Tuesday, 29th of March 2016 |
Hum Vaccin Immunother. 2015;11(6):1400-5. doi: 10.1080/21645515.2015.1032489.
Sero prevalence of measles mumps and rubella among young adults after 20 years of universal 2-dose MMR vaccination in Israel.
Levine H1 Zarka S Ankol OE Rozhavski V Davidovitch N Aboudy Y Balicer RD.
Abstract
Evidence-based vaccination policy is important for the global and local efforts of achieving control over measles. In 2007 the first Israeli birth cohort to be twice vaccinated during childhood with Measles-Mumps-Rubella vaccine reached adulthood. In parallel Israel experienced its largest measles outbreak since 1994. We aimed to assess the sero prevalence of measles IgG antibodies and concordance with rubella and mumps sero prevalence among young Israeli adults born 1988-9 in comparison to previous birth cohorts in order to inform evidence based prevention policy. We conducted a sero prevalence study of IgG antibodies among 439 Israeli adults born in 1988-9 based on a representative sample of sera collected at age 18-19 upon recruitment to mandatory military service in 2007. In total 85.7% were seropositive for measles as compared with 95.6% in the 1996 recruitment (P < 0.001). The absolute decline was significant both for males (8.8% P = 0.001) and females (12.1% P < 0.001). There were no significant differences in sero positivity by gender years of education country of birth or smoking status. Rubella sero positivity among measles sero positives was 90.4% significantly (P < 0.001) higher than 72.1% among measles sero negatives. Mumps sero positivity among measles sero positives was 87.0% significantly (P < 0.001) higher than 62.3% among measles sero negatives. Results were similar for Israeli-born only. Our findings indicate that measles sero prevalence decreased after the last change in vaccination policy and reach sub-optimal level. Until global eradication is reached a proactive vaccination program to supplement routine childhood vaccination program should be considered in Israel and in other countries.
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