Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-15T01:43:48.015Z Has data issue: false hasContentIssue false
  • English
  • Français

Epidemiology of Measles Immunity in a Population of Healthcare Workers

Published online by Cambridge University Press:  21 June 2016

Mary Kim ,
Judith LaPointe  and
Francis J.G. Liu
Mary Kim
Affiliation:
Department of Infection Control, Kaiser Permanente Medical Center, Honolulu, Hawaii
Judith LaPointe
Affiliation:
Department of Infection Control, Kaiser Permanente Medical Center, Honolulu, Hawaii
Francis J.G. Liu*
Affiliation:
Department of Infection Control, Kaiser Permanente Medical Center, Honolulu, Hawaii
*
Dept. of Infection Control, Kaiser Permanente Medical Ctc, 3288 Moanalua Rd., Honolulu, HI 96819
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To evaluate epidemiologic factors that can be used to predict lack of measles immunity in healthcare workers.

Design:

During mandatory screening of employees for measles antibody, a questionnaire was used to collect demographic information.

Setting:

Inpatient hospital, acute care clinics, and skilled nursing facility of a health maintenance organization.

Participants:

Employees of all ages and occupations.

Results:

Measles immunity could not be predicted from history of measles disease and vaccination, gender, or birthplace. Of nonimmune employees, 63.7% were in the 20- to 29-year-old age group and 26.5% were in the 30-to 39-year-old age group.

Conclusions:

Age is the most clinically Significant predictor of measles antibody, especially in persons born after 1950, who make up a large group susceptible to measles.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 13 , Issue 7 , July 1992 , pp. 399 - 402
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Measles Surveill, N. Atlanta, GA: Centers for Disease Control; 1981.Google Scholar
2. Centers for Disease Control. Measles prevention: recommendations of the Immunization Practices Advisory Committee (ACIP). MMWR. 1989;38:1–11.Google Scholar
3. Centers for Disease Control. Measles: United States, 1989 and first 20 weeks 1990. MMWR. 1990;39:353–363.Google Scholar
4. Centers for Disease Control. Measles: United States, 1990. MMWR. 1991;40:369–372.Google Scholar
5. Davis, RM, Orenstein, WA, Frank, JA Jr., et al. Transmission of measles in medical settings: 1980 through 1984. JAMA. 1986;255:1295–1298.Google Scholar
6. Measles (Rubeola) Prevention and Control: Recommended Policies and Procedures for Medical Care Providers. Sacramento, Calif: California Dept of Health Services; 1990.Google Scholar
7. Raad, II, Sherertz, RJ, Rains, CS, et al. The importance of nosocomial transmission of measles in the propagation of a community outbreak. Infect Control Hosp Epidemiol. 1989;10:161–166.Google Scholar
8. Markowtiz, LE, Preblud, SR, Orenstein, WA, et al. Patterns of transmission in measles outbreaks in the United States, 1985 1986 . N Engl J Med. 1989;320:75–81.CrossRefGoogle Scholar
9. Nkowane, BM, Bart, SW, Orenstein, WA, Baltier, M. Measles outbreak in a vaccinated school population: epidemiology, chains of transmission and the role of vaccine failures. Am J Public Health. 1987;77:434–438.Google Scholar
10. Reyes, MA, de Borrero, ME Roa, J, Bergonzoli, G, Saravia, NG. Measles vaccine failure after documented seroconversion. Pediatr Infect Dis J. 1987;6:848–851.Google Scholar
11. Subbarao, EK, Amin, S, Kumar, ML. Prevaccination serologic screening for measles in health care workers. J Infect Dis. 1991;163:876–878.Google Scholar
12. Braunstein, H, Thomas, S, Ito, R Immunity to measles in a large population of varying age: significance with respect to vaccination. Am J Dis Child. 1990;144:296–298.Google Scholar
13. Connor, CD, Shulkin, DJ. Measles: an increasing occupational risk for physicians-in-training, JAMA. 1991:266:220.Google Scholar
14. Houck, P, Scott-Johnson, G, Krebs, L. Measles immunity among community hospital employees. Infect Control Hosp Epidemiol. 1991;12:663–668.Google Scholar
15. Hawaii Revised Statutes. Honolulu, Hawaii: 1974; section 325 332.Google Scholar
16. Hawaii Revised Statutes. Honolulu, Hawaii: 1974; section 298 242.Google Scholar
17. Hilton, E, Singer, C, Kozarsky, P, Smith, MA, Lardis, MP, Boren-stein, MT Status of immunity to tetanus, measles, mumps, rubella, and polio among US travelers. Ann Intern Med. 1991;115:32–33.Google Scholar
18. Scott, RMcN, Butler, AB, Schydlower, M, Rawlings, I? Ineffectiveness of historical data in predicting measles susceptibility. Adiatrics. 1984;73:777–780.Google Scholar