Immunogenicity of measles and rubella vaccines in Oman: a prospective clinical trial

Kathryn A Kohler1, Ali Jaffer M Suleiman, Susan E Robertson

  • 1Global Immunization Division, National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. kik9@cdc.gov

Insights

Measles and rubella vaccine immunogenicity was assessed in Omani children. High seroconversion rates were achieved with a single measles vaccine dose at 9 months and a measles-rubella vaccine dose at 15 months.

Area of Science:

  • Pediatrics
  • Immunology
  • Vaccinology

Background:

  • Measles and rubella are significant public health concerns globally.
  • Effective vaccination strategies are crucial for disease prevention in children.
  • Understanding vaccine immunogenicity in diverse populations is essential for public health policy.

Purpose of the Study:

  • To evaluate the immunogenicity of a measles vaccine administered at 9 months.
  • To assess the immunogenicity of a measles-rubella (MR) vaccine administered at 15 months.
  • To determine the impact of a two-dose measles vaccination schedule on seroconversion rates.

Main Methods:

  • A prospective immunogenicity trial involving 1025 infants in Oman.
  • Children received measles vaccine at 9 months and MR vaccine at 15 months.
  • Serum samples were collected and tested for measles-specific and rubella-specific IgG antibodies.

Main Results:

  • Measles vaccine at 9 months resulted in 98.1% seroconversion.
  • A second measles dose at 15 months boosted seroconversion to 99% in previously seronegative children.
  • Rubella vaccine at 15 months achieved 98.8% seroconversion by 16 months.

Conclusions:

  • A single dose of measles vaccine at 9 months is highly immunogenic.
  • The MR vaccine at 15 months effectively addressed the measles immunogenicity gap.
  • The vaccination schedule demonstrated high rubella seroconversion rates, indicating vaccine effectiveness.