1973
DOI: 10.1016/s0022-3476(73)80070-8
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A clinical and serologic study of 103 children with measles vaccine failure

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Cited by 79 publications
(25 citation statements)
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“…In addition, CF antibody titers, rarely present in early measles (personal observation), were detected in over 70% of the acute-phase specimens and were markedly higher in the convalescent-phase specimens of those cases classified as secondary responders. Moreover, illness was milder among secondary responders, consistent with previous reports [Cherry et al, 1973;Krause et al, 1979;Smith et al, 1982;Welliver et al, 19771. These data suggest that IgM detection can be a useful diagnostic tool in measles outbreaks, even where the majority of cases occur in previously vaccinated persons. It remains unclear, however, why IgM antibodies are detected after natural measles infection but not secondary measles vaccination.…”
Section: Discussionsupporting
confidence: 91%
“…In addition, CF antibody titers, rarely present in early measles (personal observation), were detected in over 70% of the acute-phase specimens and were markedly higher in the convalescent-phase specimens of those cases classified as secondary responders. Moreover, illness was milder among secondary responders, consistent with previous reports [Cherry et al, 1973;Krause et al, 1979;Smith et al, 1982;Welliver et al, 19771. These data suggest that IgM detection can be a useful diagnostic tool in measles outbreaks, even where the majority of cases occur in previously vaccinated persons. It remains unclear, however, why IgM antibodies are detected after natural measles infection but not secondary measles vaccination.…”
Section: Discussionsupporting
confidence: 91%
“…The single patient who was vaccinated when older than fifteen months and who had no IgM antibody response had been immunized since the age of 4 years and 10 months. This probably represents a secondary vaccine failure [7,8]. Our study therefore shows that the main cause of vaccine failure is primary failure due to persistent maternal antibodies and cold chain defect.…”
Section: Discussionmentioning
confidence: 60%
“…In secondary vaccine failure, clinically apparent infection develops despite an immune response to vaccination [7][8][9]. However, this elicited response may not be adequate to protect against the subsequent inoculum of wild-type virus, or an initially protective response may wane over time.…”
mentioning
confidence: 99%
“…Adaptation of 3 out of the 5 strains of attenuated measles virus to HDC has apparently increased the immunogenicity of these viruses because a fourfold increase in HI antibody was noted in most of the reimmunized children 1 month after revaccination at which time the decrease in titre was nil or negligible. Since the rates of seroconversion and protection induced by the usual attenuated virus vaccines was found to be insufficient (Linnemann et al 1972;Cherry et al 1972Cherry et al . 1973, the idea of revaccinating children with attenuated vaccines was suggested by Immunization Practices Advisory Committee of the United States of America in 1977(CDC, 1977.…”
Section: Resultsmentioning
confidence: 99%