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In 2024, the United Kingdom saw a resurgence of measles cases leading to the loss of its measles elimination status. This development indicates that measles has re-established itself and continues to spread within the country. Measles, a highly contagious viral disease, poses significant health risks, as evidenced by the rise in cases last summer in Merseyside. During that time, several children required treatment at Alder Hey hospital due to complications, and tragically, one child lost their life.
The decline in vaccination coverage has contributed to the vulnerability of populations to measles outbreaks. Although most families in Liverpool are vaccinating their children, about 25% of five-year-olds in the city have not received the full two doses of the measles-containing vaccine. This coverage falls notably short of the 95% threshold needed to effectively prevent the spread of measles. Professor Matt Ashton, Liverpool’s Director of Public Health, emphasized the importance of providing parents with sufficient information to make well-informed vaccination decisions.
To enhance protection, the NHS has introduced the MMRV vaccine, which offers immunity against measles, mumps, rubella, and varicella (chickenpox). This combined vaccine is now being administered at 12 and 18 months of age, with an option free from porcine gelatine. The schedule varies depending on birth dates: children born from January 1, 2025, will receive two doses of MMRV, while those born between mid-2024 and the end of the year will have a slightly adjusted schedule involving MMR and MMRV doses. Children born earlier will receive MMRV as a replacement for their second MMR dose. Additionally, a catch-up program is in place for eligible children to ensure adequate immunization coverage. It is important to note that children born before 2020 will not be offered MMRV but should have completed two doses of MMR.
Professor Ashton reassured the public about the safety and effectiveness of the MMRV vaccine. He urged parents who have not been contacted but believe their children might be eligible, or those who missed prior vaccinations, to consult their GP practices. He stressed that it is never too late to receive vaccinations. Alongside routine appointments, vaccination opportunities are also available via the Living Well Bus service, which provides access without prior booking
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