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Vaccination Against Measles, Mumps, and Rubella in the Light of Current Epidemic Threats: Unjustified Postponement

  • Hanna Czajka
  • Szymon CzajkaEmail author
  • Katarzyna Anna Dyląg
  • Elżbieta Borek
  • Ernest Kuchar
Chapter
Part of the Advances in Experimental Medicine and Biology book series

Abstract

A worrying increase in the number of measles cases has been noted recently in Poland, which may have to do with a decreasing proportion of children vaccinated against measles, mumps, and rubella (MMR) in the second year of life (<95%). For many years, MMR vaccination in children has been associated with a fear of allergy to eggs. This study seeks to define the reason and justification for postponing MMR vaccination in a population of children referred to the outpatient specialist immunization clinic. One hundred and thirty eight (138) children, mean 24.5 ± 26.6 months, with a history of past allergies, in whom the first-time MMR vaccination was delayed by family doctors for fear of allergic reactions, were enrolled into the study. The mean delay in a vaccine shot was 12.3 ± 26.9 months. There were 101 children who displayed a distinct allergy to the egg proteins, among other accompanying types of allergy. All of the 138 children were found eligible to receive MMR vaccine at the visit to the clinic. No early allergic responses were noticed in any of the children. There were negligible delayed allergic responses in six children, all from the egg allergy group. We conclude that MMR vaccination in children with egg allergy is safe and can be conducted on the outpatient basis without any specific precautions or safety measures. Delays in vaccination were unjustified and may jeopardize children’s health. There is a need for insightful education of primary care doctors concerning of MMR vaccination safety, particularly when allergy is suspected, to avoid unduly and potentially harmful delays.

Keywords

Allergy Egg proteins Immunization Measles MMR vaccine Vaccination Vaccine coverage rate 

Notes

Conflicts of Interest

The authors declare no conflicts of interest concerning this article.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. A local Ethics Committee approved the study protocol.

Informed Consent

The need to obtain the consent from individual participants or their guardians to be included in the study was waived by the Ethics Committee due to a retrospective nature of the study consisting of reviewing the medical history files only.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Hanna Czajka
    • 1
    • 2
  • Szymon Czajka
    • 3
    Email author
  • Katarzyna Anna Dyląg
    • 4
    • 2
  • Elżbieta Borek
    • 2
  • Ernest Kuchar
    • 5
  1. 1.Faculty of MedicineRzeszow UniversityRzeszowPoland
  2. 2.St. Louis Regional Specialized Children’s HospitalCracowPoland
  3. 3.School of MedicineMedical University of SilesiaKatowicePoland
  4. 4.Medical College of the Jagiellonian UniversityCracowPoland
  5. 5.Department of Pediatrics with Clinical Assessment UnitWarsaw Medical UniversityWarsawPoland

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