But UK campaigners, who want single jabs for measles, mumps and
rubella to be made widely available, say the latest research
justifies their continuing belief that MMR is not safe.
The researchers compared the controversial vaccine with another
vaccine given to children to protect them from diphtheria, tetanus
and pertussis (DTP).
They found that the MMR vaccine was associated with a significant
increase in the incidence of serious neurological disorders when
compared to the other vaccine.
The researchers based their findings on an analysis of data
collected by the US Vaccine Adverse Events Reporting System between
1994 and 2000.
During that time nearly 25 million children were given a first
dose of MMR. Of these, 133 developed a neurological problem - either
autism, mental retardation, a disorder called cerebellar ataxia or
permanent brain damage.
The risk of autism was five times greater in those given MMR than
it was in those given DTP.
Dead vaccine
The research was led by Dr Mark Geier, a geneticist at the
National Institutes of Health.
He suggests that the MMR vaccination programme should continue -
but with a version that contains dead, rather than live virus
material to cut the risk of adverse reaction.
If the live vaccine continues to be used, than parents should be
able to opt for separate single jabs, he says.
Writing in the journal International Pediatrics, he said: "It is
clear that with the potentially globally destructive effects of
natural measles, mumps and rubella infections that continued
vaccination is necessary, but improvements in MMR vaccine is needed
to improve its safety."
Dr Mary Ramsay, of the Health Protection Agency, described the
research as "seriously flawed".
She said: "The authors have estimated the rate of reported
adverse reactions following MMR (given at 15-18 months of age) and
compared this to the estimated rates of the same conditions reported
following DTP vaccination (given at 2, 4 and 6 months) of age.
"Regardless of the other weaknesses of the data, the failure to
compare children of the same age is enough to explain the apparent
excess of cases reported in the MMR group."
A Department of Health spokesman said previous research by the
same authors, using similar methodology, had been carefully reviewed
by the Committee on Safety of Medicines (CSM).
"The advice of the CSM was that this type of analysis cannot used
to determine and compare the incidence of adverse reactions
associated with different vaccinations.
"Therefore, because of serious methodological flaws, the
conclusions of the authors concerning the association between MMR
and DTP vaccine and the outcomes studied cannot be justified."
Review call
But Jackie Fletcher, of the campaigning group Jabs, called on the
government to reassess its policy in light of the new study.
Currently, single dose vaccines for measles, mumps and rubella
are not available on the NHS.
She said similar evidence presented to the Department of Health
by Jabs had been dismissed as "anecdotal and insignificant".
"It is six years since the UK Government and vaccine policy makes
were told of this problem and they have failed to investigate it
properly by setting up a scientific, clinical examination of the
damaged children."
Mrs Fletcher said ministers had also failed to improve the
"inadequate" adverse events surveillance system, or to keep health
professionals fully informed of the debate.
Dr Peter Mansfield, a GP who offers parents single jabs, said the
new research was significant because it was the first time hard
evidence about the problems associated with MMR had been shown in a
big population study, rather than individual cases.