Does Food Allergy Require Any Change in Measles-Mumps-Rubella Vaccination?: Correspondence

Excerpt

To the Editor: We read the publication on “Does food allergy require any change in measles-mumps-rubella vaccination?” published in IJP with a great interest. We would like to share ideas and experience on the present report. Elitok et al. concluded that “Food allergy does not necessitate modification of routine vaccination [1].” We would like to share ideas and experience on this observation. In fact, adverse effect is observable for any vaccination. In our setting, Thailand, a tropical country in Indochina, MMR vaccination is generally used and the vaccination is usually performed in primary health care center with limited resource. According to the national surveillance record during a 10-y period (2010 – 2019), there is no report of MMR anaphylaxis. This can confirm that MMR vaccine is safe. Indeed, advanced biotechnology is already used for vaccine manufacturing and there is usually no chance of food related allergen contamination. There is no identifiable amount of food allergen in the MMR vaccine that is presently used [2]. The recent previous studies among children with confirmed diagnosis of egg allergy show that MMR vaccine is safe [3, 4]. Nevertheless, there is an interesting recent report from Brazil on MMR anaphylaxis [5]. According to this study, expected rate of MMR anaphylaxis exceeded 1/100,000 doses administered and there was no association with family food allergy [5]. But there was an observation on the possible association with cow's milk protein allergy [5]. …