Evidence map›Paper›PMID 32381479›Full record

ArticleVaccine2020

Measles and rubella IgG seroprevalence in persons 6 month-35 years of age, Mongolia, 2016.

Francisco Nogareda, Nyamaa Gunregjav, Amarzaya Sarankhuu, Enkhtuya Munkhbat, Enkhbaatar Ichinnorov, Pagbajabyn Nymadawa, Kathleen Wannemuehler, Mick N Mulders, Jose Hagan, Minal K Patel

Open access · greenAbstract read
In one paragraph

Article in Vaccine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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

10 authors at 6 institutions in 6 countries.

Francisco NogaredaWorld Health Organization Consultant, C/Juan de Austria, 13, 28010 Madrid, Spain.
Nyamaa GunregjavNational Center for Communicable Diseases, Ministry of Health, Nam Yan Ju Street 1, Ulaanbaatar, Mongolia.
Amarzaya SarankhuuMinistry of Health, Olympic Street 2, Government Building VIII, Ulaanbaatar, Mongolia.
Enkhtuya MunkhbatNational Center for Communicable Diseases, Ministry of Health, Nam Yan Ju Street 1, Ulaanbaatar, Mongolia.
Enkhbaatar IchinnorovNational Statistics Office, Baga Toiruu 44, Government Building III, Ulaanbaatar, Mongolia.
Pagbajabyn NymadawaMinistry of Health, Olympic Street 2, Government Building VIII, Ulaanbaatar, Mongolia; Mongolian Academy of Medical Sciences, Prime Minister Amar Street, Ulaanbaatar, Mongolia. Electronic address: nymadawa@gyals.mn.
Kathleen WannemuehlerGlobal Immunization Division, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, United States. Electronic address: kpw9@cdc.gov.
Mick N MuldersExpanded Programme on Immunization, World Health Organization, 20 Avenue Appia, 1211 Geneva, Switzerland. Electronic address: muldersm@who.int.
Jose HaganGlobal Immunization Division, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, United States; Expanded Programme on Immunization, World Health Organization Regional Office of the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines. Electronic address: esp3@cdc.gov.
Minal K PatelExpanded Programme on Immunization, World Health Organization, 20 Avenue Appia, 1211 Geneva, Switzerland. Electronic address: patelm@who.int.
Ministry of Health · MNWorld Health Organization · CHCenters for Disease Control and Prevention · USMadrid Health Service · ESStatistics Korea · KRWorld Health Organization Regional Office for the Western Pacific · PH

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundIn 2015-2016, Mongolia experienced an unexpected large measles outbreak affecting mostly young children and adults. After two nationwide vaccination campaigns, measles transmission declined. To determine if there were any remaining immunity gaps to measles or rubella in the population, a nationally representative serosurvey for measles and rubella antibodies was conducted after the outbreak was over.

methodsA nationwide, cross-sectional, stratified, three-stage cluster serosurvey was conducted in November-December 2016. A priori, four regional strata (Ulaanbaatar, Western, Central, and Gobi-Eastern) and five age strata (6 months-23 months, 2-7 years, 8-17 years, 18-30 years, and 31-35 years) were created. Households were visited, members interviewed, and blood specimens were collected from age-appropriate members. Blood specimens were tested for measles immunoglobulin G (IgG) and rubella IgG (Enzygnost® Anti-measles Virus/IgG and Anti-rubella Virus/IgG, Siemens, Healthcare Diagnostics Products, GmbH Marburg, Germany). Factors associated with seropositivity were evaluated.

resultsAmong 4598 persons aged 6 months to 35 years participating in the serosurvey, 94% were measles IgG positive and 95% were rubella IgG positive. Measles IgG seropositivity was associated with increasing age and higher education. Rubella IgG seropositivity was associated with increasing age, higher education, smaller household size, receipt of MMR in routine immunization, residence outside the Western Region, non-Muslim religious affiliation, and non-Kazakh ethnicity. Muslim Kazakhs living in Western Region had the lowest rubella seroprevalence of all survey participants.

conclusionsNationally, high immunity to both measles and rubella has been achieved among persons 1-35 years of age, which should be sufficient to eliminate both measles and rubella if future birth cohorts have ≥ 95% two dose vaccination coverage. Catch-up vaccination is needed to close immunity gaps found among some subpopulations, particularly Muslim Kazakhs living in Western Region.

Indexed as

Immunoglobulin GMeaslesMumpsRubellaAdultAntibodies, ViralChildChild, PreschoolCross-Sectional StudiesHumansInfantMeasles-Mumps-Rubella VaccineMongoliaSeroepidemiologic StudiesVaccinationAntibodies, ViralImmunoglobulin GMeasles-Mumps-Rubella VaccineMeaslesMongoliaRubellaSeroprevalence

Identifiers

PMID32381479
PMCPMC8881742
OpenAlexW3021494565

What OpenQuestion holds

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LicenceTDM
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.