A cross-sectional study to describe and explore factors associated with measles immunisation and recording among cases linked to an outbreak, South West England, 2016

Joanna C. McLaughlin; Neville Verlander; Julie Yates; Charles Beck

doi:10.1177/1757177419830781

A cross-sectional study to describe and explore factors associated with measles immunisation and recording among cases linked to an outbreak, South West England, 2016

Joanna C. McLaughlin^*, Neville Verlander, Julie Yates, Charles Beck

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Following an outbreak of measles across South West England in 2016, the multi-agency outbreak control team suggested that immunisation history records collected for the health protection response may not be reliable. We undertook a cross-sectional study to compare measles immunisation records collected from outbreak cases on the case management system HPZone by the Health Protection Team with the full primary care record. A total of 122 cases were reported. We identified 86.9% cases were not fully immunised and 5.7% had an unknown immunisation status. There were 14 cases whose primary care records did not match HPZone and 18 cases where primary care records were available and immunisation status was not documented in HPZone. Complex, non-linear associations were found between age and socioeconomic deprivation status of each case and having an incorrect HPZone record. Cases who resided in postcode areas of greater socioeconomic deprivation had statistically significantly higher odds of having been fully immunised. Only 13.3% of partially or unimmunised cases received an MMR immunisation following their onset of measles infection. Collecting immunisation status from the full primary care record during acute management of measles cases may support improvements in control and prevention of further cases.

Original language	English
Pages (from-to)	150-153
Number of pages	4
Journal	Journal of Infection Prevention
Volume	20
Issue number	3
DOIs	https://doi.org/10.1177/1757177419830781
Publication status	Published - 1 May 2019

Bibliographical note

Funding Information:
We acknowledge expert input and steering provided by Lianne Straus (Screening and Immunisations Team, PHE South West Centre); support with data collection and liaison with GP practices provided by Charles Biscoe and Charlotte Cadwallader (Screening and Immunisation Team, PHE South West Centre); support with access to HPZone and socioeconomic deprivation data provided by Daniel Gardiner and Will Hanson (Field Service, Public Health England). We also wish to acknowledge the GP practice managers for their cooperation and provision of resources to submit the requested case data from primary care records, without which the analysis would not have been possible. We thank Dr Mary Ramsay (National Infection Service, Public Health England) and Mike Wade (South West Centre, Public Health England) for their comments on a prior draft of this manuscript. The author(s) received no financial support for the research, authorship, and/or publication of this article.

Publisher Copyright:
© The Author(s) 2019.

Keywords

MMR
Measles
health protection
immunisation record
immunisation status
record accuracy

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/1757177419830781

Cite this

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abstract = "Following an outbreak of measles across South West England in 2016, the multi-agency outbreak control team suggested that immunisation history records collected for the health protection response may not be reliable. We undertook a cross-sectional study to compare measles immunisation records collected from outbreak cases on the case management system HPZone by the Health Protection Team with the full primary care record. A total of 122 cases were reported. We identified 86.9% cases were not fully immunised and 5.7% had an unknown immunisation status. There were 14 cases whose primary care records did not match HPZone and 18 cases where primary care records were available and immunisation status was not documented in HPZone. Complex, non-linear associations were found between age and socioeconomic deprivation status of each case and having an incorrect HPZone record. Cases who resided in postcode areas of greater socioeconomic deprivation had statistically significantly higher odds of having been fully immunised. Only 13.3% of partially or unimmunised cases received an MMR immunisation following their onset of measles infection. Collecting immunisation status from the full primary care record during acute management of measles cases may support improvements in control and prevention of further cases.",

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A cross-sectional study to describe and explore factors associated with measles immunisation and recording among cases linked to an outbreak, South West England, 2016. / McLaughlin, Joanna C.; Verlander, Neville; Yates, Julie et al.
In: Journal of Infection Prevention, Vol. 20, No. 3, 01.05.2019, p. 150-153.

Research output: Contribution to journal › Article › peer-review

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N2 - Following an outbreak of measles across South West England in 2016, the multi-agency outbreak control team suggested that immunisation history records collected for the health protection response may not be reliable. We undertook a cross-sectional study to compare measles immunisation records collected from outbreak cases on the case management system HPZone by the Health Protection Team with the full primary care record. A total of 122 cases were reported. We identified 86.9% cases were not fully immunised and 5.7% had an unknown immunisation status. There were 14 cases whose primary care records did not match HPZone and 18 cases where primary care records were available and immunisation status was not documented in HPZone. Complex, non-linear associations were found between age and socioeconomic deprivation status of each case and having an incorrect HPZone record. Cases who resided in postcode areas of greater socioeconomic deprivation had statistically significantly higher odds of having been fully immunised. Only 13.3% of partially or unimmunised cases received an MMR immunisation following their onset of measles infection. Collecting immunisation status from the full primary care record during acute management of measles cases may support improvements in control and prevention of further cases.

AB - Following an outbreak of measles across South West England in 2016, the multi-agency outbreak control team suggested that immunisation history records collected for the health protection response may not be reliable. We undertook a cross-sectional study to compare measles immunisation records collected from outbreak cases on the case management system HPZone by the Health Protection Team with the full primary care record. A total of 122 cases were reported. We identified 86.9% cases were not fully immunised and 5.7% had an unknown immunisation status. There were 14 cases whose primary care records did not match HPZone and 18 cases where primary care records were available and immunisation status was not documented in HPZone. Complex, non-linear associations were found between age and socioeconomic deprivation status of each case and having an incorrect HPZone record. Cases who resided in postcode areas of greater socioeconomic deprivation had statistically significantly higher odds of having been fully immunised. Only 13.3% of partially or unimmunised cases received an MMR immunisation following their onset of measles infection. Collecting immunisation status from the full primary care record during acute management of measles cases may support improvements in control and prevention of further cases.

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KW - immunisation status

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ER -

A cross-sectional study to describe and explore factors associated with measles immunisation and recording among cases linked to an outbreak, South West England, 2016

Abstract

Bibliographical note

Keywords

UN SDGs

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