http://society.guardian.co.uk/publichealth/story/0,11098,666618,00.html
Measles returns to
Scotland
Staff and agencies
Wednesday March 13, 2002
The first confirmed cases of measles for two years have broken out in Scotland
as figures show that parents are continuing to shun the controversial MMR
vaccine.
Two children in Fife have been infected by the disease and investigations are
under way to establish whether the cases are linked.
Fife NHS board said the children - one a primary school pupil and the other
of pre-school age - became ill last month.
The primary school child has been immunised with one dose of the MMR vaccine,
the other has not been given the inoculation.
Figures released yesterday show that fewer children in Scotland were being
inoculated using the MMR jab, sparking warnings of a possible outbreak of
measles, mumps or rubella.
The proportion of children being given the three-in-one vaccine dropped to
89% last year compared with 93% the year before, according to NHS statistics.
The decline comes amid concern that the vaccine could be to blame for a rise
in childhood autism, a connection rejected by experts.
Both figures were well below the 95% "herd immunity" rate considered by
experts to be the level that gives enough protection to the population as a
whole.
But the figures also suggest that the decline in take-up of the vaccine may
be bottoming out. By the end of December, the quarterly take-up rate had fallen
to 86.6%.
That figure represented a decline of just 0.3% on the previous quarter - the
smallest quarter-on-quarter decline of the year.
Dr Mac Armstrong, Scotland's chief medical officer, has praised those parents
who opted for the MMR vaccine.
He defended the three-in-one vaccine and said the allegations made against it
have not been proved.
Dr Armstrong warned that the threat of an outbreak of measles, mumps or
rubella would remain as long as children were not vaccinated.
An expert group has been set up by the Scottish executive to study the MMR
issue.
The group, which is not reviewing current MMR vaccination policy but is
looking at issues surrounding it, is expected to report to the executive by the
end of the month.
Talk about it
Should parents be allowed
access to single vaccinations? Would you allow your child to have the MMR jab?
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Big issue
Public health
Useful sites
Scottish executive health index
Sense: Remember
Rubella (pdf)
British Medical Journal
British Medical Association
BMJ paper: Mumps, measles, and rubella vaccine and the incidence of autism
General Medical Council
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