Parents in north London have been told their children could be excluded from school if they are not fully vaccinated against measles amid an outbreak of the highly-contagious disease. Unvaccinated pupils identified as close contacts of people with measles could be excluded for 21 days in accordance with national guidelines, Enfield Council said in a letter to all parents in the borough in late January. At least 34 children have contracted measles in Enfield so far this year, the UK Health Security Agency (UKHSA) has said, and a number sent to hospital. A local health chief meanwhile told the BBC: We are worried because actually, this is a significantly increased number than what we're used to. Asking unvaccinated, close contacts of measles cases to stay off school is fairly standard practice when there are local outbreaks.

Childhood vaccination is a cornerstone of public health, yet disparities in vaccination coverage persist across England. These disparities are shaped by complex interactions among various factors, including geographic, demographic, socioeconomic, and cultural (GDSC) factors. Previous studies mostly rely on cross-sectional data and traditional statistical approaches that assess individual or limited sets of variables in isolation. Such methods may fall short in capturing the dynamic and multivariate nature of vaccine uptake. In this paper, we conducted a longitudinal machine learning analysis of childhood vaccination coverage across 150 districts in England from 2021 to 2024. Using vaccination data from NHS records, we applied hierarchical clustering to group districts by vaccination coverage into low- and high-coverage clusters. A CatBoost classifier was then trained to predict districts' vaccination clusters using their GDSC data. Finally, the SHapley Additive exPlanations (SHAP) method was used to interpret the predictors' importance. The classifier achieved high accuracies of 92.1, 90.6, and 86.3 in predicting districts' vaccination clusters for the years 2021-2022, 2022-2023, and 2023-2024, respectively. SHAP revealed that geographic, cultural, and demographic variables, particularly rurality, English language proficiency, the percentage of foreign-born residents, and ethnic composition, were the most influential predictors of vaccination coverage, whereas socioeconomic variables, such as deprivation and employment, consistently showed lower importance, especially in 2023-2024. Surprisingly, rural districts were significantly more likely to have higher vaccination rates. Additionally, districts with lower vaccination coverage had higher populations whose first language was not English, who were born outside the UK, or who were from ethnic minority groups.

Technology has advanced enormously in the 30 years since the introduction of the first Children Act, which shaped the UK's system of child safeguarding. Today a computer-generated analysis – "machine learning" that produces predictive analytics – can help social workers assess the probability of a child coming on to the at-risk register. It can also help show how they might prevent that happening. But with technological advances come dilemmas unimaginable back in 1989. Is it right for social workers to use computers to help promote the welfare of children in need?

The economic and social impact of poor air quality in towns and cities is increasingly being recognised, together with the need for effective ways of creating awareness of real-time air quality levels and their impact on human health. With local authority maintained monitoring stations being geographically sparse and the resultant datasets also featuring missing labels, computational data-driven mechanisms are needed to address the data sparsity challenge. In this paper, we propose a machine learning-based method to accurately predict the Air Quality Index (AQI), using environmental monitoring data together with meteorological measurements. To do so, we develop an air quality estimation framework that implements a neural network that is enhanced with a novel Non-linear Autoregressive neural network with exogenous input (NARX), especially designed for time series prediction. The framework is applied to a case study featuring different monitoring sites in London, with comparisons against other standard machine-learning based predictive algorithms showing the feasibility and robust performance of the proposed method for different kinds of areas within an urban region.