Rational Strategy for Rubella Vaccination

Hinman, A. R.; Orenstein, W. A.; Hart, KennethJ.; Preblud, StephenR.

doi:10.1016/s0140-6736(83)91572-6

Cited by 54 publications

(16 citation statements)

References 4 publications

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“…Al autorizarse la primera vacuna de la rubéola en 1969, se produjo una importante controversia sobre la estrategia vacunal que se debía seguir para prevenir la rubéola congénita 40,41 . Las posibilidades de elección eran 3: a) vacunación de las mujeres susceptibles en edad fértil, para así proteger de forma directa a los grupos de riesgo; b) vacunación masiva de la población infantil, para reducir las fuentes de infección y la circulación del virus y proteger de modo indirecto a las mujeres embarazadas, y c) una combinación de las 2 estrategias anteriores.…”

Section: Rubéolaunclassified

“…Las políticas vacunales elegidas fueron radicalmente diferentes. En Estados Unidos se decidió la vacunación masiva de todos los niños menores de 12 años, seguida de la vacunación universal de todos los niños cuando alcanzaran el año de edad 40,41 . Esta estrategia se basaba en la presunción de que la inmunidad inducida por la vacuna duraría toda la vida, e iba encaminada a interrumpir la transmisión de virus de la rubéola entre los niños, que eran el grupo primario de transmisión en aquella época, con el fin último de reducir las posibilidades de exposición de las mujeres embarazadas susceptibles.…”

Section: Rubéolaunclassified

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Estado inmunitario de la población española frente a las enfermedades inmunoprevenibles mediante vacunaciones sistemáticas

Salleras

Soldevila

Domı́nguez

2015

Vacunas

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Section: Rubéolaunclassified

Estado inmunitario de la población española frente a las enfermedades inmunoprevenibles mediante vacunaciones sistemáticas

Salleras

Soldevila

Domı́nguez

2015

Vacunas

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“…In the United Kingdom, the vaccination program targeted prepubertal girls and childbearing women. 10 Rubella vaccine was introduced into some countries of the English-speaking Caribbean in the late 1970s and early 1980s, following the rubella epidemic of the late 1970s. 11,12 The vaccine was given mainly to prepubertal girls in at least 13 of the initial 19 countries, but the recorded coverage was less than 80%.…”

Section: The Strategymentioning

confidence: 99%

Strategies to eradicate rubella in the English-speaking Caribbean

Irons¹,

Lewis²,

Dahl-Regis³

et al. 2000

Am J Public Health

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OBJECTIVE: This report presents the strategies used to eradicate rubella in the Caribbean region and the challenges faced by that effort. METHODS: Using the surveillance system for measles cases that was instituted in all countries in the Caribbean Community (CARICOM), 12 countries confirmed cases of rubella between 1992 and 1996. Rubella infections occurred in epidemic proportions in 6 countries during that period. RESULTS: On the basis of the rubella prevalence data, rubella-congenital rubella syndrome (CRS) cost-benefit analysis, and cost-effectiveness of the mass campaign, the Council for Human and Social Development of CARICOM resolved, on April 21, 1998, that every effort would be made to eradicate rubella, as well as to prevent the occurrence of new cases of CRS by the end of 2000. Using the Pan American Health Organization's template for measles eradication, CARICOM proposed and implemented the main strategies for rubella and CRS eradication, and rubella mass campaigns were conducted in 18 countries. The target population, which included males and females (aged 20-40 years), was approximately 2.2 million. CONCLUSION: The major challenges for rubella eradication are attaining high vaccine coverage in the adult population and maintaining an effective surveillance system able to detect rubella activity.

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“…It is estimated that each year >250,000 pregnancies worldwide are affected by congenital rubella infection (CRI), although documentation of the burden of CRI is lacking in many countries, particularly developing countries. Vaccination strategies to prevent CRI have included vaccination of adolescent girls or women of childbearing age (to provide individual protection), vaccination of all children, both male and female (to interrupt transmission), or a combination of the two (40).…”

Section: Rubellamentioning

confidence: 99%

Eradication of Vaccine-Preventable Diseases

Hinman

1999

Annu. Rev. Public Health

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▪ Abstract Eradication is the permanent reduction to zero of the worldwide incidence of infection caused by a specific agent as a result of deliberate efforts; intervention measures are no longer needed. To date, the only infectious disease that has been eradicated is smallpox. Poliomyelitis is targeted for eradication by the year 2000, and the eradication initiative is well under way, with the Western Hemisphere certified as being polio-free and more than one year having passed since polio cases occurred in the Western Pacific Region of the World Health Organization. A review of the technical feasibility of eradicating other diseases preventable by vaccines currently licensed for civilian use in the United States indicates that measles, hepatitis B, mumps, rubella, and possibly disease caused by Haemophilus influenzae type b are potential candidates. From a practical point of view, measles seems most likely to be the next target. Global capacity to undertake eradication is limited, and care must be taken to ensure that a potential measles eradication effort does not impede achievement of polio eradication. Even in the absence of eradication, major improvements in control are both feasible and necessary with existing vaccines. New and improved vaccines may give further possibilities of eradication in the future. Eradication represents the ultimate in sustainability and social justice.

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Rational Strategy for Rubella Vaccination

Cited by 54 publications

References 4 publications

Estado inmunitario de la población española frente a las enfermedades inmunoprevenibles mediante vacunaciones sistemáticas

Estado inmunitario de la población española frente a las enfermedades inmunoprevenibles mediante vacunaciones sistemáticas

Strategies to eradicate rubella in the English-speaking Caribbean

Eradication of Vaccine-Preventable Diseases

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