The Japanese Association of School Health

Material

ISSN ONLINE : 1880-2400

[School Health Vol.9, 1-5, 2013]

Antibody Against Measles among First Graders: Comparison of the Antibody Titer Before and After the Introduction of the Two-Dose Measles-Rubella Vaccination Program

Chisuzu Toyama*, Seiichiro Nanri*, Mitsuaki Tokumura*,
Mikako Inokuchi*, Shioko Kawai*, Tetsuya Tanaka*, Yuko Tanaka*
and Tetsuo Nakayama**

  • *Health Center, Keio University
  • 4-1-1 Hiyoshi, Kouhoku, Yokohama, Kanagawa 223-8521 Japan
  • c-toyama@adst.keio.ac.jp
  • **Kitasato Institute for Life Sciences, Kitasato University
  • 5-9-1 Shirogane, Minatoku, Tokyo 108-8641 Japan

[Received July 5, 2010; Accepted October 10, 2012]

Keywords:
measles, two-dose, vaccination

Free PDF

Abstracts

To study the effectiveness of two-dose measles vaccination, we examined the antibody titer in
the serum of first graders before and after the introduction of the two-dose measles-rubella
(MR) vaccination program.
A total of 826 first graders (553 boys and 273 girls) who entered school from 2004 to 2009
were studied. We compared the measles IgG antibody in the serum (enzyme immunoassay)
and measles antibody positive rate before and after the introduction of the two-dose MR
vaccination program in 2007.
The measles IgG antibody titer (4.9 ± 1.6) (M ± SD) and antibody positive rate (97.8%) after
the introduction of the two-dose MR vaccination program were significantly higher than the
values (3.3 ± 1.9 and 93.4%, respectively) recorded before its introduction.
We concluded that the implementation of two-dose measles vaccination for preschool children
resulted in a significantly enhanced measles serum antibody titer among first graders. To
eradicate measles, we recommend the two-dose MR vaccination.

References

  • CDC Measles-United States. (2007). Elimination of measles- South Korea, 2001-2006. MMWR 56: 304-307
  • Infectious Disease Surveillance Center. (2010). Measles: Immunization. Available at: http://idsc.nih.go.jp/vaccine/b-measles.html. Accessed January 16, 2011.
  • Infectious Disease Surveillance Center. (2002). The present conditions of measles and preventing measles in the future. Available at: http://www.mhlw.go.jp/shingi/2002/12/s1213-5d.html. Accessed January16,2011. (in Japanese)
  • Infectious Disease Surveillance Center. (2008). Guideline for preventing measles in educational institutions. Ministry of Education, Culture, Sports, Science and Technology: 2-21. Available at: http://idsc.nih.go.jp/disease/measles/guideline/school_200805.pdf. Accessed January 16,2011. (in Japanese)
  • Kimura K, Nanri S, Yoneyama H et al. (1999). A study on antibody titer and infection rate about contagious disease (measles, rubella, mumps, varicella) of elementary school children in Tokyo. The Bulletin of Keio University Health Center 17: 50-55. (in Japanese)
  • Nokes DJ, Anderson RM. (1988). The use of mathematical models in the epidemiological study of infectious diseases and in the design of mass immunization programmes. Epidemiology and Infection 101:1-20.
  • Takayama N, Miwa M, Hosobe C et al. (2009). Efficacy and safety of the booster injection with measles-rubella combined vaccine among preschool children within one year until entering to primary school-result of the examination in fiscal years 2005-2007. Japanese Journal of Pediatrics 62: 481-488. (in Japanese)
  • Terada K, Ouchi K, Ihara T et al. (2008). Safety and efficacy in two-dose vaccination using measles and rubella combined (MR) vaccine. The Journal of the Japanese Association for Infectious Diseases 82: 414-418. (in Japanese)
  • Toyama C, Nanri S, Tokumura M et al. (2008). Antibody against measles in the first graders: The comparison of the single-dose measles vaccine group and the two-dose measles vaccine group. The Bulletin of Keio University Health Center 26: 67-69. (in Japanese)
  • WHO. (2001). Measles mortality reduction and regional elimination strategic plan 2001-2005: 13.1. Available at: http://www.who.int/vaccines-documents/DocsPdf01/www573.pdf#search=
  • 'Measles mortality reduction and regional elimination strategic plan 20012005'. Accessed January 16, 2011.

▲ Go to top of page