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England 
North West 
Public Health Commissioning Team 
NHS England North West 
(Lancashire, South Cumbria, Cheshire and Merseyside) 
March 2025 
Dear ParenUCarer, 
The measles, mumps and rubella (MMR) vaccine is one of the most studied vaccines 
and millions of doses are given every year. 
As your child starts school, we recommend that they have had two doses of the MMR 
vaccine to ensure they are fully protected, as the complications of measles can be 
severe and life changing. You will also be protecting them against mumps and rubella, 
which can also be serious illnesses. 
Measles cases are rising in the North West so it is important that you check your child's 
red book to see if they have had their pre-school booster vaccine and two doses of 
MMR. If not, contact your GP surgery to make an appointment. 
Please scan the QR code below for further information on the MMR vaccine. 
This year your child will also be eligible for a free nasal flu vaccine, and this will be 
offered to them at their school during the autumn term. 
Yours sincerely, 
II
..... (!] 

Tricia Spedding 
Head of Public Health, NHS England North West