Measles and rubella in the North-West of Russia in period of elimination

Aim: To evaluate the epidemic situation on measles and rubella and to carry out the laboratory diagnostics of these infections in the North-West of Russia in the period of elimination.Materials and Methods. In 2016-2019 a total of 534 blood serum samples from patients with measles diagnosis, 210 – f...

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Main Authors: M. A. Bichurina, N. V. Zheleznova, A. A. Sharova
Format: Article
Language:Russian
Published: Journal Infectology 2021-12-01
Series:Журнал инфектологии
Subjects:
Online Access:https://journal.niidi.ru/jofin/article/view/1276
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author M. A. Bichurina
N. V. Zheleznova
A. A. Sharova
author_facet M. A. Bichurina
N. V. Zheleznova
A. A. Sharova
author_sort M. A. Bichurina
collection DOAJ
description Aim: To evaluate the epidemic situation on measles and rubella and to carry out the laboratory diagnostics of these infections in the North-West of Russia in the period of elimination.Materials and Methods. In 2016-2019 a total of 534 blood serum samples from patients with measles diagnosis, 210 – from patients with rubella diagnosis and 1251 – from patients with exanthema were studied by ELISA using “VectoMeasles-IgM” and “EIA-Rubella-IgM” test-systems.Results. Measles incidence in NWR varied from 0 to 0.96 per 100,000 in 2016 and 2019, respectively. Among measles patients the proportion of children and adults changed in 2018-2019, adults constituted 65.9%. Patients not vaccinated against measles and those with the unknown vaccination status were mainly involved in epidemic process (85%). High level of patients with revaccination status was revealed in 2018 (18.4%). These patients demonstrated high levels of IgG (>3.0 IU/ml) as well as high percentage of IgG avidity (>94.3%) on 4-7th day of rash onset thus evidencing secondary immune response. Molecular studies of the samples from patients revealed the circulation of D8 and B3 genotypes of measles virus. Strains of D8 and B3 genotypes were represented by 3 and 4 variants, respectively. Rubella incidence did not exceed 0.13 per 100,000. Strains of rubella virus of genotype 1E were detected.Conclusion. The data of annual measles incidence and molecular studies of circulating wild type measles viruses prove the on-going measles elimination process in the NorthWest of Russia. For rubella, the persistent phase of elimination was demonstrated in the region.
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spelling doaj.art-d6d173adf211468e899ccd0695d3379a2023-09-03T14:30:01ZrusJournal InfectologyЖурнал инфектологии2072-67322021-12-0113410611210.22625/2072-6732-2021-13-4-106-112959Measles and rubella in the North-West of Russia in period of eliminationM. A. Bichurina0N. V. Zheleznova1A. A. Sharova2Научно-исследовательский институт эпидемиологии и микробиологии им. ПастераНаучно-исследовательский институт эпидемиологии и микробиологии им. ПастераНаучно-исследовательский институт эпидемиологии и микробиологии им. ПастераAim: To evaluate the epidemic situation on measles and rubella and to carry out the laboratory diagnostics of these infections in the North-West of Russia in the period of elimination.Materials and Methods. In 2016-2019 a total of 534 blood serum samples from patients with measles diagnosis, 210 – from patients with rubella diagnosis and 1251 – from patients with exanthema were studied by ELISA using “VectoMeasles-IgM” and “EIA-Rubella-IgM” test-systems.Results. Measles incidence in NWR varied from 0 to 0.96 per 100,000 in 2016 and 2019, respectively. Among measles patients the proportion of children and adults changed in 2018-2019, adults constituted 65.9%. Patients not vaccinated against measles and those with the unknown vaccination status were mainly involved in epidemic process (85%). High level of patients with revaccination status was revealed in 2018 (18.4%). These patients demonstrated high levels of IgG (>3.0 IU/ml) as well as high percentage of IgG avidity (>94.3%) on 4-7th day of rash onset thus evidencing secondary immune response. Molecular studies of the samples from patients revealed the circulation of D8 and B3 genotypes of measles virus. Strains of D8 and B3 genotypes were represented by 3 and 4 variants, respectively. Rubella incidence did not exceed 0.13 per 100,000. Strains of rubella virus of genotype 1E were detected.Conclusion. The data of annual measles incidence and molecular studies of circulating wild type measles viruses prove the on-going measles elimination process in the NorthWest of Russia. For rubella, the persistent phase of elimination was demonstrated in the region.https://journal.niidi.ru/jofin/article/view/1276корькраснухаэпидемический процессиммунный ответлабораторная диагностика
spellingShingle M. A. Bichurina
N. V. Zheleznova
A. A. Sharova
Measles and rubella in the North-West of Russia in period of elimination
Журнал инфектологии
корь
краснуха
эпидемический процесс
иммунный ответ
лабораторная диагностика
title Measles and rubella in the North-West of Russia in period of elimination
title_full Measles and rubella in the North-West of Russia in period of elimination
title_fullStr Measles and rubella in the North-West of Russia in period of elimination
title_full_unstemmed Measles and rubella in the North-West of Russia in period of elimination
title_short Measles and rubella in the North-West of Russia in period of elimination
title_sort measles and rubella in the north west of russia in period of elimination
topic корь
краснуха
эпидемический процесс
иммунный ответ
лабораторная диагностика
url https://journal.niidi.ru/jofin/article/view/1276
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AT nvzheleznova measlesandrubellainthenorthwestofrussiainperiodofelimination
AT aasharova measlesandrubellainthenorthwestofrussiainperiodofelimination