[Measles morbidity among children inoculated against this infection]
Abstract:
In the serological survey of 2009 children immunized against measles 285 children (14.2%) were found to be seronegative to this infection in the hemagglutination inhibition test with 4 hemagglutinating units of the antigen. Among 1724 immunized children showing positive response to vaccination and placed under dynamic observation for 11 years, 2 cases of measles were registered. At the same time, in the dynamic observation of 111 seronegative children 66 measles cases (59.5%) were registered during the above period, while among 169 children, also seronegative, but receiving booster immunization against measles, morbidity rate was only 1.2%. In some vaccinees the decrease of postvaccinal immunity to seronegative values was observed, but such decrease had no essential influence on the morbidity level among the vaccines. The increase of measles morbidity among schoolchildren immunized against this infection was due not to the decrease of their postvaccinal immunity, but to their concentration in schools and to their more intensive contacts with the sources of infection in comparison with children of preschool age.
Insights
Measles immunity wanes in some children post-vaccination. School-aged children, even if vaccinated, face higher measles risk due to close contact, not solely decreased immunity.
Area of Science:
- Immunology
- Epidemiology
- Pediatrics
Context:
- Measles vaccination is crucial for public health.
- Serological surveys assess vaccine effectiveness and population immunity.
- Understanding measles transmission dynamics in vaccinated populations is essential.
Purpose:
- To evaluate measles immunity levels in vaccinated children.
- To determine the incidence of measles in seronegative and seropositive vaccinated children.
- To investigate factors contributing to measles breakthrough infections in immunized individuals.
Summary:
- A serological survey identified 14.2% of 2009 measles-vaccinated children as seronegative.
- Over 11 years, seronegative children had significantly higher measles incidence (59.5%) than seropositive ones (0.15%).
- Booster immunization reduced measles cases in seronegative children to 1.2%. Increased school-aged morbidity is linked to school environments and contact rates, not solely waning immunity.
Impact:
- Highlights the importance of serological testing to identify non-immune individuals.
- Suggests booster immunizations may be beneficial for seronegative populations.
- Informs public health strategies for measles control, emphasizing environmental and social factors in transmission.
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