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• W2114515087 abstract "Currently, the first dose of measles-mumps-rubella vaccine (MMR1) is given at the age of 12 months, making up to 95% of those vaccinated immune to the measles virus. Children and adolescents receive a second vaccination between the ages of 10-16 years (MMR2). The majority of children who do not respond to a first dose (primary vaccine failure) will respond to a second dose. At least 99% of children who receive two doses of MMR will become immune. In April 1998, The Australian Technical Advisory Group on Immunisation recommended that the MMR2 given at 10-16 years should cease and that the vaccine be brought forward and given prior to school entry. MMR2 will now be given at the same time as acellular DTP and OPV booster vaccinations to children aged 4-5 years. This recommendation has been endorsed by the National Health and Medical Research Council. The principal objective of this schedule change is to improve measles control by strengthening the two-dose MMR strategy and reducing build-up of susceptibles. Currently, MMR coverage in primary school and high school based campaigns is sub optimal and poorly documented. It is hoped that incorporating MMR2 into the Standard Vaccination Schedule prior to school entry will: • achieve higher measles protection sooner and prevent measles outbreaks in school aged children; • improve MMR2 coverage by taking advantage of existing strategies to improve immunisation coverage in pre-school children. School entry certificates, the Australian Childhood Immunisation Register (ACIR) recall-reminders, general practice and child care incentives, will now all be applicable to MMR2; and • improve data regarding MMR2 coverage by administering it at an age at which it can be monitored using the ACIR. Feedback of coverage data to immunisation program managers and providers is also expected to help improve coverage." @default.
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• W2114515087 date "1998-08-06" @default.
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• W2114515087 title "Moving the second dose of measles-mumps-rubella vaccine to school entry: implications for control of rubella." @default.
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