Doctors have been told to keep a close watch for symptoms of measles infections in children amid a “devastating resurgence of virtually eliminated life-threatening diseases” in the UK.
For the first time in decades, the Royal College Of Paediatrics And Child Health (RCPCH) has issued national guidance on the treatment of measles – and has called on the government to immediately publish its “overdue” national vaccination strategy.
NHS data for this year shows no vaccines met the World Health Organisation’s 95% coverage target in England – with the vaccination rate falling to the lowest level since 2010/11.
The RCPCH said many paediatricians would not have previously seen symptoms associated with measles in their careers and urged healthcare workers to check the immunisation status of all children attending hospital.
A sharp increase in the number of measles cases has been seen across the UK this year as vaccination rates for those aged under five fall to their lowest level in a decade.
On its new guidance, the RCPCH said: “The UK is now seeing a devastating resurgence of virtually eliminated life-threatening diseases, such as measles.
“Evidence also shows that lower socioeconomic status was associated with lower coverage.”
Last year, the government consulted healthcare workers and the public on how to improve vaccination services by addressing accessibility, misinformation, and distrust of vaccines – with the RCPCH calling for the strategy’s “swift publication”.
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July: Measles warning issued by the UKHSA
‘Many paediatricians fear outbreaks this winter’
Dr Camilla Kingdon, who is president of the RCPCH, said: “Having to consider measles in our national guidance for the first time in decades is a disappointing but necessary move.
“Vaccination coverage for children under the age of five is now the lowest it has ever been in the past 10 years.
“We are already starting to see the effects of this with measles outbreaks occurring in London, Wales and Leicester.
“Many paediatricians I know live in fear of potential measles outbreaks this winter.
“The winter period is always an extremely tough time for all health care professionals, with high surges in RSV and influenza, as well as circulating COVID-19 and Group A Strep.
“To add another highly contagious and dangerous disease into the mix would be disastrous and could bring our already fragile system to its knees.
“We now find ourselves once again asking the government, where is the long-awaited vaccination strategy?
“The UK government must acknowledge these low uptake figures and focus its attention on ensuring equal access to vaccinations across all regions and socioeconomic groups.”
The RCPCH guidance also recommends healthcare professionals promote the MMR vaccination to all unimmunised children.
Government figures for 1 January to 30 September showed 149 cases of measles in England, as confirmed by laboratory testing.
Most of the cases were in London, which in July was warned could face an outbreak of 160,000 cases because of low vaccination levels, according to the UK Health Security Agency.
Measles symptoms to look out for
The NHS website says the measles infection can spread “very easily” and can lead to serious health problems for some people.
The infection normally starts with cold-type symptoms, followed by a rash a few days later.
People may also get spots in their mouth, the NHS says.
The first symptoms to look out for include a high temperature, a runny or blocked nose, sneezing and coughing.
Red, sore, watery eyes are also an early sign.
It is unlikely to be measles if you have had it before – or have been given the MMR vaccine.
The infection can also be serious in pregnancy and for people with a weakened immune system.
If measles is suspected, people should contact their GP by phone before going into the surgery.
People can also dial 111 for help or use the NHS 111 website.
Reports of a “board-level orchestrated coup” at the BBC are “complete nonsense”, non-executive director Sir Robbie Gibb has told MPs.
Sir Robbie, whose position on the BBC board has been challenged by critics in recent weeks, was among senior leaders, including the broadcaster’s chair, Samir Shah, to face questions from the Culture, Media and Sport committee about the current crisis.
The hearing took place in the wake of the fallout over the edit of a speech by US President Donald Trump, which prompted the resignation of the corporation’s director-general and the chief executive of BBC News, and the threat of a lawsuit from the US president.
Image: Former BBC editorial adviser Michael Prescott wrote the memo that was leaked. Pic: PA
Former editorial adviser Michael Prescott, whose leaked memo sparked the recent chain of events, also answered questions from MPs – telling the hearing he felt he kept seeing “incipient problems” that were not being tackled.
He also said Mr Trump’s reputation had “probably not” been tarnished by the Panorama edit.
During his own questioning, Sir Robbie addressed concerns of potential political bias – he left BBC News in 2017 to become then prime minister Theresa May’s director of communications, a post he held until 2019, and was appointed to the BBC board in 2021 by Boris Johnson.
Image: BBC board member Sir Robbie Gibb appearing before the Culture, Media and Sport committee. Pic: PA
“I know it’s hard to marry the fact that I spent two years as director of communications for the government… and my genuine passion for impartiality,” he said.
“I want to hear the full range of views… I don’t want the BBC to be partisan or favour any particular way.”
Asked about reports and speculation that there has been a “board-level orchestrated coup”, Sir Robbie responded: “It’s up there as one of the most ridiculous charges… People had to find some angle.
“It’s complete nonsense. It’s also deeply offensive to fellow board members… people of great standing in different fields.”
He said his political work has been “weaponised” – and that it was hard as a non-executive member of the BBC to respond to criticism.
‘We should have made the decision earlier’
Image: BBC chair Samir Shah also answered questions. Pic: PA
Mr Shah admitted the BBC was too slow in responding to the issue of the Panorama edit of Mr Trump, which had been flagged long before the leaked memo.
“Looking back, I think we should have made the decision earlier,” he said. “I think in May, as it happens.
“I think there is an issue about how quickly we respond, the speed of our response. Why do we not do it quickly enough? Why do we take so much time? And this was another illustration of that.”
Following reports of the leaked memo, it took nearly a week for the BBC to issue an apology.
Mr Shah told the committee he did not think Mr Davie needed to resign over the issue and that he “spent a great deal of time” trying to stop him from doing so.
Is director-general role too big for one person?
Image: Tim Davie is stepping down as BBC director-general
Asked about his own position, Mr Shah said his job now is to “steady the ship”, and that he is not someone “who walks away from a problem”.
A job advert for the BBC director-general role has since gone live on the corporation’s careers website.
Mr Shah told the hearing his view is that the role is “too big” for one person and that he is “inclined” to restructure roles at the top.
He says he believes there should also be a deputy director-general who is “laser-focused on journalism”, which is “the most important thing and our greatest vulnerability”.
Earlier in the hearing, Mr Prescott gave evidence alongside another former BBC editorial adviser, Caroline Daniel.
He told the CMS committee that there are “issues of denial” at the BBC and said “the management did not accept there was a problem” with the Panorama episode.
Mr Prescott’s memo highlighted concerns about the way clips of Mr Trump’s speech on January 6 2021 were spliced together so it appeared he had told supporters he was going to walk to the US Capitol with them to “fight like hell”.
‘I can’t think of anything I agree with Trump on’
Mr Trump has said he is going to pursue a lawsuit of between $1bn and $5bn against the broadcaster, despite receiving an official public apology.
Asked if the documentary had harmed Mr Trump’s image, Mr Prescott responded: “I should probably restrain myself a little bit, given that there is a potential legal action.
“All I could say is, I can’t think of anything I agree with Donald Trump on.”
He was later pushed on the subject, and asked again if he agreed that the programme tarnished the president’s reputation, to which he then replied: “Probably not.”
Mr Prescott, a former journalist, also told the committee he did not know how his memo was leaked to the Daily Telegraph.
“At the most fundamental level, I wrote that memo, let me be clear, because I am a strong supporter of the BBC.
“The BBC employs talented professionals across all of its factual and non-factual programmes, and most people in this country, certainly myself included, might go as far as to say that they love the BBC.
He said he “never envisaged” the fallout that would occur. “I was hoping the concerns I had could, and would, be addressed privately in the first instance.”
Asked if he thinks the BBC is institutionally biased, he said: “No, I don’t.”
He said that “tonnes” of the BBC’s work is “world class” – but added that there is “real work that needs to be done” to deal with problems.
Mr Davie, he said, did a “first-rate job” as director-general but had a “blind spot” toward editorial failings.
Police have appealed for information after a man was charged with murdering two women and raping a third.
Simon Levy has been charged with murdering 53-year-old Carmenza Valencia-Trujillo who died on the Aylesbury Estate, south-east London, on 17 March, the Metropolitan Police said.
In September, Levy, of Beaufoy Road, Tottenham, north London, was charged with murdering 39-year-old Sheryl Wilkins who was found unresponsive in High Road, Tottenham, on 24 August.
He is also accused of grievous bodily harm with intent, non-fatal strangulation and two counts of rape against a third woman, who cannot be named for legal reasons, in Haringey, north London, on 21 January, police said.
The 40-year-old will appear at Westminster Magistrates’ Court on Tuesday charged with Ms Valencia-Trujillo’s murder.
Image: Sheryl Wilkins was found unresponsive in High Road, Tottenham, on 24 August. Pic: Metropolitan Police
He is also due to appear at the Old Bailey on Wednesday for a plea and trial preparation hearing for the murder of Ms Wilkins.
Detectives believe there may be individuals who have information relevant to this investigation – or who are yet to report incidents which have directly impacted them – and are asking for people to come forward.
This breaking news story is being updated and more details will be published shortly.
The two Hosein brothers were convicted and jailed for life in one of the first murder trials without a body. Arthur Hosein died in prison.
On Monday, barristers for two of Ms McKay’s children, Ian McKay and Dianne Levinson, asked a judge to order that the homeowners of two neighbouring properties on Bethnal Green Road allow the family to conduct a “ground-penetrating radar survey” of a shared back garden.
One of the homeowners, Madeleine Higson, opposes the injunction bid, which would also stop her from disturbing the garden.
Mr Justice Richard Smith said he will hand down his judgment at 2pm on Tuesday, stating the case involved “not uncomplicated legal sensitivities”.
Speaking following the hearing, Ms McKay’s grandson Mark Dyer said the bid to discover her remains was “important to the whole family”.
He said: “We do not want to be felt sorry for, we just actually want to get on and … scan the place, check for my grandmother.
“We’ve been told she’s there, most probably there, so we need to pick her up.
“She would like to come home for Christmas this year and what is left of her is purely some remains, some bones.
“They should find a place where the family can go and visit, where whoever’s interested in what happened to her should go and visit, and that’s the right thing to do.”