Coverage for all 13 routine childhood vaccinations administered to children under five decreased in England in 2018-19 compared to the previous year, a new report shows.
NHS Digital’s Childhood Vaccination Coverage Statistics, published today, contains information on vaccinations measured at the ages of 12 months, 24 months and five years. It shows decreases in coverage ranging from 0.2 to 1.0 percentage points between 2017-18 and 2018-19.
Measles, Mumps and Rubella (MMR) vaccine
- MMR coverage at 24 months
Coverage for the first dose of the MMR vaccine among children aged 24 months has dropped from 91.2% in 2017-18 to 90.3% in 2018-19. The World Health Organisation (WHO) target is 95%.
This is the fifth consecutive year that MMR coverage in England has decreased, following a peak in 2013-14. There has been a drop of 2.3 percentage points over the last five years.
Regional data shows a fall in coverage in eight of the nine English regions in 2018-19 compared to the previous year. It remained unchanged for the North East, which had the highest level of coverage in both years at 94.5%. London had the lowest level of coverage in 2018-19 at 83.0% (down from 85.1% in 2017-18).
- MMR coverage at five years
Across England, 94.5% of children aged five years had received the first dose of the MMR vaccine in 2018-19, a fall from 94.9% the previous year.
Coverage for the 5-in-1 vaccine, which protects against diphtheria, whooping cough (pertussis), tetanus, polio and Haemophilus influenzae type b (Hib), has decreased among children aged 12 months, 24 months and five years.
Coverage at 12 months fell from 93.1% in 2017-18 to 92.1% in 2018-19. This is the sixth annual decrease in a row, with a 2.6 percentage point drop over that time. Coverage is now at its lowest level since 2008-09.
Among children aged 24 months, coverage has dropped below the 95% target for the first time since 2008-09. It was 94.2% in 2018-19, compared to 95.1% in 2017-18. For children aged five years, coverage was 95.0% in 2018-19 (meeting the target of 95%), down from 95.6% in 2017-18.
The report also includes coverage data for the pneumococcal disease (PCV), rotavirus, meningococcal group B (MenB), Hib booster and meningococcal group C vaccine (Hib/MenC) and children’s flu vaccines.
This year’s report also includes data on the MenB booster vaccine as a National Statistic for the first time, covering a complete year of data. England coverage at the age of 24 months was 87.8% in 2018-19.
List of vaccinations, ages at which coverage is measured and coverage for past three years:
|Vaccination||Age administered||Age measured||2018-19||2017-18||2016-17|
|Diphtheria, tetanus, pertussis, polio and Haemophilus influenzae type b (DTaP/IPV/Hib)||8, 12 & 16 weeks||12 months||92.1||93.1||93.4|
|Pneumococcal disease (PCV)||8 & 16 weeks||12 months||92.8||93.3||93.5|
|Rotavirus||8 & 12 weeks||12 months||89.7||90.1||89.6|
|Meningococcal group B (MenB)||8 & 16 weeks||12 months||92.0||92.5||–|
|Haemophilus influenzae type b and meningococcal group C (Hib / MenC)||1 year||24 months||90.4||91.2||91.5|
|Measles/mumps/rubella (MMR)||1 year||24 months||90.3||91.2||91.6|
|Pneumococcal disease (PCV) booster||1 year||24 months||90.2||91.0||91.5|
|Meningococcal group B (MenB) booster||1 year||24 months||87.8||–||–|
|Diphtheria, tetanus, pertussis, and polio (DTaP/IPV) booster||3 yrs 4 months to 5 yrs||5 years||84.8||85.6||86.2|
|Measles/mumps/rubella (MMR) second dose||3 yrs 4 months to 5 yrs||5 years||86.4||87.2||87.6|
Read the full report: Childhood Vaccination Coverage Statistics