Measles Outbreak in North London Schools Infects Over 60 Children

Health authorities report rising measles cases among under-10s, with schools and nurseries affected.
A child with measles rash on their back.
Health authorities report rising measles cases among under-10s, with schools and nurseries affected.Mike Blyth, Public domain, via Wikimedia Commons
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More than 60 children, primarily under the age of 10, have been infected in a measles outbreak affecting schools and nurseries in North London, according to reports by several news agencies. Health officials confirmed that the cases are concentrated in several boroughs and are largely linked to lower vaccination uptake in certain communities.

Public health teams are working with schools, families, and general practitioners to contain the spread.

Where the Outbreak Is Concentrated

The outbreak has been reported in multiple schools and early years settings in North London. Local health protection teams have identified clusters of infection among primary school-aged children.

According to media reports, most affected children are under 10 years old. Public health authorities are monitoring case numbers and advising parents to check their children’s immunisation status.

The UK Health Security Agency (UKHSA) has previously warned of rising measles risk in areas where uptake of the Measles, Mumps and Rubella (MMR) vaccine has fallen below recommended levels.

See also: CDC Sidelines Six Childhood Vaccines Despite Millions of Lives Saved

Why Measles Spreads Rapidly in School Settings

Measles is one of the most contagious viral infections. It spreads through respiratory droplets when an infected person coughs or sneezes. The virus can remain in the air for up to two hours in enclosed spaces.

Schools and nurseries provide conditions that facilitate transmission because of:

  • Close contact among children

  • Shared indoor environments

  • High interaction rates

The basic reproduction number (R0) for measles is estimated between 12 and 18, meaning one infected person can transmit the virus to 12–18 susceptible individuals in an unvaccinated population.

Symptoms and Complications of Measles

Measles typically begins with:

  • High fever

  • Runny nose

  • Cough

  • Red, watery eyes

This is followed by a characteristic red rash that usually starts on the face and spreads downward.

While many children recover without complications, measles can lead to serious health issues, including:

  • Pneumonia

  • Ear infections

  • Diarrhea and dehydration

  • Encephalitis (brain inflammation)

Young children, pregnant women, and immunocompromised individuals are at higher risk of severe outcomes.1

Diagram showing two children, one with measles and another with scarlet fever.
Public health officials have emphasized that outbreaks are more likely in areas where MMR vaccine uptake falls below the 95% threshold required for herd immunity.Frederick M. Rossiter, Public domain, via Wikimedia Commons

Role of MMR Vaccination

The MMR vaccine provides protection against measles, mumps, and rubella. In the UK, children are offered:

  • First dose at 12 months

  • Second dose at around 3 years and 4 months

Two doses provide approximately 99% protection against measles.

Public health officials have emphasized that outbreaks are more likely in areas where MMR vaccine uptake falls below the 95% threshold required for herd immunity. London has historically reported lower vaccination rates compared to other regions of England.

Health authorities are encouraging parents of unvaccinated children to arrange catch-up vaccinations.

Public Health Response in North London

In response to the outbreak, health protection teams are:

  • Contacting affected schools and nurseries

  • Advising exclusion of infected children during contagious periods

  • Offering vaccination clinics in affected areas

  • Issuing guidance to parents and caregivers

Schools have been advised to inform families about symptoms and encourage immunisation checks.

Officials have stated that monitoring and containment efforts are ongoing.

Measles in the UK

The UK had previously eliminated endemic measles transmission; however, periodic outbreaks have occurred due to gaps in vaccination coverage.

Health authorities have repeatedly warned that declining immunisation rates following the COVID-19 pandemic have increased susceptibility among children who missed routine vaccinations.

Public health data indicate that maintaining high MMR uptake remains critical to preventing larger outbreaks.

Reference

  1. World Health Organization. “Measles.” WHO Newsroom. Last updated April 18, 2024. https://www.who.int/news-room/fact-sheets/detail/measles.

(Rh)

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