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It's the Victorian disease which had been eradicated completely but has returned to the UK with a vengeance.

The country is no longer considered to have eliminated measles, global health officials have announced. Following the news, the UK Health and Security Agency has issued a list of the top 10 worst areas in England for measles, including several areas of London as well as cities in the north of England and the Midlands.

Countries are awarded measles elimination status by the World Health Organisation (WHO).

The global health body said measles transmission was re-established in the UK in 2024. It comes after a levelling off in vaccination coverage and a surge in cases, with 3,681 cases recorded in the UK in 2024. From 2021 to 2023 the UK was considered to have "eliminated" the disease.

The NHS says measles usually starts with cold-like symptoms, followed by a rash a few days later. Some people may also get small spots in their mouth. A rash usually appears a few days after the cold-like symptoms. The rash starts on the face and behind the ears before spreading to the rest of the body.

Measles can lead to serious problems if it spreads to other parts of the body, such as the lungs or brain, includihg pneumonia, meningitis, blindness and seizures and it can be fatal.

The full list of the worst areas in England according to the latest UK Health and Security Agency numbers is:

Dr Vanessa Saliba, consultant epidemiologist at UK Health Security Agency (UKHSA), said: "Infections can return quickly when childhood vaccine uptake falls.

"Measles elimination is only possible if all eligible children receive two MMRV doses before school.

"Older children and adults who missed vaccination must be caught up.

"The NHS is making vaccination easier, including offering the second MMRV dose earlier at a new 18-month appointment to boost uptake and support elimination goals."

The latest figures for England from the UKHSA show that in 2024/25 some 91.9% of five-year-olds had received one dose of the MMR (measles, mumps and rubella) vaccine, unchanged from 2023/24 and the lowest level since 2010/11.

And just 83.7% of five-year-olds had received both MMR doses, down year-on-year from 83.9% and the lowest level since 2009/10.

The WHO recommends at least 95% of children should receive vaccine doses for each illness to achieve herd immunity.

In January health officials announced that UK children will now be offered the combined MMRV vaccine, which protects against measles, mumps, rubella and chickenpox, at 12 and 18 months of age. This adds protection against chickenpox to the existing provision of protection against measles, mumps, and rubella.

A WHO spokesperson said the UK's change of status "reflects a broader challenge" that the organisation is facing across Europe.

They added: "Outbreaks of measles and other vaccine-preventable diseases are threats to health security in Europe, alongside antimicrobial resistance and other emerging threats.

"Persistent immunity gaps led to a region-wide resurgence in measles and other vaccine-preventable diseases in 2024 and a decrease in the number of countries that have achieved or sustained measles elimination status.

"Through strengthened surveillance, improved outbreak response, and focused efforts to reach under-vaccinated communities, all countries can achieve and sustain elimination."