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[Rubella seroprevalence in Tunisian childbearing women two years after vaccination program introduction]
M Chaabouni1, F Messadi, L Fki
1Laboratoire de microbiologie, centre hospitalo-universitaire Habib-Bourguiba, Sfax, Tunisie. mariem.chaabouni@laposte.net
Unlabelled:
Acquiring rubella during the first 20 weeks of pregnancy can lead to teratogenic effects.
Aim:
The aim of the study was to investigate the impact of rubella vaccination strategy two years after its introduction in Tunisia in 2005.
Methods:
This study was conducted over two periods, 2000 and 2007-2008. A total of 15,776 childbearing women were enrolled in the sample. Serological studies were performed by using the ELISA method.
Results:
Overall, rubella infection seroprevalence did not increase between 2000 and 2007-2008. Nevertheless, a significant increase in seroprevalence, from 78.2% in 2000 to 92% in 2007-2008 (P=0.006), was especially noted in the age group under 20 years. Seroprevalence did also statistically increase with parity in 2007-2008 from 77.4% in women without any parity to 89.8% in women with over three parities (P=0.01).
Conclusions:
Results improvements seem most likely due to mass vaccination campaign for girls aged from 13 to 18 years in 2005, and also routinely post-partum vaccination of seronegative pregnant women or women ignoring their rubella status. In the coming years, systematic selective immunization of 12-year-old schoolgirls who are not yet entering their prime childbearing years will achieve female population sufficient immunity.
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