Outbreak linked to low vaccination and school exposure
Health officials in Enfield report more than 60 children infected across seven schools and a nursery, a cluster that reflects how measles exploits gaps in community immunity. The virus spreads very easily in settings where unvaccinated children mix closely — classrooms, playgroups and childcare settings create ideal transmission chains once a single case appears.
Two factors drive the current surge. First, vaccination coverage in parts of London has fallen below the level needed to stop spread. Measles requires very high population immunity to prevent outbreaks; when pockets of children miss the measles-mumps-rubella (MMR) doses, local herd protection breaks down. Second, the disease’s contagiousness and typical symptoms — high fever, cough, runny nose and a characteristic rash — mean cases often appear rapidly and cluster in institutions before public health teams can fully interrupt transmission.
What public health teams are doing now
- Identifying and notifying contacts, especially in affected schools and the nursery.
- Offering MMR vaccination to unprotected children and staff.
- Advising families on symptoms and isolation to limit further spread.
Why this matters
Measles can cause serious complications, especially in very young children and those with weakened immune systems. Vitamin A is sometimes used to reduce complications but is not a substitute for vaccination. Outbreaks also strain local health resources and can threaten broader efforts to keep measles eliminated in a country.
What parents and schools should consider
- Check vaccination records and get any missed MMR doses promptly.
- Keep symptomatic children at home and seek medical advice for high fevers or breathing problems.
- Follow local public-health guidance on testing, isolation and catch-up vaccination clinics.
Stopping outbreaks depends on restoring high levels of MMR coverage and rapid action when cases are detected. Community vaccination remains the single most effective defense.


