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Measles and Rubella Seroprevalence in Mother-Infant Pairs in Rural Nepal and the United States: Pre- and Post-Elimination Populations. | LitMetric

AI Article Synopsis

  • The study compared the presence of measles and rubella antibodies in mother-infant pairs from a pre-disease elimination population in Nepal and a post-disease elimination population in the U.S.
  • High levels of protective antibodies were found in both populations, with 95% of Nepalese pregnant women and 92% of Seattle pregnant women showing protective measles antibodies.
  • Continued monitoring is essential to maintain immunity levels and support disease elimination efforts in Nepal while preventing any resurgence in the U.S.

Article Abstract

We sought to compare seroprevalence of protective measles and rubella-specific antibody in mother-infant pairs across two populations: a pre-disease elimination Nepal population with recently introduced rubella vaccine and post-disease elimination U.S. population. Qualitative measles and rubella immunoglobulin G was assessed in maternal serum and cord blood from 258 pairs in Nepal, 2012-2013 and 49 pairs in Seattle, WA, 2014-2015. High rates of protective antibody were observed in both populations. Two hundred and forty-four (95%) pregnant women in Nepal had protective measles antibody versus 44 (92%) in Seattle ( = 0.42). Ninety-six percent of infants in Nepal ( = 246) and Seattle ( = 43) had protective measles antibody ( = 0.75). Ninety-four percentage of pregnant women in Nepal ( = 242) and Seattle ( = 45) had protective rubella antibody ( = 0.23). Two hundred and thirty-eight (93%) infants in Nepal had protective rubella antibody versus 44 (98%) in Seattle ( = 0.12). Continued surveillance will be necessary to ensure protective immunity, inform progress toward disease elimination in Nepal and avoid reemergence in the United States.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221218PMC
http://dx.doi.org/10.4269/ajtmh.17-0836DOI Listing

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