Improving MMR coverage in BirminghamBMJ 2011; 343 doi: https://doi.org/10.1136/bmj.d6890 (Published 25 October 2011) Cite this as: BMJ 2011;343:d6890
- Andrew M Rouse, consultant1,
- Jacky Chambers, director of public health1,
- Janice Nelson, programme consultant2
- 1Heart of Birmingham Primary Care Trust, Birmingham B16 9PA, UK
- 2Improving Health Consultancy, Birmingham B20 2LX, UK
Achieving herd immunity in an ethnically mixed deprived area is a realistic goal.1 Between 2004 and 2006, the Heart of Birmingham primary care trust increased measles, mumps, and rubella (MMR) vaccination coverage from 82% to 94% and maintained similar levels for seven years.
The elements of our intervention are similar—creating a database of apparently unvaccinated children, list …