Measles and Rubella Seroprevalence Among Children and Adolescents of Córdoba, Argentina: A Cross-Section Study in the Context of the Elimination Program

Viral Immunol. 2023 Jul-Aug;36(6):429-434. doi: 10.1089/vim.2022.0181. Epub 2023 Apr 26.

Abstract

We determined anti-rubella and anti-measles immunoglobulin G (IgG) in 7- to 19-year-old children and adolescents with vaccine only-induced immunity of Córdoba, Argentina, during a 6-month period over 2021-2022. Of the 180 individuals studied, 92.2% and 88.3% were positive for anti-measles and anti-rubella IgG, respectively. No significant differences were found comparing anti-rubella IgG concentrations (p = 0.144) and anti-measles IgG concentrations (p = 0.105) of individuals classified by age, but anti-measles IgG and anti-rubella IgG levels were significantly higher among female individuals compared with males (p = 0.031 and p = 0.036, respectively). Female subjects in the younger age group had higher concentrations of anti-rubella IgG as well (p = 0.020), even when anti-measles IgG concentrations did not differ among female age-subgroups (p = 0.187). In contrast, age subgroups of male individuals did not have significantly different IgG concentrations for rubella (p = 0.745) or measles (p = 0.124). Among samples with discordant results (22/180, 12.6%), 9.1% were negative for rubella but positive for measles; 13.6% were equivocal for rubella and positive for measles; 22.7% were equivocal for rubella and negative for measles, while 54.5% were positive for rubella but negative for measles. The findings indicate a seroprevalence below recommended for preventing measles in the population studied, while they evidence the need for standardization of serological tests for rubella IgG.

Keywords: MMR; antibodies; measles; prevalence; rubella; vaccine.

MeSH terms

  • Adolescent
  • Adult
  • Antibodies, Viral
  • Argentina / epidemiology
  • Child
  • Female
  • Humans
  • Immunoglobulin G
  • Male
  • Measles* / epidemiology
  • Measles* / prevention & control
  • Measles-Mumps-Rubella Vaccine
  • Mumps* / epidemiology
  • Mumps* / prevention & control
  • Rubella* / epidemiology
  • Rubella* / prevention & control
  • Seroepidemiologic Studies
  • Young Adult

Substances

  • Antibodies, Viral
  • Measles-Mumps-Rubella Vaccine
  • Immunoglobulin G