Loss of maternal measles antibody in black South African infants in the first year of life--implications for age of vaccination

S Afr Med J. 1991 Feb 2;79(3):145-8.

Abstract

In order to investigate the feasibility of measles vaccination before the age of 9 months the duration of passive immunity against measles was estimated by conducting a longitudinal study of measles antibody levels in 20 black neonates delivered at term. Measles serum antibody (IgG) was measured by enzyme-linked immunosorbent assay in the mother at childbirth and on consecutive samples taken from the infants from birth until 9 months of age. Protective measles antibody level was defined as greater than 200 mIU. Unprotective levels were found in 88% (95% confidence interval (CI) 81-99%) of 6-month-old infants, while at 9 months all were susceptible. The mean antibody level was 192 mIU (CI 104-348%) at 4 months; 34 mIU (CI 15-73%) at 6 months and 13 mIU (CI 6-24%) at 9 months of age. Our data support the recent World Health Organisation recommendation to immunise children in developing countries at 6 months with the 'high titre' Edmonston-Zagreb measles vaccine, since most infants in our study had lost passive immunity against measles by this age.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Antibodies, Viral / analysis*
  • Black People
  • Female
  • Humans
  • Immunity, Maternally-Acquired*
  • Immunization Schedule*
  • Immunoglobulin G / immunology
  • Infant
  • Infant, Newborn
  • Male
  • Measles / immunology*
  • South Africa

Substances

  • Antibodies, Viral
  • Immunoglobulin G