Intended for healthcare professionals

Letters Improving MMR vaccination rates

Improving MMR coverage in Birmingham

BMJ 2011; 343 doi: (Published 25 October 2011) Cite this as: BMJ 2011;343:d6890
  1. Andrew M Rouse, consultant1,
  2. Jacky Chambers, director of public health1,
  3. Janice Nelson, programme consultant2
  1. 1Heart of Birmingham Primary Care Trust, Birmingham B16 9PA, UK
  2. 2Improving Health Consultancy, Birmingham B20 2LX, UK
  1. andrew.rouse{at}

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 …

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