§ Mrs. EwingTo ask the Secretary of State for Health if he will list those countries in Europe and North America which license the MMR and those which license single vaccinations for mumps, measles and rubella. [149345]
§ Yvette CooperAll European Union member states and the United Stales of America recommend a two dose vaccination schedule with MMR vaccine.
There is no comprehensive list available of measles, mumps and rubella combination vaccines, two-component vaccines or single component vaccines that are currently licensed in Europe and North America. The Medicines Control Agency has obtained the following information from The European Drug Index (1997 edition), from national compendia of licensed medicinal products in France, Germany, Switzerland and Sweden (1998 to 2000 editions), from the 2001 edition of the USA Physician's Desk Reference, and from two companies. While these references indicate that such products are currently licensed as listed in the named countries, it is not known whether or not they are on the market at the present time.
In the EU and Swi[...]zerland
There are combined measles, mumps and rubella vaccines currently licensed in all countries in the EU. including the United Kingdom.
133WMeasles plus rubella vaccines are licensed in at least Italy, Switzerland and the UK.
Measles plus mumps vaccines are licensed in at least Germany, Portugal and Switzerland.
At least one measles single component vaccine is licensed in Italy, Belgium, France, Germany. Austria, Netherlands, Switzerland, Portugal, Spain, Greece and the UK.
At least one single component mumps vaccine is licensed in Italy, Belgium, Germany, Austria, Netherlands, Switzerland. Portugal and the UK.
There are numerous single component rubella vaccines licensed across the EU, including the UK.
In the USA
There is one combined measles, mumps and rubella vaccine listed in the 2001 edition of the USA Physician's Desk Reference.
Also licensed are a measles plus rubella vaccine, a measles plus mumps vaccine and single component vaccines for each of measles, mumps and rubella.
§ Mrs. EwingTo ask the Secretary of State for Health, pursuant to his answer of 22 January 2001,Official Report, column 430W, on MMR vaccine, which measles and mumps vaccines meet the specifications of the extant licences for those vaccines; and under what circumstances those vaccines can be imported. [149362]
§ Yvette CooperNone of the single measles and mumps vaccines licensed in the United Kingdom is manufactured for, or marketed in the UK, and the licence holders advise that the products they manufacture outside the UK for other countries do not fully comply with their UK licences. None of the single measles and mumps vaccines imported into the UK are licensed for use in the UK, or in full compliance with an extant UK product licence. Consequently, as unlicensed vaccines, they may only be imported and supplied to fulfil special needs, in response to the prescription of a doctor, and for use by his/her individual patients on his/her direct personal responsibility.
§ Miss McIntoshTo ask the Secretary of State for Health if he will estimate the unit cost of an injection of(a) MMR and (b) each of its constituent it vaccines if given separately. [150096]
§ Yvette CooperThe United Kingdom is supplied by two manufacturers of measles, mumps and rubella vaccine and by one supplier of rubella vaccine. The cost to the Department of purchasing MMR and rubella vaccines is commercially confidential. However, the price of a single dose of MMR vaccine as listed in the British National
134W
£million 1996–97 1997–98 1998–99 1999–2000 2000–011 Ambulance Services 0.40 — — — — Antibiotics — — — 0.17 — Blood Donation 0.38 0.60 1.70 20.22 — Children's Services — — — — 0.60 Drugs — — — 0.34 — Flu — — — — 0.23 Maternity 0.10 — — — — NHS including Nurse Recruitment 1.43 1.30 4.90 4.21 4.90 NHS Direct — 0.12 0.78 1.20 1.15 Organ Donation — — 0.77 0.47 0.49 Prescription Fraud — — 0.38 — 1.40 Sexwise/Teenage Pregnancy — — — 0.39 1.01 Formulary is £6.23 for that manufactured by SmithKline Beecham and £10.17 for that manufactured by Aventis Pasteur. The list price for rubella vaccine, manufactured by SmithKline Beecham, is £2.53 per vial.
Children are recommended to receive two doses of MMR vaccine. Rubella vaccine is recommended for non-immune women. No licensed single component mumps or measles vaccines are manufactured for or marketed in the UK.
§ Miss KirkbrideTo ask the Secretary of State for Health what estimate he has made of the number of children aged between 12 and 15 months who have not received their MMR vaccination in each of the last six months. [150383]
§ Yvette CooperThis information is not available in the format requested. At 31 March 2000, the latest date for which figures are available, 87.6 per cent. of children in England aged two had received the measles, mumps and rubella vaccine. 12.4 per cent. of children aged two had, therefore, not received the MMR vaccine. This means that approximately 75,000 children aged two at 31 March 2000 had not been immunised with the MMR vaccine by their 2nd birthday.