SADLY, this month, the death of a person due to a measles infection occurred in Ireland.

This is a huge tragedy for any family to cope with, but harder still when the spotlight is on their recent movements given the highly contagious nature of the disease.

If an unvaccinated person comes into contact with the measles, they are highly likely to become infected with the virus where the side effects are serious and can be fatal.

The HSE recognise that we need to act fast and have accelerated their measles health campaign from vaccinations in the young, to a widespread vaccination catch-up programme to include anyone in doubt as to their vaccination status. I am a big supporter of the MMR vaccination campaign.

It is encouraging to see the government moving quickly to try and get back to our pre-Covid levels of herd immunity status. We have a real opportunity to boost our population’s vaccination rate to even higher than our pre- pandemic levels of 95%.

Thanks to the latest announcements, this catch-up programme is not just about children who may have missed their first or booster MMR vaccines during Covid. We now have a unique chance to capture those adults who did not receive one or both vaccinations when they were young due to vaccination hesitancy and misinformation.

These adults have lived through a pandemic, and they are motivated to get vaccinated for Measles now, but this can’t all fall at the GPs doorstep. Pharmacists want to help.

We have shown how valuable a role the community pharmacist can play in giving the Covid-19 vaccine during the pandemic, and again more recently with the flu vaccinations that were given to large groups in schools and within their communities.

We all know that GPs are extremely stretched within their communities, seeing their sick patients and managing chronic disease, never mind checking vaccination status and administering many more MMR vaccines.

In addition, not all GPs are partaking in the catch-up programme due to already pressurised schedules. With two-thirds of GPs in the West of Ireland already not able to take on new patients, this is a serious cause for concern. Community pharmacists are ideally placed to help with MMR catch-up vaccination programme as there is one in every locality.

I am imploring the HSE to widen the remit of the pharmacist to support a widespread MMR catch-up vaccination programme and seize this valuable opportunity to eliminate Measles once again from our country.

Never before have people been more motivated to get vaccinated, with the help of the community pharmacist running clinics in schools and within their community pharmacies we can boost our MMR vaccination rate efficiently and effectively.

Pharmacists are a qualified accessible healthcare resource in the community who should be used to help safeguard against a Measles outbreak

Measles Outbreak

The World Health Organisation reported 42,200 cases of measles across 41 member states in Europe in 2023. This represents an almost 45-fold increase on the number of cases reported in the same region in 2022, which amounted to 941 cases of Measles infection.

Worryingly, this upward trend in reported cases has accelerated even further in recent weeks leading to the HSE to respond with a national MMR vaccination campaign.

School holidays and travel abroad increases this risk of a measles outbreak here at home since an infected person will be contagious for around four days before the familiar rash appears and the person is isolated.

The measles virus lingers and remains active in the air and on surfaces for up to two hours. So, unlike other viruses that are passed through coughs or sneeze excretions, measles is active and contagious for far longer.

An unvaccinated person could enter a room and breathe the same air as an infected person who left that room an hour or two previously and still catch the virus.

To illustrate just how infectious this disease is, I will put it in the context of the flu, another airborne virus we are familiar with. One sick child with flu will pass the virus to between one to four unvaccinated people.

By comparison, one sick child with measles will pass the virus to between 12-14 unvaccinated people.

Catch-up Vaccination

Ireland used to have a vaccination rate of over 95% for Measles, Mumps and Rubella, thanks to the widespread uptake of the MMR vaccine. However, this has dropped to around 87% nationally in the last year and under 80% in some parts of the country.

If you’re unsure if your child received the MMR or you doubt your own vaccination history, you should contact your GP or local health office to check the status.

In Ireland, infants receive their first MMR vaccine at 12-months as part of the National Childhood Immunisation Schedule. They receive their second booster vaccination in junior infants class in school, where the child is around five. The only exception to this would be children in Sligo, Leitrim or Donegal - these counties do not offer school vaccinations in junior infants and so vaccination should occur at age four or five at the child’s GP.

The good news is the MMR vaccine for measles will start working in 2-3 days and it is 90% effective after the first dose and 99% effective for life-long immunity after the second.

The HSE advise that many adults born before 1978 will have contracted measles as a child and so will have natural immunity.

However, if you were born after 1985, you may not have received your first or booster MMR dose due to vaccine hesitancy. The best way to check your vaccine status is with your GP or local health office.

Let Pharmacists Help

We know that blood tests for immunity checks are not deemed appropriate by NIAC (National Immunisation Advisory Committee) and that written or verbal confirmation of vaccination status is adequate to assess the requirement of vaccination. We also know that if a third dose was given due to vaccination uncertainty, that this is more clinically beneficial and better for public health considerations than a missed dose.

With rising cases of measles across Europe and the recent death in the Midlands of Ireland, demand for the MMR vaccination will be higher than ever.

Now is the time to act fast and allow community pharmacists to help to meet this unprecedented demand to safeguard the health of our nation now and into the future.

Ask Your Pharmacist

There is a host of measles infographics and up-to-date advice available for families at @wondercare_Irl on Instagram. The situation is being actively monitored and as new information becomes available it will be posted here in a clear and informative way.

Your community pharmacist is uniquely positioned as an accessible healthcare professional in your community. Your pharmacist can offer advice on the various at-home treatments available to you and your family and recommend when to visit your GP.

Tune into the WonderCare.ie Podcast for more expert advice and tips to safeguard your family’s health. Find a WonderCare Podcast on iTunes, Spotify or wherever you stream your podcasts.

Sheena Mitchell is a mum of three children who provides expert pharmacist advice through her community pharmacy - Milltown totalhealth Pharmacy in Dublin, online healthcare platform WonderCare.ie, and on her social media channels.

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Pharmacist: We can help deliver measles vaccine as cases rise

11 1
27.02.2024

SADLY, this month, the death of a person due to a measles infection occurred in Ireland.

This is a huge tragedy for any family to cope with, but harder still when the spotlight is on their recent movements given the highly contagious nature of the disease.

If an unvaccinated person comes into contact with the measles, they are highly likely to become infected with the virus where the side effects are serious and can be fatal.

The HSE recognise that we need to act fast and have accelerated their measles health campaign from vaccinations in the young, to a widespread vaccination catch-up programme to include anyone in doubt as to their vaccination status. I am a big supporter of the MMR vaccination campaign.

It is encouraging to see the government moving quickly to try and get back to our pre-Covid levels of herd immunity status. We have a real opportunity to boost our population’s vaccination rate to even higher than our pre- pandemic levels of 95%.

Thanks to the latest announcements, this catch-up programme is not just about children who may have missed their first or booster MMR vaccines during Covid. We now have a unique chance to capture those adults who did not receive one or both vaccinations when they were young due to vaccination hesitancy and misinformation.

These adults have lived through a pandemic, and they are motivated to get vaccinated for Measles now, but this can’t all fall at the GPs doorstep. Pharmacists want to help.

We have shown how valuable a role the community pharmacist can play in giving the Covid-19 vaccine during the pandemic, and again more recently with the flu vaccinations that were given to large groups in schools and within their communities.

We all know that GPs are extremely stretched within their communities, seeing their sick patients and managing chronic disease, never mind checking vaccination........

© Evening Echo


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