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    McHALE, P. KEENAN, A. and GHEBREHEWET, S. 2016. Reasons for measles cases not being vaccinated with MMR: investigation into parents' and carers' views following a large measles outbreak. Epidemiology and Infection, Vol. 144, Issue. 04, p. 870.

    Hilton, S. Patterson, C. Smith, E. Bedford, H. and Hunt, K. 2013. Teenagers’ understandings of and attitudes towards vaccines and vaccine-preventable diseases: A qualitative study. Vaccine, Vol. 31, Issue. 22, p. 2543.


Opportunistic MMR vaccination for unimmunized children at the time of routine teenage booster vaccination in secondary schools: implications for policy

  • K. PARANTHAMAN (a1) and A. BUNCE (a1)
  • DOI:
  • Published online: 25 November 2011

With the aim of minimizing adverse health outcomes and reducing the risk of outbreaks, we offered one dose of MMR vaccine to children known to be incompletely immunized at the time of teenage booster vaccination in secondary schools in Swindon in 2011. The Child Health Department database was queried to identify Year 10 children who had had zero or one dose of MMR vaccine previously. Of the 316 children offered vaccination, 60 received a first dose and 87 received a second dose of MMR vaccine. Fourteen children had two documented doses in the past and two had contraindications to the vaccine. Overall uptake of two doses of MMR vaccine increased from 86·3% to 90·6%. The valuable uptake achieved demonstrates that an opportunistic offer of MMR vaccine for unimmunized children at schools is feasible and beneficial. MMR vaccine should be offered routinely to unimmunized children at the time of school vaccination programmes, especially in areas with sub-optimal coverage.

Corresponding author
*Author for correspondence: Dr K Paranthaman, East Midlands South Health Protection Unit, County Hall, Glenfield, Leicestershire LE3 8TB, UK. (Email:
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1.F Godlee , J Smith , H Marcovitch . Wakefield's article linking MMR vaccine and autism was fraudulent. British Medical Journal 2011; 342: c7452.

2.Health Protection Agency. Quarterly vaccination coverage statistics for children aged up to five years in the UK (COVER programme): January to March 2011. Health Protection Report, vol. 5, no. 25, 24 June 2011 ( Accessed 30 August 2011.

3.YH Choi , The potential for measles transmission in England. BMC Public Health 2008; 8: 338.

6.M Ramsay , J White , N Crowcroft . MMR uptake data are unlikely to be subject to manipulation. British Medical Journal 2002; 324: 1394.

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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
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