How Australia's measles control activities have catalyzed rubella elimination

Background: By 2017, rubella had been officially eliminated in Australia. This success was attributed to Australia's longstanding national immunization programme and two enhanced measles immunization activities using measles, mumps, and rubella (MMR) vaccines — the Measles Control Campaign (MCC...

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Autores principales:	Anna Glynn-Robinson, Jennifer K. Knapp, David N. Durrheim
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	rubella vaccines epidemiology elimination Australia Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/e9f0eb3cd7be404ca8810155a8ed6da3
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spelling	oai:doaj.org-article:e9f0eb3cd7be404ca8810155a8ed6da32021-11-28T04:29:17ZHow Australia's measles control activities have catalyzed rubella elimination1201-971210.1016/j.ijid.2021.11.003https://doaj.org/article/e9f0eb3cd7be404ca8810155a8ed6da32022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1201971221008493https://doaj.org/toc/1201-9712Background: By 2017, rubella had been officially eliminated in Australia. This success was attributed to Australia's longstanding national immunization programme and two enhanced measles immunization activities using measles, mumps, and rubella (MMR) vaccines — the Measles Control Campaign (MCC) and the Young Adult MMR Campaign (YAC). Our study describes the impact of these activities on rubella incidence, and its elimination in Australia. Methods: Aggregate national serological survey data were assigned to birth cohorts, and mean, median, and age-group estimates calculated and analyzed against MMR immunization coverage estimates (1998–2018) and rubella notifications (1993–2018). Three-year cumulative incidences were calculated by birth cohort. Results: The serological surveys revealed high and stable levels of rubella immunity among females, but estimates for three male cohorts were lower. Since 2007, MMR immunization coverage among children aged 24–27 months has remained above 90% for both doses. The 3-year cumulative incidence of rubella declined across all birth cohorts following the MCC and the YAC. Discussion: Using MMR vaccines to address measles immunity gaps had the additional benefit of controlling rubella in Australia. Both the MCC and YAC shifted rubella epidemiology, accelerating the interruption of endemic transmission. Countries should consider combined measles and rubella vaccines for all catch-up activities.Anna Glynn-RobinsonJennifer K. KnappDavid N. DurrheimElsevierarticlerubellavaccinesepidemiologyeliminationAustraliaInfectious and parasitic diseasesRC109-216ENInternational Journal of Infectious Diseases, Vol 114, Iss , Pp 72-78 (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	rubella vaccines epidemiology elimination Australia Infectious and parasitic diseases RC109-216
spellingShingle	rubella vaccines epidemiology elimination Australia Infectious and parasitic diseases RC109-216 Anna Glynn-Robinson Jennifer K. Knapp David N. Durrheim How Australia's measles control activities have catalyzed rubella elimination
description	Background: By 2017, rubella had been officially eliminated in Australia. This success was attributed to Australia's longstanding national immunization programme and two enhanced measles immunization activities using measles, mumps, and rubella (MMR) vaccines — the Measles Control Campaign (MCC) and the Young Adult MMR Campaign (YAC). Our study describes the impact of these activities on rubella incidence, and its elimination in Australia. Methods: Aggregate national serological survey data were assigned to birth cohorts, and mean, median, and age-group estimates calculated and analyzed against MMR immunization coverage estimates (1998–2018) and rubella notifications (1993–2018). Three-year cumulative incidences were calculated by birth cohort. Results: The serological surveys revealed high and stable levels of rubella immunity among females, but estimates for three male cohorts were lower. Since 2007, MMR immunization coverage among children aged 24–27 months has remained above 90% for both doses. The 3-year cumulative incidence of rubella declined across all birth cohorts following the MCC and the YAC. Discussion: Using MMR vaccines to address measles immunity gaps had the additional benefit of controlling rubella in Australia. Both the MCC and YAC shifted rubella epidemiology, accelerating the interruption of endemic transmission. Countries should consider combined measles and rubella vaccines for all catch-up activities.
format	article
author	Anna Glynn-Robinson Jennifer K. Knapp David N. Durrheim
author_facet	Anna Glynn-Robinson Jennifer K. Knapp David N. Durrheim
author_sort	Anna Glynn-Robinson
title	How Australia's measles control activities have catalyzed rubella elimination
title_short	How Australia's measles control activities have catalyzed rubella elimination
title_full	How Australia's measles control activities have catalyzed rubella elimination
title_fullStr	How Australia's measles control activities have catalyzed rubella elimination
title_full_unstemmed	How Australia's measles control activities have catalyzed rubella elimination
title_sort	how australia's measles control activities have catalyzed rubella elimination
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/e9f0eb3cd7be404ca8810155a8ed6da3
work_keys_str_mv	AT annaglynnrobinson howaustraliasmeaslescontrolactivitieshavecatalyzedrubellaelimination AT jenniferkknapp howaustraliasmeaslescontrolactivitieshavecatalyzedrubellaelimination AT davidndurrheim howaustraliasmeaslescontrolactivitieshavecatalyzedrubellaelimination
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How Australia's measles control activities have catalyzed rubella elimination

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