Evidence map›Paper›PMID 41022744›Full record

ArticleNature communications2025

Impact of vaccination timing and coverage on measles near elimination dynamics: a mathematical modelling analysis.

Anne M Suffel, Charlotte Warren-Gash, Helen I McDonald, Adam Kucharski, Alexis Robert

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

5 authors.

Anne M SuffelFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK. Anne.suffel@lshtm.ac.uk.ORCID http://orcid.org/0000-0002-9021-0487
Charlotte Warren-GashFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0003-4524-3180
Helen I McDonaldNIHR Health Protection Research Unit in Immunisation at London School of Hygiene and Tropical Medicine, London, UK.
Adam KucharskiFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Alexis RobertFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0002-4516-2965

Funding

DH | National Institute for Health Research (NIHR) NIHR200929
6 · The paper itself

Abstract

The Joint Committee for Vaccination and Immunisation recommended to implement an earlier second dose for the Measles-Mumps-Rubella (MMR) vaccine starting in 2026 in the United Kingdom. We investigated the impact of these changes on measles transmission in England. Using an age- and region-stratified mathematical model, we simulated outbreaks with different vaccination schedules and coverage, using electronic health records and outbreak data from 2010 to 2019. Delivering the second MMR dose at 24 months reduced cases by 11.86% (IQR: -3.3; 23.81%) compared to the current schedule (3 years and 4 months) and showed a 22.39% (IQR: 10.05; 32.79%) reduction of cases if achieving the same coverage as the first MMR dose. The effect of delivering an earlier second MMR was lower when waning of vaccine-induced immunity was included (5.28% (-10.92; 19.63%)). Increasing first-dose coverage by 0.5% annually yielded slightly better outcomes than an earlier second dose (14.68% reduction, IQR:1.19; 27.49.9%). While improving first-dose uptake had the greatest impact, it may be difficult to achieve. Thus, an earlier second MMR dose can be a feasible alternative to reduce the measles burden in England where measles transmission follows typical near-elimination dynamics.

Indexed as

Disease EradicationImmunization ScheduleMeaslesMeasles-Mumps-Rubella VaccineModels, TheoreticalVaccinationVaccination CoverageAdolescentAdultChildChild, PreschoolDisease OutbreaksEnglandHumansInfantUnited KingdomMeasles-Mumps-Rubella Vaccine

Identifiers

PMID41022744
PMCPMC12480554

What OpenQuestion holds

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LicenceCC BY
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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.