Evidence map›Paper›PMID 40895538›Full record

ArticleFrontiers in immunology2025

Impact of vaccination strategy adjustments on antibody levels against measles, rubella, mumps, and varicella in China: a single-center serological survey.

Zhixin Geng, Wen Wang, Yuanyuan Zhu, Yan Xu, Qiang Chen, Lei Zhang, Jing Yu, Xiang Sun, Zhiguo Wang

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Varicella vaccination in children with nephrotic syndrome.Pediatric nephrology (Berlin, Germany) · 2026
    Article
  3. Article
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

9 authors.

Zhixin Geng *Department of Laboratory Medicine, Jiangsu Province (Suqian) Hospital, Suqian, Jiangsu, China.
Wen Wang *Department of Rheumatology and Immunology, Jiangsu Province (Suqian) Hospital, Suqian, Jiangsu, China.
Yuanyuan Zhu *Department of Expanded Program on Immunization, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China.
Yan Xu *Department of Expanded Program on Immunization, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China.
Qiang ChenDepartment of Expanded Program on Immunization, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China.
Lei ZhangDepartment of Expanded Program on Immunization, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China.
Jing YuDepartment of Expanded Program on Immunization, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China.
Xiang SunDepartment of Expanded Program on Immunization, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China.
Zhiguo WangDepartment of Expanded Program on Immunization, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study evaluated trends in population immunity against measles, rubella, mumps, and varicella in Suqian City (2005-2024) using serological surveys (2019-2024) and incidence data, incorporating participants with known/unknown vaccination statuses to explore immunity dynamics amid evolving policies, and inform public health planning. Methods: Serum samples from 541 (2019) and 506 (2024) healthy participants were analyzed for virus-specific IgG antibodies using ELISA. Disease incidence data were obtained from China's National Notifiable Disease Reporting System. Statistical analyses compared seroprevalence, geometric mean concentrations (GMCs), and incidence trends before and after policy adjustments. Results: Optimized two-dose strategies significantly improved seropositivity rates for rubella (65.1% to 70.8%), mumps (77.6% to 85.8%), and varicella (76.9% to 79.5%), with corresponding GMC increases. Incidence declines were notable: varicella (183.3/100,000 to 59.3/100,000), rubella (2.8/100,000 to 0.04/100,000), and mumps (24.4/100,000 to <5.0/100,000). However, measles seropositivity declined from 85.9% to 79.3% (p<0.05). GMC analysis showed increases for rubella (31.5 to 42.2 IU/ml), mumps (277.8 to 350.6 IU/ml), and varicella (295.9 to 309.8 IU/ml), but a decrease for measles (577.9 to 499.2 mIU/ml, p<0.001). Preschool children (2-5 years) exhibited the highest immunity levels in 2024. Conclusion: Population immunity against rubella, mumps, and varicella improved (2019-2024) with reduced incidence, while measles immunity declined, revealing vulnerabilities. Targeted strategies (e.g., catch-up campaigns for adolescents/adults, optimized infant vaccination) are needed to strengthen protection, considering interactions of policies, public health measures, and demographics.

Indexed as

Antibodies, ViralChickenpoxChickenpox VaccineMeaslesMumpsRubellaVaccinationAdolescentAdultChildChild, PreschoolChinaFemaleHumansImmunoglobulin GIncidenceAntibodies, ViralChickenpox VaccineImmunoglobulin GMeasles-Mumps-Rubella Vaccinemeaslesmumpsrubellaseroprevalencevaccination strategyvaricella

Identifiers

PMID40895538
PMCPMC12391047

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Registered trials

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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.