Vaccines for measles, mumps and rubella in children

V Demicheli1, T Jefferson, A Rivetti

  • 1Servizo Sovrazonale di Epidemiologia, ASL 20, Via Venezia 6, Alessandria, Piemonte, Italy 15100. demichelivittorio@asl20.piemonte.it

Abstract

Insights

The measles, mumps, and rubella (MMR) vaccine is linked to fewer respiratory infections but may cause irritability and certain adverse events. Evidence suggests MMR is unlikely to cause autism or inflammatory bowel disease.

Area of Science:

  • Immunology and Vaccinology
  • Public Health
  • Pediatric Medicine

Background:

  • Ongoing public debate regarding the safety of the measles, mumps, and rubella (MMR) vaccine.
  • Declining vaccination rates in some countries despite the vaccine's widespread use and efficacy.
  • Need for a comprehensive review of MMR vaccine safety and effectiveness.

Purpose of the Study:

  • To systematically review the evidence on the effectiveness of the MMR vaccine.
  • To assess unintended effects and adverse events associated with MMR vaccination.
  • To evaluate the association between MMR vaccine and specific health outcomes.

Main Methods:

  • Conducted a systematic literature search across multiple databases (CENTRAL, MEDLINE, EMBASE, etc.) up to December 2004.
  • Included comparative prospective or retrospective trials of MMR vaccine versus placebo or no intervention in individuals up to 15 years of age.
  • Analyzed data from 31 eligible studies out of 139 initially identified articles.

Main Results:

  • MMR vaccination was associated with reduced incidence of upper respiratory tract infections and increased irritability.
  • Potential associations found with benign thrombocytopenic purpura, parotitis, joint complaints, febrile convulsions, and aseptic meningitis (Urabe strain).
  • MMR vaccination (Jeryl-Lynn strain) was unlikely associated with Crohn's disease, ulcerative colitis, autism, or aseptic meningitis.

Conclusions:

  • The reporting and design of safety outcomes in MMR vaccine studies are largely insufficient.
  • Separating the adverse events from the disease-preventing benefits of the MMR vaccine is challenging.
  • Further high-quality research is needed to adequately assess MMR vaccine safety.

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