Scottish Daily Mail

IN MY VIEW . . . NOT GIVING A CHILD THEIR JABS IS A FORM OF NEGLECT

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UNTIL recently, we thought measles would soon join the ranks of the infectious diseases that, thanks to vaccines, have been all but eradicated — yet it would appear not.

Already this year, there have been more than 900 cases in England, compared with 259 in 2017 and just 55 in 1998 – enough for Public Health England to declare a national outbreak.

Health Protection Scotland say the number of measles cases over the last four years has ranged from none in 2015 to 26 in 2016.

Measles is a highly contagious viral illness — It starts with a high temperatur­e, followed by a cough, runny nose, conjunctiv­itis and, by the third or fourth day, a widespread rash.

Just before the rash breaks out, spots can be seen in the mouth that look like grains of salt — these Koplik’s spots confirm the diagnosis.

But it rarely stops there. Measles temporaril­y suppresses immune response so, in 30 per cent of cases, another infection, such as pneumonia, can occur. There is also a risk of complicati­ons including corneal scarring, convulsion­s and brain inflammati­on, which can result in lifelong brain damage.

A rare complicati­on is subacute sclerosing panencepha­litis, a progressiv­e degenerati­ve brain disease occurring ten years or more after.

In developing countries, the death rate from measles is 4 to 10 per cent of affected children — but, as measles is a virus, there is no effective treatment, just hope. And we escape none of the dangers of measles in a civilised society.

But what we do have is easy access to the MMR (measles, mumps and rubella) vaccine — two injections, given at 12 months and three years, to ensure protection from this disease.

Yet, in England, take-up has fallen for the fourth year in a row. In my view, parents who opt not to let their child have the MMR are at best foolhardy and at worst guilty of neglect.

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