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Measles, mumps, and rubella: prevention
David Elliman1, Nitu Sengupta, Haitham El Bashir
1Islington PCT and Great Ormond Street Hospital, London, UK.
Introduction:
Measles virus causes an estimated 30 million infections and 770,000 deaths a year worldwide, with increased risks of neurological, respiratory, and bleeding complications in survivors. Mumps can cause neurological problems and hearing loss, orchitis with infertility, and pancreatitis. Rubella infection is usually mild, but can lead to fetal death or severe congenital abnormalities if contracted in early pregnancy. The incidence of all three infections has decreased significantly in countries with routine vaccination programmes targeted at these diseases, but decreased vaccination rates are associated with increased risks of infection.
Methods And Outcomes:
We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of measles, mumps, and rubella vaccination? We searched: Medline, Embase, The Cochrane Library and other important databases up to July 2006 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA).
Results:
We found 94 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions.
Conclusions:
In this systematic review we present information relating to the effectiveness and safety of the following interventions: MMR vaccine, monovalent measles vaccine, monovalent mumps vaccine, and monovalent rubella vaccine.
Insights
Measles, mumps, and rubella (MMR) vaccination significantly reduces infection risks and complications. This review evaluates the effectiveness and safety of MMR and monovalent vaccines, highlighting the importance of vaccination programs.
Area of Science:
- Public Health
- Infectious Diseases
- Vaccinology
Background:
- Measles, mumps, and rubella cause millions of infections and deaths globally.
- These diseases pose risks of severe complications, including neurological issues, infertility, and congenital abnormalities.
- Decreased vaccination rates correlate with increased disease incidence.
Purpose of the Study:
- To systematically review the effects of measles, mumps, and rubella vaccination.
- To evaluate the effectiveness and safety of MMR and monovalent vaccines.
Main Methods:
- Systematic review of 94 studies including systematic reviews, RCTs, and observational studies.
- Searched major databases (Medline, Embase, Cochrane Library) up to July 2006.
- Included harms alerts from regulatory agencies like the FDA and MHRA.
Main Results:
- Identified 94 relevant studies meeting inclusion criteria.
- Performed GRADE evaluation to assess the quality of evidence for interventions.
Conclusions:
- Presents information on the effectiveness and safety of measles, mumps, and rubella vaccines.
- Supports the use of vaccination programs to control these infectious diseases.
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