2003
DOI: 10.1016/s0264-410x(03)00229-9
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The predicted impact of private sector MMR vaccination on the burden of Congenital Rubella Syndrome

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Cited by 52 publications
(47 citation statements)
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“…However, as found elsewhere and suggested by modeling [2,29,34,35], introducing RCV into childhood EPI at coverage levels which are too low can lead to adverse increases in the proportion of women that are susceptible to infection and the incidence of CRS. Therefore, a catch-up campaign targeting all children aged 13 years or younger and vaccinating WCBA would need to be introduced RCV is introduced into the routine schedule.…”
Section: Discussionmentioning
confidence: 78%
“…However, as found elsewhere and suggested by modeling [2,29,34,35], introducing RCV into childhood EPI at coverage levels which are too low can lead to adverse increases in the proportion of women that are susceptible to infection and the incidence of CRS. Therefore, a catch-up campaign targeting all children aged 13 years or younger and vaccinating WCBA would need to be introduced RCV is introduced into the routine schedule.…”
Section: Discussionmentioning
confidence: 78%
“…The immunization strategy involved 2 doses of vaccine, including the first dose for infants at between 8 and 18 months of age and the second dose for 7-or 12-year-olds (30). If routine vaccine coverage in children is not maintained, immunization of children could alter transmission dynamics and potentially lead to an increase in susceptibility in older age groups (27). A shift in risk to older age groups has already occurred in Brazil and Costa Rica (4).…”
Section: Discussionmentioning
confidence: 99%
“…Implementation of a universal two-dose MMR vaccine policy will thus help achieve control rubella transmission and eventually eliminate rubella and CRS [19]. But this strategy carries the risk of increasing the average age of rubella cases thus resulting in increased, instead of reduced, numbers of CRS cases if vaccination coverage is insufficient [20]. Prevention of CRS can only be achieved by immunization of adolescent girls and/or women of childbearing age [20].…”
Section: Monovalent Rubella Vaccine For Adolescent Girlsmentioning
confidence: 99%
“…But this strategy carries the risk of increasing the average age of rubella cases thus resulting in increased, instead of reduced, numbers of CRS cases if vaccination coverage is insufficient [20]. Prevention of CRS can only be achieved by immunization of adolescent girls and/or women of childbearing age [20]. Therefore, there is an acute need to implement mass scale one-time immunization with monovalent rubella vaccine for adolescent girls in our country [21].…”
Section: Monovalent Rubella Vaccine For Adolescent Girlsmentioning
confidence: 99%