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The immune status and response to measles vaccine amongst Egyptian infants. A preliminary report
S Abdel Hadi1, R Hassan, M Hosny
1Department of Pediatrics, Cairo University.
Insights
Infants vaccinated at 9 months are susceptible to measles, but the Edmondston-Zagreb strain vaccine effectively induces immunity. Even infants with maternal antibodies show a good immune response post-vaccination.
Area of Science:
- Pediatrics
- Immunology
- Vaccinology
Background:
- Measles remains a significant public health concern globally.
- Infant vaccination timing is critical for effective measles prevention.
- Maternal antibodies can influence infant immune responses to vaccination.
Purpose of the Study:
- To assess measles susceptibility in 9-month-old infants.
- To evaluate the immunogenicity of the Edmonston-Zagreb measles vaccine strain.
- To determine the impact of maternal antibodies on vaccine response.
Main Methods:
- Study conducted on 18 infants in Giza Governorate.
- Comprehensive history and physical examinations performed.
- Measles antibody titers measured using neutralization testing before and after vaccination.
Main Results:
- Infants vaccinated at 9 months demonstrated susceptibility to measles.
- The Edmonston-Zagreb measles vaccine elicited a good immune response and conferred immunity.
- Infants with persistent maternal antibodies responded well to vaccination.
Conclusions:
- Current 9-month measles vaccination age may leave infants susceptible.
- The Edmonston-Zagreb strain is effective in inducing immunity in infants.
- Vaccination is beneficial even in the presence of maternal measles antibodies.
Abstract:
This study was carried out on 18 infants attending a primary care clinic in the Giza Governorate. Following a comprehensive history and physical exam estimation of measles antibody titer by neutralization testing was carried out on 10 infants prior to vaccination and on 8 infants prior to as well as one month following vaccination against measles utilizing the Edmondston-Zagreb strain. Our results indicate that at the currently adopted age of 9 months for vaccination, infants are susceptible to measles. Good response to vaccination with acquisition of immunity was noted despite border-line levels of growth and development. The occasional patient with persistent maternal antibodies to measles responded well to vaccination.
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