Coverage of all three doses of the five-in-one vaccine by one year of age is significantly lower in Hackney and the City than the London and national averages; coverage rates are lower locally than in nine of Hackney’s 10 statistical peers (Figure 28). However, by age two, local vaccine coverage is similar to London and among the highest when ranked against Hackney’s statistical peers.
Hackney and the City’s coverage for the five-in-one vaccine by two years of age has improved over the period 2010/11 to 2014/15 while the London and national rates have remained steady (Figure 29).
Figure 28: Percentage of children receiving all three doses of DTaP/IPV/Hib, 2014/15
Figure 29: Percentage of children receiving all three doses of DTaP/IPV/Hib by two years of age over time (2010/11 – 2014/15)
A ‘lag effect’ is also observed with other vaccines in Hackney and the City. For example, a greater proportion of local children have both MMR doses by age five than the first dose by age two – a phenomenon that is not seen in any of Hackney’s 10 statistical peers (Figure 30).
Figure 30: Percentage of children receiving MMR vaccinations, 2014/15
The proportion of five year olds in Hackney and the City who have received both MMR doses has dramatically improved from 65% in 2010/11 to 89% in 2014/15, overtaking the London and national averages in the process (Figure 31). However, coverage remains below the 95% required to achieve measles ‘herd immunity’ (see Section 3.2 for a definition).
Figure 31: Percentage of five year olds having received both MMR doses, 2010/11-2014/15
In the measles outbreak of 2012, Hackney was by far the most affected local authority area with 45 confirmed cases (a case rate of 18.2 per 100,000 population, compared with a London average of 1.69 per 100,000). To provide further context, the second most affected local authority was Barnet with 14 confirmed cases, at a rate of 3.92 per 100,000. 
Uptake of HPV vaccine in Hackney is significantly below the London and national averages and lower than virtually all of Hackney’s statistical peers (Figure 32). The City of London has similar levels of uptake to London and England.
Trend data are not available, as the HPV vaccine changed from three doses to two doses in 2014/15.
Figure 32: Uptake of both doses of HPV vaccine by 12-13 years of age, 2014/15