Abstract

Vaccine vigilance has a number of significant and well known challenges associated with it. One of the most obvious is that many safety issues are a matter of continuous public debate, which have damaging effects on vaccine programmes and do not seem to be laid to rest. The measles, mumps and rubella (MMR) vaccine scare damaged the vaccination programme in the UK for about a decade with a resulting increase in the number of measles cases, and only now is the vaccination rate against measles returning to normal. The relationship between MMR vaccination and autism has been shown to be erroneous at best and may even have been the subject of scientific fraud. A recent feature in the British Medical Journal discusses the general concerns about vaccination and the role played by the ‘anti-vaccination lobby’. It points to the multiplicity of such lobby groups, the different issues they espouse and their attitudes towards vaccination. The article offers few suggestions as to how the situation might be changed, but has great value in giving a description of the challenges. Below are some selected points to consider.

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