Last data update: Apr 29, 2024. (Total: 46658 publications since 2009)
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Query Trace: Glynn-Robinson A [original query] |
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How Australia's measles control activities catalysed rubella elimination
Glynn-Robinson A , Knapp JK , Durrheim DN . Int J Infect Dis 2021 114 72-78 BACKGROUND: Australia was verified to have eliminated rubella in 2017. This success is attributed to Australia's longstanding national immunisation programme and two enhanced measles immunisation activities using measles, mumps, and rubella (MMR) vaccines - Measles Control Campaign (MCC) and Young Adult MMR Campaign (YAC). The impact of these activities on rubella incidence and its elimination in Australia is described. METHODS: Aggregate national serological survey data were assigned to birth cohorts and mean, median and age-group estimates calculated and analysed against MMR immunisation coverage estimates (1998-2018) and rubella notifications (1993-2018). Three-year cumulative incidences were calculated by birth cohort. RESULTS: Serological surveys revealed high stable levels of rubella immunity among females but estimates for three male cohorts were lower. Since 2007, MMR immunisation coverage among children aged 24-27 months has remained above 90% for both doses. The three-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 a symbiotic benefit in 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. |
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