http://news.independent.co.uk/uk/health/story.jsp?story=119244

 

MMR: a policy in meltdown

* New fears over mumps outbreaks
* CMO to issue public health warning
* Confusion over jab take-up figures

By Colin Brown, Political Editor

10 February 2002

Internal links

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The Government's embattled health department, embroiled in a row over the safety of the MMR vaccine, suffered another blow yesterday when it was disclosed that Britain faces widespread outbreaks of mumps among thousands of teenagers who missed out on the triple vaccine.

The warning, by a government adviser on public health trends, that 20 per cent of Britain's teenagers are vulnerable to mumps – a distressing viral disease which can in rare cases cause sterility – is a fresh challenge to Tony Blair's efforts to shore up confidence in his Government's strategy.

Dr Mary Ramsay, consultant in public health at the Public Health Laboratory Service (PHLS), calls for GPs to target 11-17-year-olds who were not immunised against mumps before the MMR vaccine was introduced in 1998. "Over the next year or two just about everywhere will have mumps outbreaks," she says.

The threat of widespread mumps infections – following mumps clusters last year in the North and West Midlands – adds to rising alarm in Whitehall at the growing threat of childhood illnesses due to the fall in take-up of MMR in parts of the country.

Underlining the seriousness of the crisis, Sir Liam Donaldson, the Chief Medical Officer, is this weekend considering the extraordinary step of broadcasting an appeal to the nation as part of his campaign to restore the confidence of parents who fear a link between MMR and autism, despite repeated government assurances as to its safety.

The tragic consequences of autism will be made clear today at a service at St Paul's Cathedral for sufferers of the disorder, which is still a mystery to the medical profession.

The Government insists its policy of offering only the MMR vaccine is right. Quarterly figures issued last week for the end of last September, showed a small increase in take-up of the vaccine and the Prime Minister's official spokesman declared: "We are winning the argument that MMR is safe."

However, ministers are in the dark about the impact of the latest MMR scares. A spokesman at the PHLS, which collates the statistics, said the figures for January would not be available until October. The Department of Health's national performance indicators issued last week show a fall of 0.3 per cent in the proportion of children being immunised by the age of two against all diseases, year on year.

No 10 last week blamed sections of the press for undermining the government message that MMR is safe. Ministers fear the public no longer trusts politicians.

Professor Donaldson is writing an open letter this week to 36,000 health centres, including hospitals and 12,000 GP surgeries, challenging claims by Dr Andrew Wakefield, former consultant at the Royal Free Hospital, London, that there could be a link between MMR and autism.

Full-page advertisements are being taken out in national newspapers this week carrying an MMR fact sheet for parents, signed by Professor Donaldson and Sarah Mullally, the chief nursing officer. GPs are being told to chase up parents whose children have not had the MMR vaccine.

Mr Blair used the Downing Street website this weekend to give the clearest hint yet that his baby, Leo, has had the jab. "I would never ask any parent to do something for their child which I did not believe to be safe and right for my own children," he says.

Friends of Alan Milburn have issued clear hints that the Secretary of State for Health's children have had the MMR vaccine.

Also from the Health section.

Nurseries to warn parents of MMR rate
Troubleshooters to be sent into ailing hospitals
Cost of pills to conquer depression hits £310m
Troubleshooters to take over 'worst' hospitals
MMR chief blames the media for jab 'errors'


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ALL INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR LEGAL ADVICE.  THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.