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Surveillance of antibody to measles, mumps, and rubella by age

P Morgan-Capner1, J Wright, C L Miller

  • 1Preston Public Health Laboratory.

BMJ (Clinical Research Ed.)
|September 24, 1988
PubMed

Insights

A 1986-7 survey found many children susceptible to measles, mumps, and rubella before the MMR vaccine. Early vaccination in the second year of life is recommended to eliminate these diseases.

Area of Science:

  • Immunology
  • Epidemiology
  • Public Health

Background:

  • Measles, mumps, and rubella (MMR) are significant viral diseases.
  • Pre-vaccine introduction antibody prevalence data is crucial for public health strategies.
  • Understanding disease susceptibility in young children informs vaccination timing.

Purpose of the Study:

  • To determine the antibody prevalence against measles, mumps, and rubella in children before the widespread introduction of the MMR vaccine.
  • To establish baseline data for evaluating the impact of a new vaccination strategy.

Main Methods:

  • Serum samples from 8716 children across England were collected between 1986-7.
  • Antibody prevalence to measles, mumps, and rubella viruses was measured by age group.
  • Data analysis focused on identifying susceptible populations.

Main Results:

  • In children aged 1-2 years, 60% lacked measles antibodies and over 80% lacked mumps and rubella antibodies.
  • In the 3-4 year age group, susceptibility rates were 17% for measles, 55% for mumps, and 73% for rubella.
  • Significant proportions of children remained susceptible to all three viral infections.

Conclusions:

  • Early vaccination, specifically in the second year of life, is necessary to eliminate measles, mumps, and rubella.
  • The survey provides essential baseline data for ongoing surveillance of vaccination program effectiveness.
  • Findings highlight the need for timely MMR vaccination to reduce disease burden in young children.

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