MMR 

Introduction 

Measles: Rachel’s story

Measles is a highly infectious viral illness that can cause fever, coughing and distinctive red-brown spots on the skin. Rachel’s daughter Lola contracted measles at the age of three. In this video, Rachel describes Lola's symptoms, how she was finally diagnosed with measles and the treatments she received.

Measles on the rise

The success of the MMR vaccine means that in the UK, cases of measles are rare.

However, in recent years the number of cases has risen. For example, the Health Protection Agency reported a surge in measles cases in England and Wales for the first half of 2011. A total of 496 laboratory-confirmed cases were reported from January to May 2011 in children and young adults, compared with just 374 cases for the whole of 2010. Read more about the rising trend in measles.

It's thought that the rise in measles cases is due to parents not getting their child vaccinated with the MMR vaccine, probably because of speculation linking MMR to autism.

MMR is the combined vaccine that protects against measles, mumps and rubella.

Since the vaccine was introduced in 1988, the number of children who develop these conditions has fallen to an all-time low.

Measles, mumps and rubella are highly infectious, common conditions that can have serious complications, including meningitis, swelling of the brain (encephalitis) and deafness. They can also lead to complications in pregnancy that affect the unborn baby and can lead to miscarriage. 

Read more about why the MMR vaccine is needed.

When is the MMR given?

The first MMR vaccine is given to children as part of the routine vaccination schedule, usually within a month of their first birthday. They'll then have a booster dose before starting school, which is usually between three and five years of age.

The MMR can sometimes be given earlier than their first birthday if you think that your child has been exposed to the measles virus.  

The vaccine is given as a single injection into the muscle of the thigh or upper arm.

As well as young children needing the MMR vaccine, women who are thinking about getting pregnant may also need to be vaccinated if they have low levels of rubella antibodies or they haven't had a rubella vaccination or MMR.

Also needing the vaccine are people born between 1970 and 1979 who may have only been vaccinated against measles, as well as people born between 1980 to 1990 who may not be protected against mumps.

Check with your GP if you're not sure whether you've had rubella or MMR.

Read more about when the MMR vaccine is needed.

The MMR vaccine

The MMR vaccine contains weakened versions of live measles, mumps and rubella viruses.

The vaccine works by triggering the immune system (the body’s natural defence against infection and illness) to produce antibodies against measles, mumps and rubella.  

If you come into contact with one of the diseases, your immune system will recognise it and immediately produce the antibodies needed to fight it.

It's not possible for people who have recently had the vaccine to infect other people.

MMR and autism

There has been some controversy about the MMR vaccine and autism following a study published in 1998 by Dr Andrew Wakefield. He claimed that his initial findings appeared to show a link between the MMR vaccine and autism and bowel disease.

However, Andrew Wakefield’s work has since been completely discredited. Subsequent studies during the last eight years have found no link between the MMR vaccine and autism or bowel disease.

Single vaccines

Single vaccines are not routinely given in the UK. They're not available on the NHS due to the risk that fewer children would receive all the necessary injections, increasing the levels of measles, mumps and rubella in the UK.

The delay in having six separate injections would also put more children at risk of developing the conditions as well as increasing the amount of work and inconvenience for parents and those administering the vaccines. 

Side effects

As there are three separate vaccines, different side effects can occur at different times. Side effects are usually mild. It's important to remember that they're milder than the potential complications of measles, mumps and rubella.

Side effects include:

  • developing a mild form of measles that lasts for two to three days
  • developing a mild form of mumps that lasts for a day or two

In rare cases, a small rash of bruise-like spots may appear a number of weeks after the injection. See your GP if you notice this kind of rash or if you have any concerns about your child's symptoms following the MMR.

Read more about how MMR is performed and the potential side effects of MMR.

You can find the answers to many other common questions about MMR on the frequently asked questions page.

Last reviewed: 11/08/2011

Next review due: 11/08/2013

Ratings

How helpful is this page?

Average rating

Based on 359 ratings

All ratings

Add your rating

Comments are personal views. Any information they give has not been checked and may not be accurate.

ParentOfTwo said on 05 January 2012

@Anna Watson,

It is a little misleading to quote those figures, the amount of deaths from Measles has been low for the UK since the introduction of vaccination, but take a look here..
http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1195733835814
And be shocked by the amount of deaths BEFORE the widespread vaccination.
The count is so very low now because of "Heard immunity" , but if the current trend for refusing vaccination continues this will be lost, and the death toll will rise once more.

And did you know that In 2008, there were still 164 000 measles deaths globally – nearly 450 deaths every day or 18 deaths every hour. ( Source W.H.O.), mainly in countries with no vaccination program...

Please, please, PLEASE learn both sides of an argument before chiming in with facts and figures.

Report this content as offensive or unsuitable

Anna Watson said on 01 December 2011

There has been 2 measles deaths in the last generation, 1996 & 1992, both in Immune compromised children whose parents chose not to vacinate. There have also been 2 serious complications.

However, since that time the government had paid out on 4 children’s deaths from vaccines. The UK government has paid out £3.5m to patients left disabled by vaccinations just since 1997. In fact, 917 payments have been made since the Vaccine Damage Payment Scheme was introduced in 1979 until 2005 when The Evening Standard demanded this information under the FOI. (The US has paid out $2 billion for vaccine damage by the way.)

Significant is the fact that less than 10% of the public know about the Yellow Card Reporting of ADRs so side effects will be under reported said the MHRA in the ADR Conference this year.

Considering that 2 million children are unvaccinated with the MMR and a further 1 million did not have the boosters, over 20% of the population, do these unvaccinated pose the greater risk of injury or does the vaccine?

Report this content as offensive or unsuitable

Mammy2monkeys said on 18 September 2011

Lredy...basically, as the government believe their single vaccine is safe, they won't offer separate mumps, measles and rubella vacs as they would offer fuel to the fire of controversy surrounding them.

When my now 4 year old hit one, and the invutation for the mmr came out, my husband and I took the decision not to risk the all in one mmr and to take the responsible outlook of at least getting them done, but at our own expense, separately. I hit a brick wall when asking my GP about it and can remember being told over the phone that they weren't allowed to advise!!!! We paid for two of his jabs, but sadly the company went bust! We have since had his preschool booster which we always intended on getting through the GP when the suggested danger age has passed.
We are now struggling to find somewhere to get these vacs done as separate ones for our one year old!
Why would the government not be sensible and offer advice on this??? They deliberately put up barriers so you can find nothing out, in order to get you to believe they're right....It's like a George Orwell novel!!!! Surely if parents are being sensible in still choosing to get this vaccine, whilst making an informed choice, this should be supported?!?!!! It's not like it costs the government any extra!!!

Report this content as offensive or unsuitable

citizen of Peoples Republic of Liverpool said on 08 June 2011

Actually, there is an explanation about why single vaccines aren't provided. Evidence shows that administering the vaccines in three separate doses does not reduce the chance of adverse effects but it does increase the opportunity for infection by the two diseases not immunized against first. Also, as MMR works and is safe, the question really should be, why would any sensible government provide 3 separate vaccines, when one does the job and is safe? I cannot understand why intelligent people can't get their heads around the fact that the study linking MMR to autism was junk science. There have been over 2,000 studies which have tried to replicate the work of Andrew Wakefield, none ever have. Not one. Ever. His is the only "research" ever to have found a link and do people know how many children were involved in his "research"? Twelve. But don't take my word for it, Google it for yourself. The MMR vaccine on the other hand has been used around the world since the 1970's (introduced in the US in 1971, the UK came fairly late to the party). Since then, over 500 million doses have been given. Do people really imagine that if there was any link to adverse health effects, this wouldn't have been exploited by people in the most litigation-happy country in the worild, the US? Parents have to pay for the right to have MMR in the States and children can't start school there until they have it. It's not free like here in the UK. Perhaps it's like Sailwave says above, people have just forgotten in the UK how many children used to die and be disabled each year by these childhood diseases. Just to remind you, complications of measles include blindness, encephalitis (an infection that causes brain swelling), severe diarrhoea and related dehydration, ear infections and severe respiratory infections such as pneumonia.

Report this content as offensive or unsuitable

horsham mum said on 06 June 2011

My 6 yr old daughter has an egg allergy.She had her first mmr dose, but reacted very badly and was ill for two months afterwords, with diahorrea. She has not had her second dose at my doc's advice. There is an outbreak of measles in Sussex. I am very worried. My surgery will not help to look for single vaccines, especially those not culutured on egg. I don't know where to look or what to do for the best. If measles comes near us, I feel like just keeping her at home rather than take the risk of her catching it at school. I have also been told that there can be bad side effects with the single vaccines.
Does anyone have any information that could help?

Report this content as offensive or unsuitable

johnbishop said on 31 May 2011

I am a new parent and am very worried by the government and NHS decision to only offer a single MMR vaccination. With all the controversy surrounding MMR and autism, you would have thought that they might have started offering seperate vaccinations. It would be great to learn why not.

Report this content as offensive or unsuitable

Sailwave said on 14 April 2011

From time to time I work in developing countries with visually disabled children. We are so lucky in the UK to have a comprehensive immunisation programme that means our children do not have to suffer blindness, brain damage and deafness caused by these terrible diseases.

I believe immunisation is the greatest gift of medicine to society. Most parents in developed countries are of a generation that have no memory of rubella, measles or mumps and we should be thankful we don't.

Report this content as offensive or unsuitable

Lredy said on 11 April 2011

Why is there no explanation of why single vaccines have not been licenced? This is not because of safety concerns but the bureaucracyaround promoting only MMR triple vaccines. This information needs to be corrected and explained.

Report this content as offensive or unsuitable