Coverage has declined for the majority of routine childhood vaccinations in England, latest figures show.
The report from NHS Digital, based on Public Health England data, shows that in 2017-2018, coverage declined in nine of the 12 routine vaccinations measured at ages 12 months, 24 months or five years in England compared to the previous year.
MMR (measles, mumps and rubella) vaccine coverage at two years fell for the fourth successive year: coverage was 91.2 per cent in England in 2017-2018, down from 91.6 per cent in 2016-2017, the lowest level since 2011-2012.
DTaP/IPV/Hib (diphtheria, tetanus, pertussis, polio and haemophilus influenzae type b) vaccine coverage in 2017-2018 declined for the fifth year in a row to its lowest level since 2008-2009 (93.1 per cent at 12 months). However, coverage at 24 months has remained above the 95 per cent target since 2009-2010.
In 2017-2018, coverage for the combined haemophilus influenzae type b and meningococcal group C (Hib/MenC) vaccine was 91.2 per cent at two years. This is the fifth consecutive year that coverage has decreased, down 1.5 per cent from 92.7 per cent in 2012-2013.
MenB vaccine coverage is reported as a national statistic for the first time this year and achieved 92.5 per cent coverage at 12 months in 2017-2018.
Rotavirus was the only childhood vaccine to increase coverage in 2017-2018, rising 0.5 per cent to 90.1 per cent.
There was some regional variation in coverage across England, with the highest levels of immunisation for all routine childhood vaccinations reported in the North East and the lowest in London.