggested in March 2018.
Only 81.6 per cent of those on the autism spectrum have received all the recommended vaccinations for children aged between four and six years old, a study found.
For those without the developmental disability, 94.1 per cent have had the necessary jabs, including diptheria, polio, and measles, mumps and rubella (MMR), the research adds.
Lead author Dr Ousseny Zerbo, from Kaiser Permanente, California, said: ‘These findings suggest that children with autism and their younger siblings may be at greater risk of vaccine-preventable diseases.
‘Vaccine hesitancy or refusal may play a role in children not getting properly vaccinated.’
Results further suggest just 89.1 per cent of children with autism have been vaccinated against diptheria, tetanus and whooping cough, compared to 96.6 per cent of youngsters without the disorder.
Only 84 per cent of autistic children are protected against MMR versus 95.9 per cent who do not suffer such developmental and behavioural challenges.
The younger siblings of autism sufferers are also missing out, with 6.8 per cent receiving fewer vital jabs than their peers.
Dr Nicholas Wood, from Sydney University, who was not involved in the study, added: ‘Parents of autism spectrum disorder kids may be worried; they may still feel that the MMR vaccine led to autism.
‘And that a second dose may cause a regression.’
Is Andrew Wakefield’s discredited research to blame for low vaccination rates?
In 1995 the gastroenterologist Andrew Wakefield published a study in The Lancet showing children who had been vaccinated against MMR were more likely to have bowel disease and autism.
He speculated that being injected with a ‘dead’ form of the measles virus causes disruption to intestinal tissue, leading to both of the disorders.
After a 1998 paper further confirmed this finding, Wakefield said: ‘The risk of this particular syndrome [which he termed autistic enterocolitis] developing is related to the combined vaccine, the MMR, rather than the single vaccines.’
At the time, Wakefield had a patent for single MMR vaccines and was therefore accused of having a conflict of interest.
Nonetheless, MMR vaccination rates in the US and UK plummeted, until, in 2004 the then-editor of The Lancet Dr Richard Horton described Wakefield’s research as ‘fundamentally flawed’, adding he was paid by attorneys seeking lawsuits against vaccine manufacturers.
The Lancet formally retracted Wakefield’s research paper in 2010.
Three months later, the General Medical Council banned Wakefield from practicing medicine in Britain, stating his research had shown a ‘callous disregard’ for children’s health.
On January 6 2011, The British Medical Journal published a report showing that of the 12 children included in Wakefield’s 1995 study, at most two had autistic symptoms post vaccination, rather than the eight he claimed.
At least two of the children also had developmental delays before they were vaccinated, yet Wakefield’s paper claimed they were all ‘previously normal’.
Further findings revealed none of the children had autism, non-specific colitis or symptoms within days of receiving the MMR vaccine, yet the study claimed six of the participants suffered all three.
By ALEXANDRA THOMPSON | MAILONLINE
