Seroepidemiology of rubella infection in Chinese and Caucasians in Hong Kong

J Hyg (Lond). 1979 Dec;83(3):397-403. doi: 10.1017/s002217240002622x.

Abstract

The seroepidemiology of rubella infection in Hong Kong Chinese was examined by haemagglutination inhibition of normal sera and a comparison made where feasible with Caucasians living in Hong Kong. Taking reciprocal titre of 20 as a baseline, the incidence of maternally acquired antibody was 84% for Chinese and 90% for Caucasians. In babies up to 2 months this incidence was maintained in Caucasians but declined to 54% in Chinese. High titre antibody was more frequently detected in Caucasians generally, including women of child-bearing age. The detection of rubella-specific IgM in the Caucasian babies was suggestive of recent maternal infection. However, fewer Caucasian (20%) than Chinese (36%) women of child-bearing age (15-40 years) appeared unprotected against rubella. When all age groups were considered, 88% of Caucasians and 53% of Chinese were seropositive. The occurrence of a rubella outbreak during the study did not give rise to a significant increase in the incidence of seropositivity in Chinese 19-25 years, the only age group able to be evaluated in this manner. The ethnic differences in seroepidemiology are considered in the light of known HLA-1 and HLA-8 antigen distributions in Caucasian and Mongoloid people and the apparently low incidence of congenitally acquired rubella in Chinese.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Antibodies, Viral / isolation & purification
  • Asian People*
  • Female
  • HLA Antigens / genetics
  • Hong Kong
  • Humans
  • Immunoglobulin G / isolation & purification
  • Immunoglobulin M / isolation & purification
  • Infant
  • Infant, Newborn
  • Pregnancy
  • Rubella / congenital
  • Rubella / epidemiology
  • Rubella / immunology*
  • Rubella Vaccine / therapeutic use
  • Rubella virus / immunology
  • White People*

Substances

  • Antibodies, Viral
  • HLA Antigens
  • Immunoglobulin G
  • Immunoglobulin M
  • Rubella Vaccine