Saturday, October 25, 2014

All About MMR Vaccines and Schedules for Children: Are Measles, Mumps and Rubella Still a Global Concern?



Seldom do most people in the western world, with perhaps the exception of pediatric, medical professionals, think about measles, mumps and rubella as representing a life-threatening health concern for children living in India, China or Africa or many other countries of the world and yet, these illnesses can affect any child around the globe.

"All three diseases are highly contagious." (1)

Globally, children should receive measles, mumps and rubella vaccine (MMR) for protection from these diseases, as well as to prevent the diseases from spreading to others elsewhere. Parents need knowledge about measles, mumps and rubella (MMR) vaccines, as well as appropriate immunization schedules for their children.

What is MMR vaccine?

"The MMR vaccine is a mixture of three live attenuated viruses, administered via injection for immunization against measles, mumps and rubella (also called German measles.)" (2)

On the medical horizon, MMR vaccine is relatively new.

Globally, many people do not understand what immunization signifies, in terms of the health and well being of their children; nor do they comprehend how immunization works in terms of disease prevention. At the same time, they can be extremely devastated by the illness, permanent debilitation or loss of one of their children from measles, mumps or rubella.

Globally, further education about MMR vaccine for children is essential.

What are attenuated vaccines?

"Attenuation, in microbiology, is reducing the virulence of a pathogen, but still keeping it viable (or 'live'). Attenuated vaccines take a living agent and alter it so that it becomes harmless or less virulent. These vaccines contrast to those produced by 'killing' the virus (inactivated vaccine). (3)

Note that the use of an active or live virus triggers an immune response in the human body to that particular virus. Any symptoms that do occur are less severe than those that result from the actual disease process itself. In fact, vaccination proves to be effective measure in terms of prevention of the disease.

MMR vaccination is important for children everywhere.

In the western world, most children receive MMR vaccine in doctors' or pediatricians' offices. Parents will receive a record of their children's immunization. Those who have not received immunization records can obtain them from their doctors' offices. At times, parents may not be certain as to what immunization their children have already received or still may need.

What is the normal schedule of administration of MMR vaccine for children?

"It is generally administered to children around the age of one year, with a second dose before starting school (i.e. age 4/5) The second dose is not a booster; it is a dose to produce immunity in the small number of persons (2-5%) who fail to develop measles immunity after the first dose." (4)

Parents seeking to have their children immunized may have other questions that they want to ask. For example, how long has MMR vaccine been given to children?

"In the United States, the vaccine was licensed in 1971 and the second dose was introduced in 1989. It is widely used around the world; since introduction of its earliest versions in the 1970s, over 500 million doses have been used in over 60 countries." (5)

Is MMR vaccine an effective vaccine for children with respect to measles, mumps and rubella protection and prevention?

"Today, the incidence of measles has fallen to less than 1% of people under the age of 30 in countries with routine childhood vaccination. (6)

Unfortunately, not all countries offer routine vaccination for children, so the diseases continue to spread, but there is sufficient evidence to suggest that MMR vaccination has proven to be effective for children, in terms of their protection and the prevention of these diseases.

"The benefit of measles vaccination in preventing illness, disability, and death has been well-documented. The first 20 years of licensed measles vaccination in the U.S. prevented an estimated 52 million cases of the disease, 17, 400 cases of mental retardation, and 5,200 deaths. During 1999-2004, a strategy led by the World Health Organization and UNICEF led to improvements in measles vaccination coverage that averted an estimated 1.4 million measles deaths worldwide." (7)

Globally, are measles, mumps and rubella still a serious health concern? In other words, do they still represent a possible, life-threatening scenario for children, around the world?

"Measles is endemic worldwide." (8)

Yes, at this time, these diseases still present a threat. Those who are familiar with the pandemic statistics regarding the spread of the H1N1 virus should be alert to the serious nature of measles, mumps and rubella with respect to the health of children everywhere.

"Although it was declared eliminated from the U.S. in 2000, high rates of vaccination and good communication with persons who refuse vaccination is needed to prevent outbreaks and sustain the elimination of measles in the U.S." (9)

In other words, in the western world and globally, there is still an ongoing, uphill battle against measles.

Is the mumps still a serious health threat to children, as well?

“Mumps is another viral disease of childhood that was once very common. If mumps is acquired by a male who is past puberty, a possible complication is bilateral orchitis, which can in some cases, lead to sterility." (10)

Is rubella still a serious health threat for children, too?

"Rubella, otherwise known as German measles, was also very common before the advent of widespread vaccination. The major risk of rubella is if a pregnant woman is infected, her baby may contract congenital rubella from her, which can cause significant congenital defects." (11)

Is it possible for children to suffer side effects from MMR vaccine?

"Adverse reactions, rarely serious, may occur from each component of the MMR vaccine. 10% of children develop fever, malaise and a rash 5-21 days after the first vaccination; 5% develop temporary joint pain." (12)

Can the MMR vaccine be life threatening for children?

"Anaphylaxis is extremely rare, but a serious allergic reaction to the vaccine. One cause can be an egg allergy." (13)

This suggests that children known to have egg allergies, may experience problems and their parents should consult a pediatric specialist regarding the advisability of vaccination with MMR vaccine.

In the past, the diseases known as measles, mumps and rubella have been common, childhood illnesses. At this time, while they still present a serious global health concern. The important thing is that they are preventable diseases and thus, immunization with MMR, is advised by pediatric medical professionals to protect children and to prevent further spread of these diseases.

Parents who are concerned about any possible risk factors for children receiving MMR vaccine, should consult their family physicians or seek advice from pediatric medical professionals. There is further information abut MMR vaccine, available on the Internet or through various community health agencies, in most countries.


2. Ibid.


4. Op. Cit., MMR_vaccine

5. Ibid.

6. Ibid.

7. Ibid.

8. Ibid.

9. Ibid.

10. Ibid.

11. Ibid.

12. Ibid.

13. Ibid.


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