Before the introduction of measles vaccine in 1968, annual notifications varied between 160,000 and 800,000 (notification began in 1940) with peaks every two years - with around 100 deaths from acute measles each year.
From the introduction of measles vaccine 1n 1968 until the late 1980s coverage was low and was insufficient to interrupt measles transmission. Notifications only fell between 50,000 and 100,000 - between 1970 and 1988 there continued to be an average of 13 acute measles deaths each year. Measles remained a major cause of mortality in children who could not be immunised because they were receiving immunosuppressive treatment.
Following the introduction of MMR in 1988 as well as coverage levels rising to 90% measles transmission was substantially reduced and notifications fell to very low levels.
Because of the reduction in measles transmission in the UK children were no longer exposed to measles infection and (if they had not been immunised) they reamined susceptible to an older age. A major resurgence of measles was predicted - mainly affecting the school-age population and small outbreaks did occur in England and Wales (1993) and the west of Scotland - A UK vaccination campaign was implemented in 1994 with over 8 million children aged between 5-16 being immunised with MR (not MMR) with the result that the endemic transmission of measles was interrupted.
This was followed by the two dose MMR schedule introduced in Oct 1996 - the efficacy of a single-dose measle vaccine is 90% hence the second dose.
Between 1992 and 2006 there were no confirmed deaths due to acute measles in the UK.
The reduced incidence of measles has also caused the almost total disappearance of SSPE (sub-acute sclerosing pan-encephalitis) - in the 1970s when the SSPE register was put in place around 20 cases were reported each year.
These FACTS support the theory that vaccination does reduce the number of measles cases as well as the deaths due to acute measles and the cases of SSPE.
Yes vaccination is a choice in the UK - No - it is not suitable for everyone - Yes there are risks associated with it - like all medicines - BUT it is a great topic for discussion after all - it is emotive, it has an element of fear and it can draw people from all sides with hidden agendas. Thank you to Pixie for explaining my point - travelling in a car is a very risky thing to do - I wonder how many unfortunate deaths there will be today - and yet we still drive.