Measles vaccination in an increasingly immunized and developed world

Human Vaccines & Immunotherapeutics
David T S Hayman

Abstract

Increased measles immunization has led to a significant decline in measles incidence and mortality. During 2016 it is estimated that fewer than 100,000 died from measles for the first time in recorded history. In highly immunized countries measles epidemiology has changed. Threats to national elimination goals and public health include aging cohorts of naïve people that exist from imperfect vaccination rates during the early years of immunization programs. This may be complemented by some loss of immunity in vaccinated populations. While childhood immunization must remain a focus for control efforts, due to higher mortality in the very young, these naïve adolescents and adults also accumulate as they age and add to the pool of susceptible people, perhaps beyond the view of those that are focused on childhood immunization. Here, features of measles epidemiology and control in highly immunized populations are reviewed, providing global data where necessary, to highlight why countries with high immunization coverage are still threatened by measles outbreaks and how changing dynamics may alter disease control.

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Citations

Mar 7, 2020·The Journal of Infectious Diseases·Minal K PatelMarta Gacic Dobo
Dec 4, 2019·Current Opinion in Pediatrics·Kristen A Feemster, Claire Szipszky
Mar 27, 2020·Tropical Medicine and Infectious Disease·Andrew D GibsonMichael J Day
Aug 12, 2020·BMC Public Health·Basant Kumar PandaNiyi Awofeso
Jun 17, 2021·Experimental and Therapeutic Medicine·Ana-Maria DavitoiuSorina Chindris

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