Since November, measles outbreaks have been declared in Leeds, Liverpool, Birmingham, Manchester and Surrey that are linked to large outbreaks in Europe, with Romania, Italy and
Germany being the worst affected countries. All of the cases have been reported in children and adults who have not received two doses of the MMR vaccine.
Measles is highly infectious and can lead to serious complications, particularly in immunosuppressed individuals and young infants. It is also more severe in pregnancy, and increases the risk of miscarriage, stillbirth or preterm delivery. Under-immunised communities, such as recent migrants and travellers, are at risk of catching measles in the UK. This risk is increased in those that travel to the affected countries, currently Romania, Italy and Germany.
Measles case management:
suspected measles cases (a rash and a fever) should be isolated immediately to
protect other patients and should be excluded from school, nursery or work for 4
days after the onset of rash
recent travel to countries with ongoing measles outbreaks like Romania, Italy and
Germany increases the likelihood of a measles diagnosis.
children should receive their two scheduled doses of MMR vaccine on time at the ages of 12 months and 3 years and 4 months.
the MMR vaccine can be given from six months of age before travel to a high risk country. Children who receive an MMR dose before their first birthday still require two further doses to be given at the recommended times.
patients over the age of three years and four months who do not have two recorded doses of MMR vaccine should be caught up opportunistically.
there is no upper age limit to offering MMR vaccine and adults who are not protected should also be caught up. This includes patients born before 1970 who have no history of measles or MMR vaccination.
new entrants from abroad and newly registered patients should have their immunisation history checked and missing doses caught up.
post-natal women should have their MMR status checked and offered any outstanding doses.
Please call our Patient Services Team for more information.
The WMGP Managers & Partners