Childhood vaccine coverage and population susceptibility to measles in the West Midlands
PHE ePoster Library. Booth E. 09/12/19; 274538; 93
Emma Booth
Emma Booth
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Abstract
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Abstract Introduction
Following a large outbreak of measles in the West Midlands in 2017/18, a multi-agency group was established to develop a regional measles elimination plan. To inform this plan, we undertook a needs assessment to determine population vaccine uptake and susceptibility to measles. Methods Data from the Child Health Information System (CHIS) was used to determine the uptake of measles vaccines among West Midlands residents born between 2000 to 2017, as of December 2018. Trends in vaccination uptake was analysed by birth cohort, sex, deprivation decile, local authority and ethnicity. Measles susceptibility by age group and area (local authority) was calculated and compared to the World Health Organization (WHO) elimination thresholds. Results Overall, 99,162 (7.8%) children were unvaccinated against measles and a further 237,189 (18.7%) were incompletely vaccinated (i.e. received one dose of a measles vaccination). Children in the most deprived households had the lowest uptake, with children from South Asian families has the highest. Measles susceptibility in the region was below the WHO thresholds for children aged 1-9 years, and 7% above the threshold for 10-18 year olds. Measles susceptibility varied by local authority area.
Conclusion
A large number of children in the West Midlands are susceptible to measles and therefore the risk of measles outbreaks remains imminent. The findings will be used by the regional Measles Elimination Board to guide the implementation of targeted evidence-informed interventions to equitably reduce the risk of measles and sustainably achieve measles elimination. External funding details N/A
Abstract Introduction
Following a large outbreak of measles in the West Midlands in 2017/18, a multi-agency group was established to develop a regional measles elimination plan. To inform this plan, we undertook a needs assessment to determine population vaccine uptake and susceptibility to measles. Methods Data from the Child Health Information System (CHIS) was used to determine the uptake of measles vaccines among West Midlands residents born between 2000 to 2017, as of December 2018. Trends in vaccination uptake was analysed by birth cohort, sex, deprivation decile, local authority and ethnicity. Measles susceptibility by age group and area (local authority) was calculated and compared to the World Health Organization (WHO) elimination thresholds. Results Overall, 99,162 (7.8%) children were unvaccinated against measles and a further 237,189 (18.7%) were incompletely vaccinated (i.e. received one dose of a measles vaccination). Children in the most deprived households had the lowest uptake, with children from South Asian families has the highest. Measles susceptibility in the region was below the WHO thresholds for children aged 1-9 years, and 7% above the threshold for 10-18 year olds. Measles susceptibility varied by local authority area.
Conclusion
A large number of children in the West Midlands are susceptible to measles and therefore the risk of measles outbreaks remains imminent. The findings will be used by the regional Measles Elimination Board to guide the implementation of targeted evidence-informed interventions to equitably reduce the risk of measles and sustainably achieve measles elimination. External funding details N/A
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