To avoid contracting measles, a highly contagious viral infection that can affect both children and adults, the only reliable method remains vaccination. From what age to vaccinate? create memories? What recommendations for women? Everything you need to know about the MMR vaccine.
Is the measles vaccination compulsory?
vaccination against measles compulsory for infants born from January 1, 2018 (one injection at 12 months followed by a second injection between 16 and 18 months). “It is highly recommended for other children and adults“, specifies Yannick Schmitt, physician and president of the Autonomous Group of Young Installed General Practitioners and Replacements (ReAGJIR). Measles vaccination is not recommended during pregnancy.
What is the name of the measles vaccine?
This is the vaccine MMR – for measles mumps rubella. There are currently two vaccines with different trade names: Priorix and MM-RVaxPro. Rouvax, which has now been withdrawn from the market, only contained measles.
At what age should the MMR vaccine be given?
► The baby is given the first injection at 12 months and the second between 16 and 18 months.
► The use of live attenuated vaccines such as MMR should be avoided be postponed by 12 months after birth in children of treated mothers consistent with infliximab an anti-inflammatory drug indicated in adults for the treatment of several autoimmune diseases (rheumatoid arthritis, Crohn’s disease, psoriasis, etc.) during pregnancy or lactation, the ANSM warns in a press release dated April 7, 2022 exposed to infliximab during pregnancy or breast-feeding may be reduced due to the passage of this molecule into the fetal blood and breast milk. These infants are at risk of infection“Similar to administering a live vaccine in a child of a breastfeeding mother who was treated with infliximab is not recommended.
► For adults, have your doctor check whether your MMR vaccination is up to date. Otherwise Remedy is recommended. “In all cases, it is recommended that adults can justify two doses. One dose was usually administered to adults born after 1980. In this case, it must be checked whether a second dose was given afterwards (change of recommendations). If no proof of vaccination is available, the two doses at least one month apart“, confirms Yannick Schmitt.
When is the MMR vaccine to be recalled?
In babies, the booster vaccination is given between 4 and 6 months after the first injection. In adults, the booster vaccination (2nd dose) is given one month after the first dose.
How many doses of MMR vaccine for adults?
That People born since 1980 must have received in total two cans of the trivalent vaccine considering a Minimum interval of one month between the two doses, regardless of history of the three diseases (measles, mumps, rubella). People who have developed any of the three diseases that the vaccine protects against are usually not and not protected against the other two administering a live attenuated vaccine to a person who has already been vaccinated The Ministry of Health specifies in the vaccination calendar that there is no disadvantage due to the inactivation of the vaccine virus by existing antibodies. That Vaccination against measles, rubella and mumps is contraindicated during pregnancy, “however, accidental vaccination of a pregnant woman should not be a reason for termination of pregnancy”. Pregnancy should be avoided within one month after vaccination. Newly vaccinated women planning a pregnancy should be advised to postpone planning by one month.
What are the MMR vaccination recommendations for women?
According to the instructions of the Ministry of Health:
► Women born before 1980 were not vaccinated against rubella and have a pregnancy project have to get a dose trivalent vaccine (measles, mumps, rubella). This vaccination can be practiced, for example, during a contraceptive consultation. Serologies before and after vaccination are not useful. If there are serology results confirming the woman’s immunity to rubella, vaccination is not required. There is no need to revaccinate women who have received two previous vaccinations, regardless of the result of the serology, if performed.
► for Women with negative prenatal serology or unknown, since vaccination can not be done during pregnancy, it must be performed immediately after birth preferably before leaving the maternity ward, otherwise at the earliest after leaving, including during breastfeeding (without suspicion or confirmation of an immune deficiency in the child).
► Vaccination against measles and rubella is contraindicated during pregnancy, however, accidental vaccination of a pregnant woman is not a reason for abortion.
► Pregnancy must be avoided in the month following vaccination. Women who have just been vaccinated and are contemplating pregnancy should be advised to delay their vaccination schedule by one month.
► If you are currently treated with infliximab and you are breast-feeding, it is not recommended to vaccinate your child with a live attenuated vaccine (such as BCG or MMR) unless infliximab is undetectable in their blood. Discuss with your doctor the benefits of breastfeeding versus the risk of exposing the child to diseases that the vaccine prevents.
How effective is the MMR vaccine?
The vaccine is very effective. It consists in triggering a reaction in the body so that it creates a defense against these viruses itself. Side effects are minimal.
MMR vaccine and autism: what do the studies say?
In 1998, a study published in an international journal suggested that the MMR vaccine could be associated with the onset of autism. It has since been refuted due to numerous irregularities in its methodology. However, many parents remain wary of the vaccine. In 2019, a study of around 650,000 children in Denmark who were followed for an average of 8.5 years showed that the MMR vaccination was not associated with an increased risk of autism or related disorders. The results of two syntheses of epidemiological studies and two other follow-up studies also support the lack of an association between MMR vaccination and autism. In February 2020, the medical journal Prescribe he appreciated that “The prevention of measles, mumps and rubella remained the MMR vaccination: a first dose from 12 months and in France a second dose at least a month later between the ages of 16 and 18 months”.
Where can you get the MMR vaccine?
Your GP can make the vaccine. Children also have the option of being vaccinated at a PMI (Mother and Child Protection) center. For adults, you can go to a free vaccination center.
Price and Refund
The measles vaccination is free because it is reimbursed 100% by the health insurance company for all children up to the age of 17. For other insured persons, the MMR vaccination is also reimbursed 65% from health insurance. Its cost is €12.75. However, free only concerns the vaccine and not the injection, which is covered under the usual conditions.
Thanks to Yannick Schmitt, physician and President of the Autonomous Group of Young Installed General Practitioners and Replacements (ReAGJIR).