Elsewhere there have been 62 cases in London, and 32 in Yorkshire and the Humber in the same period. The remaining cases were reported in other regions of England.

Of the 465 cases in England, the majority – 66% (306) – were in children under the age of 10, while 25% (115) were in young people and adults over the age of 15.

Dr Vanessa Saliba, consultant epidemiologist at UKHSA, said: “The measles outbreak in the West Midlands continues to be a concern.

“MMR vaccine uptake has been falling over the last decade with one out of 10 children starting school in England not protected. Measles is highly infectious and there is a real risk it will spread to other areas.

“Vaccination is the best way to protect yourself and your children. I strongly urge parents to take up the offer as soon as possible and protect their child now.”