DETERMINATION OF THE SEROPREVALENCE OF IgG ANTIBODIES AGAINST MEASLES VIRUS AMONG MEDICAL STUDENTS IN BELGRADE
Abstract
Introduction: The measles virus is a negative-sense single-stranded RNA virus belonging to the family Paramyxoviridae. It causes measles, also known as rubeola or childhood rash fever. Before the introduction of mandatory vaccination, around 2 million people worldwide died from this disease annually. However, with the implementation of the MMR (measles, mumps, and rubella) live attenuated vaccine, that number has dropped to around 100 thousand deaths per year.
The Aim: The aim of this study was to determine the seroprevalence of antibodies against the measles virus in the population of medical students at the University of Belgrade.
Material and Methods: In the study, sera of 99 voluntarily enrolled students from the Faculty of Medicine, University of Belgrade, were examined. Commercial ELISA kits from Euroimmun Medical Diagnostics (Lübeck, Germany) were used according to the manufacturer's instructions. Data obtained from an anonymous survey were also analyzed. Normality of distribution was evaluated using mathematical methods (coefficient of variation, Shapiro-Wilk test) and graphical methods (histogram and boxplot).
Results: In our study, 92 out of 99 participants (93%) reported being vaccinated with the MMR vaccine. Thirteen students reported having had measles, while positive antibodies were confirmed in 89% of the participants. The application of statistical tests did not prove a significant difference in the representation of positive findings between genders, or between persons who attended preschool institutions compared to those who did not.
Conclusion: The study’s results demonstrated the seroprevalence of antibodies to the Measles virus in medical students aged 19 to 29 years. The lack of seroconversion in 4% of the vaccinated population can be considered an indication for the introduction of an additional dose of measles vaccine in this population.
References
2. Laksono B, de Vries R, McQuaid S, Duprex W, de Swart R. Measles virus host invasion and pathogenesis. Viruses 2016;8(8):210.
3. Leung AKC, Hon KL, Leong KF, Sergi CM. Measles: a disease often forgotten but not gone. Hong Kong Med J. 2018; 24(5):512-520
4. Republički fond za zdravstveno osiguranje – zvanični sajt : https://www.rfzo.rs/
5. Di Pietrantonj C, Rivetti A, Marchione P, Debalini MG, Demicheli V. Vaccines for measles, mumps, rubella, and varicella in children. Cochrane Database Syst Rev. 2021;11(11):CD004407
6. Hviid A, Hansen JV, Frisch M, Melbye M. Measles, mumps, rubella vaccination and autism: A nationwide cohort study. Ann Intern Med. 2019;170(8):513.
7. Griffin DE, Lin W-H, Pan C-H. Measles virus, immune control, and persistence. FEMS Microbiol Rev. 2012;36(3):649–662.
8. Haralambieva IH, Ovsyannikova IG, Kennedy RB, Larrabee BR, Zimmermann MT, Grill DE, et al. Genome-wide associations of CD46 and IFI44L genetic variants with neutralizing antibody response to measles vaccine. Hum Genet. 2017;136(4):421–435.
9. Anichini G, Gandolfo C, Fabrizi S, Miceli GB, Terrosi C, Gori Savellini G, et al. Seroprevalence to measles virus after vaccination or natural infection in an adult population, in Italy. Vaccines (Basel). 2020;8(1):66.
10. Ben-Chetrit E, Oster Y, Jarjou’i A, Megged O, Lachish T, Cohen MJ, et al. Measles-related hospitalizations and associated complications in Jerusalem, 2018–2019. Clin Microbiol Infect. 2020;26(5):637–642
11. “Statista” - onlajn platforma specijalizovana za prikupljanje i vizuelizaciju podataka; https://www.statista.com/
12. Hill HA, Chen M, Elam-Evans LD, Yankey D, Singleton JA. Vaccination coverage by age 24 months among children born during 2018–2019 — national immunization survey–child, United States, 2019–2021. MMWR Morb Mortal Wkly Rep. 2023;72(2):33–38.
13. Böröcz K, Samardžić S, Drenjančević I, Markovics Á, Berki T, Németh P. Dynamic features of herd immunity: Similarities in age-specific anti-measles seroprevalence data between two countries of different epidemiological history. J Clin Med. 2022;11(4):1145.
14. Marchi S, Monti M, Viviani S, Montomoli E, Trombetta CM. Measles in pregnancy: a threat for Italian women? Hum Vaccin Immunother. 2019;15(12):2851–2853.
15. Bansal J, Hameed A. Measles in pregnancy. BMJ Case Rep. 2019;12(5):e228781
16. Cardemil CV, Dahl RM, James L, Wannemuehler K, Gary HE, Shah M, et al. Effectiveness of a third dose of MMR vaccine for mumps outbreak control. N Engl J Med. 2017;377(10):947–56.
17. Unicef – zvanični sajt; https://www.unicef.org/
18. Medić S, Petrović V, Lončarević G, Kanazir M, Begović Lazarević I, Rakić Adrović S, et al. Epidemiological, clinical and laboratory characteristics of the measles resurgence in the Republic of Serbia in 2014-2015. 2019;14(10):e0224009.
