The number of measles cases in England and Wales has topped 1,000 in a year for the first time since 1995, Health Protection Agency figures show.
The number of measles cases in England and Wales has topped 1,000 in a year for the first time since 1995, Health Protection Agency figures show.
In the first 10 months of 2008 there were 1,049 cases, more than in the whole of 2007, the agency said.
In the first 10 months of 2008 there were 1,049 cases, more than in the whole of 2007, the agency said.
It said measles was spreading more easily because of the low uptake of the combined MMR jab over the past decade.
It said measles was spreading more easily because of the low uptake of the combined MMR jab over the past decade.
In Cheshire, an outbreak of more than 60 cases has prompted the launch of a programme to vaccinate 10,000 pupils.
In Cheshire, an outbreak of more than 60 cases has prompted the launch of a programme to vaccinate 10,000 pupils.
The decade of relatively low vaccination coverage was triggered by now-debunked research claims of a link between the combined measles, mumps and rubella jab and autism.
The decade of relatively low vaccination coverage was triggered by now-debunked research claims of a link between the combined measles, mumps and rubella jab and autism.
Public health experts say the growing number of children who are unprotected - about 3m or one in four have not had both MMR doses - means there is a real risk of an epidemic.
Public health experts say the growing number of children who are unprotected - about 3m or one in four have not had both MMR doses - means there is a real risk of an epidemic.
It is estimated this could result in between 30,000 and 100,000 cases of measles in England alone.
It is estimated this could result in between 30,000 and 100,000 cases of measles in England alone.
Although MMR coverage is higher in Scotland and Northern Ireland, experts said an epidemic could affect children anywhere.
Although MMR coverage is higher in Scotland and Northern Ireland, experts said an epidemic could affect children anywhere.
Dr Mary Ramsay, an immunisation expert at the Health Protection Agency, said: "Over the last few years we have seen an unprecedented increase in measles cases and we are still receiving reports of cases across the country.
Dr Mary Ramsay, an immunisation expert at the Health Protection Agency, said: "Over the last few years we have seen an unprecedented increase in measles cases and we are still receiving reports of cases across the country.
"The 1,049 figure is the highest number of measles cases recorded in England and Wales since the current method of monitoring the disease was introduced in 1995.
"The 1,049 figure is the highest number of measles cases recorded in England and Wales since the current method of monitoring the disease was introduced in 1995.
"This rise is due to relatively low MMR vaccine uptake over the past decade and there are now a large number of children who are not fully vaccinated with MMR.
"This rise is due to relatively low MMR vaccine uptake over the past decade and there are now a large number of children who are not fully vaccinated with MMR.
"This means that measles is spreading easily among unvaccinated children. There is now a real risk of a large measles epidemic.
"This means that measles is spreading easily among unvaccinated children. There is now a real risk of a large measles epidemic.
"These children are susceptible to not only measles but to mumps and rubella as well."
"These children are susceptible to not only measles but to mumps and rubella as well."
School visits
School visits
In central and eastern Cheshire, health officials are so concerned about their outbreak of cases that they are embarking on a mass vaccination programme.
In central and eastern Cheshire, health officials are so concerned about their outbreak of cases that they are embarking on a mass vaccination programme.
More than 10,000 children are being offered the MMR jab by teams of nurses who will visit primary and secondary schools in the next few weeks. Vaccination will not take place without the consent of parents.
More than 10,000 children are being offered the MMR jab by teams of nurses who will visit primary and secondary schools in the next few weeks. Vaccination will not take place without the consent of parents.
A measles vaccine was introduced in the late 1960s, followed by the three-in-one MMR jab in 1988.
A measles vaccine was introduced in the late 1960s, followed by the three-in-one MMR jab in 1988.
Although most children recover fully from measles, it can be a serious illness.
Although most children recover fully from measles, it can be a serious illness.
One in 10 cases requires hospital treatment and it can lead to pneumonia, brain damage and even death.
One in 10 cases requires hospital treatment and it can lead to pneumonia, brain damage and even death.
In 1965 there were 115 deaths from measles, but the rates fell off dramatically after the introduction of the vaccine.
In 1965 there were 115 deaths from measles, but the rates fell off dramatically after the introduction of the vaccine.
Has your family been affected by the rise in measles cases? Did you decide not to allow your children to take the MMR jab? You can send us your experiences using the form below:
Has your family been affected by the rise in measles cases? Did you decide not to allow your children to take the MMR jab? You can send us your experiences using the form below:
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