Manawatu Standard

Health officials declare measles, rubella eliminated

- STACEY KIRK

The serious and sometimes deadly childhood diseases measles and rubella have been officially eliminated from New Zealand.

The declaratio­n from the Ministry of Health means no new cases have originated here in the past three years, though travellers do still catch the diseases overseas regularly, and bring them back in.

But the status has won internatio­nal praise from the World Health Organisati­on for New Zealand’s vaccinatio­n rates.

New Zealand joins the Americas, Australia and Britain, which have all achieved the eliminatio­n status for measles.

It did not mean there was room for complacenc­y however, Ministry of Health director of public health Dr Caroline Mcelnay said.

‘‘We must remain vigilant and improve our vaccinatio­n rates because these diseases can easily spread among unimmunise­d people from imported cases.

‘‘In New Zealand, people aged 12 to 32 years have lower vaccinatio­n rates than young children so are less likely to be protected against these diseases. ‘‘That’s why teens and young adults have been most affected in the recent mumps outbreaks,’’ she said.

Experts across Australia and New Zealand would be meeting at a symposium in Wellington on Friday, to discuss ways to raise vaccinatio­n rates further - particular­ly in that 12-32 age group.

Many children would have their second MMR vaccine by the time they left primary or intermedia­te school for measles, mumps and rubella, however until 2005 national immunisati­on rates were not recorded and parents may not have received reminders for the child’s vaccinatio­ns.

Everyone born from January 1, 1969, needs to have two doses of the MMR vaccine to be fully protected.

Those born before then were likely to have been exposed to the disease so should be immune, Mcelnay said. ‘‘Because measles is so contagious, 95 per cent of people need to be fully vaccinated against the disease to prevent sustained outbreaks.’’

That was to obtain what health officials call ‘‘herd immunity’’.

Recent outbreaks of mumps showed how quickly the diseases could spread through schools and universiti­es. Rubella was particular­ly dangerous for pregnant women, as the disease could cause abnormalit­ies for the baby.

Measles could be lifethreat­ening and about 1 in 10 people with measles would need hospital treatment, according to the ministry. Measles had a more than 50 per cent death rate for New Zealand children with low immunity, such as those receiving cancer treatment.

About 90 per cent of young children have received both doses of MMR by age 5 in New Zealand, but only about 80 per cent of teenagers and young adults have had both doses, which leaves them at risk.

Mcelnay said it was free, at whatever age, to catch up on MMR vaccines. If people were not aware of their records or were not sure whether they were fully immunised, it was better to get vaccinated.

The World Health Organisati­on would officially announce New Zealand’s eliminatio­n of the potentiall­y fatal childhood diseases at its annual meeting of the Regional Committee for the Western Pacific on Monday in Brisbane.

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