Measles epidemiology in Italy

Int J Epidemiol. 1984 Jun;13(2):201-9. doi: 10.1093/ije/13.2.201.

Abstract

In preparation for a mass vaccination programme, the immune status with regard to measles was determined in over 8300 unvaccinated children aged 0-13 years, residing in eight Italian cities with different socioeconomic situations and geographical locations. The age corresponding to the 50% prevalence of immunes appeared to be intermediate (2.9-5.5 years) between that reported for industrialized (6-7 years) and developing countries (1-2 years). The 50% prevalence of natural immunity was reached at an earlier age in southern cities in which poorer socioeconomic and hygienic conditions prevailed; the earlier occurrence of measles in these areas was confirmed by a more detailed serological study of children in the first 24 months of life. For children aged 2-13 years, serological results showed that the history of measles reported by parents on questionnaires gave high positive predictive values (over 85%). Our seroepidemiological study shows that, on the basis of the ages of 25 and 75% prevalence of immunes, the target population for a mass immunization programme in Italy can be assumed to be aged from 12 months to 7 years. However, special attention should be given to the poorest areas, especially in southern Italy, where measles occurs earlier and can be particularly severe.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Age Factors
  • Antibodies / analysis*
  • Child
  • Child, Preschool
  • Humans
  • Immunity, Innate
  • Immunization
  • Infant
  • Infant, Newborn
  • Italy
  • Measles / epidemiology*
  • Measles / immunology
  • Measles / mortality
  • Socioeconomic Factors
  • Urban Population

Substances

  • Antibodies