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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.
Abstract:
A prospective immunogenicity trial of measles and rubella vaccines was conducted in Oman. Children received measles vaccine at age 9 months and measles-rubella vaccine at age 15 months. Serum specimens were tested for measles-specific IgG and rubella-specific IgG. Of 1025 eligible infants, 881 (86.0%) returned for all five visits and had adequate serum samples for testing. Seroconversion to measles after vaccination at 9 months was 98.1%. At 15 months, 47 (5.3%) of the 881 children were seronegative for measles; of these, 44 (93.6%) seroconverted. At 16 months, 99% of the children seronegative at age 9 months seroconverted after receiving two doses of measles vaccine. At age 15 months, 684 (77.6%) children were seronegative for rubella. Of these, 676 (98.8%) seroconverted by age 16 months. One dose of measles vaccine at age 9 months was highly immunogenic. One dose of measles-rubella vaccine at age 15 months closed the remaining measles immunogenicity gap and resulted in a high rate of rubella seroconversion.
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