Evidence map›Paper›PMID 30972418›Full record

ArticleThe Journal of infectious diseases2019

Early Measles Vaccination During an Outbreak in the Netherlands: Short-Term and Long-Term Decreases in Antibody Responses Among Children Vaccinated Before 12 Months of Age.

Iris D Brinkman, Jelle de Wit, Gaby P Smits, Hinke I Ten Hulscher, Maria C Jongerius, Taymara C Abreu, Fiona R M van der Klis, Susan J M Hahné, Marion P G Koopmans, Nynke Y Rots and 2 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
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  5. Investigation of a measles outbreak in a highly vaccinated middle school, France, 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  6. Article
  7. Long-term Dynamics of Measles Virus-Specific Neutralizing Antibodies in Children Vaccinated Before 12 Months of Age.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Iris D BrinkmanCenter for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven.
Jelle de WitCenter for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven.
Gaby P SmitsCenter for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven.
Hinke I Ten HulscherCenter for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven.
Maria C JongeriusCenter for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven.
Taymara C AbreuCenter for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven.
Fiona R M van der KlisCenter for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven.
Susan J M HahnéCenter for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven.
Marion P G KoopmansDepartment of Viroscience, Erasmus Medical Center, Rotterdam.
Nynke Y RotsCenter for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven.
Debbie van BaarleCenter for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven.
Robert S van BinnendijkCenter for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven.
National Institute for Public Health and the Environment · NLErasmus University Rotterdam · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe majority of infants will not be protected by maternal antibodies until their first measles vaccination, between 12 and 15 months of age. This provides incentive to reduce the age at measles vaccination, but immunological consequences are insufficiently understood, and long-term effects are largely unknown.

methodsA total of 79 infants who received early measles vaccination between 6 and 12 months age and a second dose at 14 months of age were compared to 44 children in a control group who received 1 dose at 14 months of age. Measles virus-specific neutralizing antibody concentrations and avidity were determined up to 4 years of age.

resultsInfants who first received measles vaccination before 12 months of age had a long-term decrease in the concentration and avidity of measles virus-specific neutralizing antibodies, compared with infants in the control group. For 11.1% of children with a first dose before 9 months of age, antibody levels at 4 years of age had dropped below the cutoff for clinical protection.

conclusionsEarly measles vaccination provides immediate protection in the majority of infants but yields a long-term decrease in neutralizing antibody responses, compared to vaccination at a later age. Additional vaccination at 14 months of age does not improve this. Over the long term, this may result in an increasing number of children susceptible to measles.

Indexed as

Disease OutbreaksVaccinationAntibodies, NeutralizingAntibodies, ViralAntibody FormationFemaleHumansInfantMaleMeaslesMeasles VaccineMeasles virusNetherlandsTime FactorsAntibodies, NeutralizingAntibodies, ViralMeasles Vaccineantibody avidityAntibody responseprotectiontiming of vaccination

Identifiers

PMID30972418
PMCPMC6639599
OpenAlexW2936232765

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.