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Rise in measles 'very worrying' Rise in measles 'very worrying'
(about 4 hours later)
Measles cases in England and Wales rose by 36% in 2008, figures show.Measles cases in England and Wales rose by 36% in 2008, figures show.
Confirmed cases increased from 990 in 2007 to 1,348 last year - the highest figure since the monitoring scheme was introduced in 1995.Confirmed cases increased from 990 in 2007 to 1,348 last year - the highest figure since the monitoring scheme was introduced in 1995.
Health Protection Agency experts said most of the cases had been in children not fully vaccinated with combined MMR and so could have been prevented.Health Protection Agency experts said most of the cases had been in children not fully vaccinated with combined MMR and so could have been prevented.
Immunisation expert Dr Mary Ramsay said the rise was "very worrying", adding measles "should not be taken lightly".Immunisation expert Dr Mary Ramsay said the rise was "very worrying", adding measles "should not be taken lightly".
More than 600 of the 2008 measles cases occurred in London, where uptake of the vaccine for MMR - measles, mumps and rubella - is particularly low.More than 600 of the 2008 measles cases occurred in London, where uptake of the vaccine for MMR - measles, mumps and rubella - is particularly low.
Across the UK, 84.5% of two year olds have been immunised with their first dose of MMR.Across the UK, 84.5% of two year olds have been immunised with their first dose of MMR.
But by age five, when children are recommended to have a second dose, the latest uptake figures are 77.9%. There are still many children out there who were not vaccinated as toddlers over the past decade and remain unprotected Dr Mary Ramsay, Health Protection AgencyBut by age five, when children are recommended to have a second dose, the latest uptake figures are 77.9%. There are still many children out there who were not vaccinated as toddlers over the past decade and remain unprotected Dr Mary Ramsay, Health Protection Agency
Since 2005, the number of cases of measles has been rising year on year.Since 2005, the number of cases of measles has been rising year on year.
There have also been sporadic outbreaks of mumps in recent years.There have also been sporadic outbreaks of mumps in recent years.
Last summer, England's Chief Medical Officer, Sir Liam Donaldson, announced a catch-up programme for those who had not received one or more doses of MMR.Last summer, England's Chief Medical Officer, Sir Liam Donaldson, announced a catch-up programme for those who had not received one or more doses of MMR.
The Department of Health, which said the latest figures were concerning, has provided extra funding to PCTs and additional supplies of vaccine.The Department of Health, which said the latest figures were concerning, has provided extra funding to PCTs and additional supplies of vaccine.
'Unprotected''Unprotected'
Dr Ramsay said: "There are still many children out there who were not vaccinated as toddlers over the past decade and remain unprotected. MEASLES CASES BY AGE Under 1 - 1121 to 3.5 years - 2653.5 to 11 years - 43212 to 18 years - 28618 years and over - 252Age unknown - 1Dr Ramsay said: "There are still many children out there who were not vaccinated as toddlers over the past decade and remain unprotected. MEASLES CASES BY AGE Under 1 - 1121 to 3.5 years - 2653.5 to 11 years - 43212 to 18 years - 28618 years and over - 252Age unknown - 1
"Unfortunately this means that measles, which is highly infectious, is spreading easily among these unvaccinated children."Unfortunately this means that measles, which is highly infectious, is spreading easily among these unvaccinated children.
"Measles should not be taken lightly as you can never tell who will go on to develop the more serious complications of pneumonia and encephalitis.""Measles should not be taken lightly as you can never tell who will go on to develop the more serious complications of pneumonia and encephalitis."
She said it was "never too late" to get the MMR vaccine.She said it was "never too late" to get the MMR vaccine.
The figures come as a report from the World Health Organization on a measles outbreak in Germany in 2006, in which two children died, found 80% of those who had caught the infection were unvaccinated.The figures come as a report from the World Health Organization on a measles outbreak in Germany in 2006, in which two children died, found 80% of those who had caught the infection were unvaccinated.
Dr Peter Strebel, an immunisation expert at the WHO, stressed that even in countries with good health services, measles could be very serious.Dr Peter Strebel, an immunisation expert at the WHO, stressed that even in countries with good health services, measles could be very serious.
"Parents and doctors need to be reminded that measles is a highly contagious disease," he said."Parents and doctors need to be reminded that measles is a highly contagious disease," he said.
"Even healthy and well-nourished children, if unvaccinated, are at risk of measles and its complications such as pneumonia, encephalitis and, although rare, death.""Even healthy and well-nourished children, if unvaccinated, are at risk of measles and its complications such as pneumonia, encephalitis and, although rare, death."
Professor Steve Field, chairman of the Royal College of GPs, said confidence in the MMR vaccine was returning but it was vital that parents made sure all their children had received both doses.Professor Steve Field, chairman of the Royal College of GPs, said confidence in the MMR vaccine was returning but it was vital that parents made sure all their children had received both doses.
"Measles is a sinister and nasty illness and shouldn't be taken lightly.""Measles is a sinister and nasty illness and shouldn't be taken lightly."
Figures for the number of measles cases in Scotland for 2008 are expected to be released in March.
It is understood they are likely to reflect the situation in England and Wales, with an overall increase.
Take-up of the MMR vaccine in Scotland though is running at around 95% for the first dose.
Northern Ireland saw just four cases of measles in 2008.