Reduced passive measles immunity in infants of mothers who have not been exposed to measles outbreaks.
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Reduced passive measles immunity in infants of mothers who
have not been exposed to measles outbreaks.
Ohsaki M, Tsutsumi H, Takeuchi R, Kuniya Y, Chiba S.
Department of Pediatrics, Sapporo Medical University School of Medicine, Japan.
Natural measles infection usually confers life-long immunity which is
transferred from mothers to their offspring, protecting them from natural
measles until the age of about 12 months. Recently, however, natural measles has
been observed with increased frequency in infants under the age of 12 months.
Natural measles outbreaks in the city of Sapporo have been suppressed by widely
applied measles vaccination. Passive measles immunity in 160 neonates (cord
blood), born during the last 17 y in Sapporo, Japan was determined by a
neutralization (NT) antibody test. The mothers of these infants had had natural
measles infection during childhood. Geometric mean titres (GMTs) of cord blood
NT antibodies gradually decreased after 1989 and the GMTs of the most recently
born infants were significantly lower than those of infants born in the first
few years of the study. These
observations suggest that even in mothers who experienced natural measles in
childhood, recurrent exposure to natural measles is necessary in order to
maintain adequate antibody levels for effective passive immunity of their
infants.
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