Benefits and Challenges in Using Seroprevalence Data to Inform Models for Measles and Rubella Elimination.
J Infect Dis
; 218(3): 355-364, 2018 07 02.
Article
en En
| MEDLINE
| ID: mdl-29562334
ABSTRACT
Background:
Control efforts for measles and rubella are intensifying globally. It becomes increasingly important to identify and reach remaining susceptible populations as elimination is approached.Methods:
Serological surveys for measles and rubella can potentially measure susceptibility directly, but their use remains rare. In this study, using simulations, we outline key subtleties in interpretation associated with the dynamic context of age-specific immunity, highlighting how the patterns of immunity predicted from disease surveillance and vaccination coverage data may be misleading.Results:
High-quality representative serosurveys could provide a more accurate assessment of immunity if challenges of conducting, analyzing, and interpreting them are overcome. We frame the core disease control and elimination questions that could be addressed by improved serological tools, discussing challenges and suggesting approaches to increase the feasibility and sustainability of the tool.Conclusions:
Accounting for the dynamical context, serosurveys could play a key role in efforts to achieve and sustain elimination.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Rubéola (Sarampión Alemán)
/
Virus de la Rubéola
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Transmisión de Enfermedad Infecciosa
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Erradicación de la Enfermedad
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Sarampión
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Virus del Sarampión
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Anticuerpos Antivirales
Tipo de estudio:
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Adolescent
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Adult
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Aged
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Aged80
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
Idioma:
En
Revista:
J Infect Dis
Año:
2018
Tipo del documento:
Article