Carter H, Gorman D
Fife Health Board.
Public Health. 1993 Jan;107(1):25-30. doi: 10.1016/s0033-3506(05)80489-5.
The introduction of measles, mumps and rubella vaccine (MMR) into the United Kingdom childhood immunisation schedule has resulted in a substantial reduction in the incidence of all three diseases. None the less, there have recently been outbreaks of measles in parts of the country which have a record of high MMR uptake among young children. In these outbreaks it is mainly older children who have been affected. This report documents such an outbreak in Fife, an area with a very high MMR uptake among two-year-old children (96%). The current policy of giving MMR vaccine only once to children at 15 months of age may not be sufficient to enable the United Kingdom to achieve the WHO target of measles elimination by the year 2000. Other possible strategies to achieve this objective are discussed.
将麻疹、腮腺炎和风疹疫苗（MMR）纳入英国儿童免疫计划后，这三种疾病的发病率大幅下降。尽管如此，该国部分地区近期仍爆发了麻疹疫情，这些地区幼儿的MMR疫苗接种率很高。在这些疫情中，主要受影响的是年龄较大的儿童。本报告记录了法夫郡的一次此类疫情，该地区两岁儿童的MMR疫苗接种率非常高（96%）。目前仅在儿童15个月大时接种一次MMR疫苗的政策，可能不足以使英国实现世界卫生组织在2000年消除麻疹的目标。文中还讨论了实现这一目标的其他可能策略。
