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Measles, the need for a paradigm shift.

Emilie Javelle1,2,3, Philippe Colson4,5, Philippe Parola4,6

  • 1Laveran Military Teaching Hospital, 34 Boulevard Alphonse Laveran, 13013, Marseille, France. emilie.javelle@gmail.com.

European Journal of Epidemiology
|October 19, 2019
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Summary
This summary is machine-generated.

Measles resurgence may not solely stem from immunization gaps. This study questions vaccine efficacy and explores potential viral immune escape, suggesting a need to optimize measles control strategies.

Keywords:
CoverageEfficacyGenotypeImmunizationMeasles vaccine

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Area of Science:

  • Immunology
  • Epidemiology
  • Public Health

Background:

  • Measles vaccination strategies assume vaccine protection equals natural infection.
  • Ongoing measles outbreaks are often attributed to immunization gaps.

Purpose of the Study:

  • To investigate the correlation between national vaccine coverage rates and measles incidence.
  • To review measles vaccine efficacy, failures, and potential viral immune escape.
  • To highlight the need for optimizing current measles control strategies.

Main Methods:

  • Analysis of official national-level data on vaccine coverage and measles incidence.
  • Literature review on measles vaccine efficacy and documented failures.
  • Discussion of limitations in using aggregated vaccine coverage as a sole indicator.

Main Results:

  • The study explores the relationship between reported vaccine coverage and measles case incidence.
  • It examines existing literature on vaccine efficacy and identifies potential limitations.
  • The possibility of measles virus strains evading vaccine-induced immunity is considered.

Conclusions:

  • Relying solely on national vaccine coverage data may oversimplify measles resurgence causes.
  • Further investigation into vaccine efficacy and potential viral immune escape is warranted.
  • Optimizing immunization tools and strategies is crucial for effective measles control in the current context.