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The Australian Measles Control Campaign, 1998.

F M Turnbull1, M A Burgess, P B McIntyre

  • 1National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, Royal Alexandra Hospital for Children, University of Sydney, Sydney, Australia.

Bulletin of the World Health Organization
|October 5, 2001
PubMed
Summary
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The 1998 Australian Measles Control Campaign successfully boosted measles-mumps-rubella (MMR) vaccination coverage in children. This led to increased protection levels and a significant reduction in measles cases.

Area of Science:

  • Public Health
  • Epidemiology
  • Immunization Programs

Background:

  • Measles posed a significant public health threat, necessitating interventions to improve population immunity.
  • Previous measles-mumps-rubella (MMR) vaccination coverage in Australian children was suboptimal, leaving them vulnerable to infection and potential epidemics.

Purpose of the Study:

  • To evaluate the effectiveness of the 1998 Australian Measles Control Campaign in increasing MMR vaccination coverage and preventing measles.
  • To assess the impact of the campaign on seroprotection levels in targeted pediatric age groups.

Main Methods:

  • Implementation of a mass school-based MMR vaccination program for children aged 5-12 years.
  • A concurrent catch-up vaccination program for preschool children aged 1-3.5 years.

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  • Serological monitoring to determine pre- and post-campaign protection levels.

    • Main Results:

    • Over 1.33 million children aged 5-12 years received school-based MMR vaccination.
    • Post-campaign seroprotection increased from 84% to 94% in school-aged children.
    • Seroprotection in preschool children (aged 1-3.5 years) rose from 82% to 89%.
    • A notable decrease in measles incidence was observed in targeted age groups within six months post-campaign.

    Conclusions:

    • The 1998 Australian Measles Control Campaign was highly effective in enhancing MMR vaccination coverage and seroprotection.
    • The campaign successfully contributed to the short-term prevention of measles outbreaks in children.
    • Mass vaccination strategies, including school-based programs, are crucial for controlling vaccine-preventable diseases like measles.