Immunity to measles virus in diverse population groups

The aim of the study was to assess the measles immunity level among employees of medical organizations of various specialties, young subjects, and neonates. Materials and Methods. The measles immunity status was assessed for all the employees of St. Petersburg State Budgetary Healthcare Institution...

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Main Authors: A. V. Liubimova, M. D. Zlokazov, L. A. Ivanova, L. YU. Arzamastseva, N. N. Ryzhman, E. N. Kolosovskaya, O. P. Gumilevskaya
Format: Article
Language:Russian
Published: Sankt-Peterburg : NIIÈM imeni Pastera 2021-06-01
Series:Инфекция и иммунитет
Subjects:
Online Access:https://www.iimmun.ru/iimm/article/view/1139
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author A. V. Liubimova
M. D. Zlokazov
L. A. Ivanova
L. YU. Arzamastseva
N. N. Ryzhman
E. N. Kolosovskaya
O. P. Gumilevskaya
author_facet A. V. Liubimova
M. D. Zlokazov
L. A. Ivanova
L. YU. Arzamastseva
N. N. Ryzhman
E. N. Kolosovskaya
O. P. Gumilevskaya
author_sort A. V. Liubimova
collection DOAJ
description The aim of the study was to assess the measles immunity level among employees of medical organizations of various specialties, young subjects, and neonates. Materials and Methods. The measles immunity status was assessed for all the employees of St. Petersburg State Budgetary Healthcare Institution Maternity Hospital No. 10 (386 subjects), civilian medical staff of the clinics of the Military Medical Academy named after S.M. Kirov (Military Medical Academy) (1399 subjects), cadets of the Military Medical Academy (304 subjects) and 34 neonates. Laboratory testing was performed by using ELISA with test kits “VektoKor-IgG” (RF). Results. Medical workers displayed high total level of protection against measles virus serologically confirmed in 87.5% of the maternity hospital staff and 81.6% of the employees at the Military Medical Academy clinics. No differences in the immune status between the varying categories of medical personnel from the departments of various specialties were revealed. Lower population immunity was observed in the 20-40-year age group. Among the employees of the maternity hospital, the proportion of measles virus seropositive subjects aged 20—40 years was 75.9% (95%, CI 67.2—82.9%), 40—59 years — 91.5% (95%, CI 86.7—94.7%), 60 year and older subjects were all seropositive (95%, CI 94.6—100%). Dual vaccination did not guarantee emergence of effective measles immunity. The majority of seronegative subjects were dually vaccinated, hence, even in case of previous dual measles vaccination, it is necessary to perform a serological examination prior to recruitment to medical facilities. Females comprised more than 90% of medical workers. Therefore, women of fertile age previously dually vaccinated, but immunologically seronegative, are at risk of measles and intrauterine fetal infection, as well as the risk of its development is increased in vaccination age children. It was confirmed by demonstrating that as few as 70.6±15.3% of neonates were immune to the measles virus. The proportion of seronegative infants (29.4±15.3%) was comparable to that one in seronegative subjects aged 20—40 years (24.1±8.1%) working at the maternity hospital. Among the younger age group (aged 18—23 years) such as cadets of the Military Medical Academy, a significantly higher proportion of seronegative individuals was found — 48.3±5.6%, thereby increasing probability for measles outbreak therein. Conclusions. In order to eradicate measles, it is necessary to develop a screening program for detecting antibodies against measles among young and middle-aged subjects.
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spelling doaj.art-c4582ce545f346c8b8a978760ccc93182023-01-02T19:35:50ZrusSankt-Peterburg : NIIÈM imeni PasteraИнфекция и иммунитет2220-76192313-73982021-06-0111357758410.15789/2220-7619-ITM-1139889Immunity to measles virus in diverse population groupsA. V. Liubimova0M. D. Zlokazov1L. A. Ivanova2L. YU. Arzamastseva3N. N. Ryzhman4E. N. Kolosovskaya5O. P. Gumilevskaya6North-Western State Medical University named after I.I. MechnikovNorth-Western State Medical University named after I.I. Mechnikov; Maternity Hospital No. 10Maternity Hospital No. 10Municipal Polyclinic No. 91Military Medical Academy named after S.M. KirovNorth-Western State Medical University named after I.I. Mechnikov; Military Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovThe aim of the study was to assess the measles immunity level among employees of medical organizations of various specialties, young subjects, and neonates. Materials and Methods. The measles immunity status was assessed for all the employees of St. Petersburg State Budgetary Healthcare Institution Maternity Hospital No. 10 (386 subjects), civilian medical staff of the clinics of the Military Medical Academy named after S.M. Kirov (Military Medical Academy) (1399 subjects), cadets of the Military Medical Academy (304 subjects) and 34 neonates. Laboratory testing was performed by using ELISA with test kits “VektoKor-IgG” (RF). Results. Medical workers displayed high total level of protection against measles virus serologically confirmed in 87.5% of the maternity hospital staff and 81.6% of the employees at the Military Medical Academy clinics. No differences in the immune status between the varying categories of medical personnel from the departments of various specialties were revealed. Lower population immunity was observed in the 20-40-year age group. Among the employees of the maternity hospital, the proportion of measles virus seropositive subjects aged 20—40 years was 75.9% (95%, CI 67.2—82.9%), 40—59 years — 91.5% (95%, CI 86.7—94.7%), 60 year and older subjects were all seropositive (95%, CI 94.6—100%). Dual vaccination did not guarantee emergence of effective measles immunity. The majority of seronegative subjects were dually vaccinated, hence, even in case of previous dual measles vaccination, it is necessary to perform a serological examination prior to recruitment to medical facilities. Females comprised more than 90% of medical workers. Therefore, women of fertile age previously dually vaccinated, but immunologically seronegative, are at risk of measles and intrauterine fetal infection, as well as the risk of its development is increased in vaccination age children. It was confirmed by demonstrating that as few as 70.6±15.3% of neonates were immune to the measles virus. The proportion of seronegative infants (29.4±15.3%) was comparable to that one in seronegative subjects aged 20—40 years (24.1±8.1%) working at the maternity hospital. Among the younger age group (aged 18—23 years) such as cadets of the Military Medical Academy, a significantly higher proportion of seronegative individuals was found — 48.3±5.6%, thereby increasing probability for measles outbreak therein. Conclusions. In order to eradicate measles, it is necessary to develop a screening program for detecting antibodies against measles among young and middle-aged subjects.https://www.iimmun.ru/iimm/article/view/1139measlesimmunityhealth-care workersnewborn childrenvaccinationprevention
spellingShingle A. V. Liubimova
M. D. Zlokazov
L. A. Ivanova
L. YU. Arzamastseva
N. N. Ryzhman
E. N. Kolosovskaya
O. P. Gumilevskaya
Immunity to measles virus in diverse population groups
Инфекция и иммунитет
measles
immunity
health-care workers
newborn children
vaccination
prevention
title Immunity to measles virus in diverse population groups
title_full Immunity to measles virus in diverse population groups
title_fullStr Immunity to measles virus in diverse population groups
title_full_unstemmed Immunity to measles virus in diverse population groups
title_short Immunity to measles virus in diverse population groups
title_sort immunity to measles virus in diverse population groups
topic measles
immunity
health-care workers
newborn children
vaccination
prevention
url https://www.iimmun.ru/iimm/article/view/1139
work_keys_str_mv AT avliubimova immunitytomeaslesvirusindiversepopulationgroups
AT mdzlokazov immunitytomeaslesvirusindiversepopulationgroups
AT laivanova immunitytomeaslesvirusindiversepopulationgroups
AT lyuarzamastseva immunitytomeaslesvirusindiversepopulationgroups
AT nnryzhman immunitytomeaslesvirusindiversepopulationgroups
AT enkolosovskaya immunitytomeaslesvirusindiversepopulationgroups
AT opgumilevskaya immunitytomeaslesvirusindiversepopulationgroups