Estimated 9,000 five-year-olds in the North West not fully immunised against MMR

Date published: 23 August 2019


As hundreds of thousands of parents across England prepare their children to start primary school in the next few weeks, Public Health England (PHE) North West is warning that 9000 five-year-olds in the North West may not be fully up-to-date with some routine immunisations.

These worrying estimates, released as part of PHE’s Value of Vaccines campaign, show that some 4 and 5-year-olds are starting school at unnecessary risk of serious diseases compared to the majority of their classmates, prompting a call for parents to check their child’s Red Book to ensure their children are up-to-date with scheduled immunisations. 

In the UK, dose 1 of the MMR vaccine, which protects against Measles, Mumps and Rubella, is usually given to infants at around 12 months of age.

A second dose is given before school, usually at 3 years and 4 months of age, to ensure best protection. Two doses of MMR in a lifetime are needed for a person to be considered fully protected.

The 4-in-1 pre-school booster is also usually offered at 3 years and 4 months of age and protects against diphtheria, whooping cough, tetanus and polio.

Angela Hardman, Deputy Director Health Protection at Public Health England North West, said: “It’s a real concern that so many young children could be starting school without the full protection that the NHS childhood immunisation programme offers for free. We know that parents want the best protection for their children and so many may be unaware that their child is not up-to-date.

“We’re urging all parents of primary school starters to check their child’s Red Book now to make sure there is a record of two MMR doses and the 4-in-1 booster vaccine. If not, parents should contact their GP practice to arrange any further vaccinations that are needed.

“We’re particularly concerned about children being at greater risk of measles. We’re continuing to see outbreaks of the disease occurring in communities across the country, many linked to visiting European countries over the summer holidays.

“The vast majority of those affected are not fully immunised and vaccine preventable diseases spread more easily in schools. It’s crucial that children have maximum protection as they begin to mix with other children at the start of their school journey.

“We often think that these diseases are confined to the past, but the World Health Organisation has recently confirmed that measles is no longer eliminated in England. Whilst tetanus and polio are still rare thanks to the success of the NHS childhood immunisation programme, over the past few years we’ve also seen cases of whooping cough and diphtheria in school-aged children.”

To check that your child has received all their vaccines on schedule refer to your child’s Red Book and go to 

If in any doubt, contact your GP practice.

It’s never too late for a child to be immunised.

NHS England and NHS Improvement also encourage parents of 10 and 11-year-olds to catch up with any missing MMR vaccinations prior to their children reaching secondary school age.

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