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Evaluation of a measles vaccine campaign in Ethiopia using oral-fluid antibody surveys
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Nigatu, Wondatir, Samuel, Dhan, Cohen, Bernard, Cumberland, Phillippa, Lemma, Eshetu, Brown, David W. G. and Nokes, D. James (2008) Evaluation of a measles vaccine campaign in Ethiopia using oral-fluid antibody surveys. Vaccine, Vol.26 (No.37). pp. 4769-4774. ISSN 0264-410X
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Official URL: http://dx.doi.org/10.1016/j.vaccine.2008.07.005
Abstract
We undertook a study to demonstrate the potential contribution of oral-fluid (OF) antibody prevalence surveys in evaluating measles vaccine campaigns. In Asela town, southern Ethiopia, oral fluids were collected from 1928 children aged 9 months to 5 years attending for campaign immunization in December 1999 and 6 months later, from 745 individuals aged 9 months to 19 years, in the same location. Measles antibody status was determined by microimmune measles specific IgG enzyme immunoassay (EIA). Antibody prevalence was estimated at 48% in children attending for vaccination (pre-campaign), and 85% post-campaign in the comparable age group. The estimated reduction in the susceptible proportion was 75%. In older children the proportion antibody negative post-campaign was 28% in 7-9 year olds, and 13% in 10-14 year olds levels of susceptibility which raise concern over continued measles transmission. This is the first evaluation of a measles vaccine campaign based on oral-fluid seroprevalence surveys and it demonstrates the merit of oral-fluid surveys in informing health authorities about vaccination strategy refinement. (C) 2008 Elsevier Ltd. All rights reserved.
| Item Type: | Journal Item |
|---|---|
| Subjects: | Q Science > QR Microbiology > QR180 Immunology R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Faculty of Science > Life Sciences (2010- ) > Biological Sciences ( -2010) |
| Library of Congress Subject Headings (LCSH): | Measles -- Vaccination -- Ethiopia -- Evaluation |
| Journal or Publication Title: | Vaccine |
| Publisher: | Elsevier Ltd. |
| ISSN: | 0264-410X |
| Date: | 2 September 2008 |
| Volume: | Vol.26 |
| Number: | No.37 |
| Number of Pages: | 6 |
| Page Range: | pp. 4769-4774 |
| Identification Number: | 10.1016/j.vaccine.2008.07.005 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Restricted or Subscription Access |
| Funder: | World Health Organization. Department of Vaccines and Biologicals, BASICS, USA, British Council (Ethiopia) |
| Grant number: | V21/181/133 (WHO) |
| References: | [1] Dietz V, Cutts F. The use of mass campaigns in the expanded program on immunization: a review of reported advantages and disadvantages. Int J Health Serv 1997;27:767–90. [2] NokesDJ, Enquselassie F, NigatuW, Vyse AJ, Cohen BJ, BrownDWG, et al. Has oral fluid the potential to replace serum for the evaluation of population immunity levels? A study of measles, rubella and hepatitis B in rural Ethiopia. BullWorld Health Organ 2001;79(7):588–95. [3] Nigatu W, Nokes DJ, Enquselassie F, Brown DWGF, Cohen BJ, Vyse A, et al. Detection of measles specific IgG in oral fluid using an FITC/anti-FITC IgG capture enzyme linked immunosorbent assay (GACELISA). J Virol Methods 1999;83(1–2):135–44. [4] Kremer JR, Muller CP. Evaluation of commercial assay detecting specific immunoglobulin G in oral fluid for determining measles immunity in vaccines. Clin Diagn Lab Immunol 2005;12(5):668–70. [5] Enquselassie F, AyeleW, Dejene A, Messele A, Abebe A, Cutts FT, et al. Seroepidemiology of measles inAddis Ababa. Ethiopia:implications for control through vaccination. Epidemiol Infect 2003;130(3):507–19. [6] Central Statistical Authority. The 1994 population and housing census of Ethiopia: results for Oromia region, Volume II. Analytical report. Addis Ababa, 1998. [7] Vyse AJ, Cohen BJ, Ramsay ME. A comparison of oral fluid collection devices for use in the surveillance of virus diseases in children. Public Health 2001;115(3):201–7. [8] Nokes DJ, Enquselassie F, Vyse A, Nigatu W, Cutts FT, Brown DWG. An evaluation of oral-fluid collection devices for the determination of rubella antibody status in a rural Ethiopian community. Trans Roy Soc Trop Med Hyg 1998;92(6):679–85. [9] Dean JA, Denis C, Donald CS, Karl AB, Thomas GA, Dean AG. Epi Info, Version 6.04: aword processing, database, and statistical program for epidemiology on microcomputers. Atlanta, GA, USA: Centers for Disease Control and Prevention; 1994. [10] Stata Corp. Stata statistical software: release 8. College Station, TX: Stata Corporation; 2003. [11] Nokes DJ, Nigatu W, Abebe A, Messele T, Dejene A, Enqueslassie F, et al. A comparison of oral fluid and serum for the detection of rubella-specific antibodies in a community study in Addis Ababa, Ethiopia. Trop Med Int Health 1998;3(4):258–67. [12] Cohen BJ, Parry RP, Doblas D,Warrener L, Andrews N, Brown D. Measles immunity testing: comparison of two measles IgG ELISAs with plaque reduction neutralization assay. J Virol Methods 2006;131:209–12. [13] Nokes DJ, Swinton J. Vaccination in pulses: a strategy for global eradication of measles and polio? Trends Microbiol 1997;5(1):14–9. [14] Cutts F, Steinglass R. Should measles be eradicated? Brit Med J 1998;316:757–65. [15] Nokes DJ, Anderson RM. The use of mathematical models in the epidemiological study of infectious diseases and in the design of mass immunization programmes. Epidemiol Infect 1988;101(1):1–20. [16] Nigatu W, Nokes DJ, Afework A, Brown DWG, Cutts FT, Jin L. Serological and molecular epidemiology of measles virus outbreaks reported in Ethiopia during 2000–2004. J Med Virol 2006;78:1648–55. [17] WHO-AFRO. AFRO Measles Surveillance Feedback Bulletin; November 2007. [18] Borus PK. Missed opportunities and inappropriately given vaccines reduce immunisation coverage in facilities that serve slum areas of Nairobi. East Afr Med J 2004;81(3):124–9. |
| URI: | http://wrap.warwick.ac.uk/id/eprint/29279 |
Data sourced from Thomson Reuters' Web of Knowledge
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