Estimating contact-adjusted immunity levels against measles in South Korea and prospects for maintaining elimination status.

June Young Chun; Wan Beom Park; Nam Joong Kim; Eun Hwa Choi; Sebastian Funk ORCID logo; Myoung-Don Oh; (2019) Estimating contact-adjusted immunity levels against measles in South Korea and prospects for maintaining elimination status. Vaccine, 38 (2). pp. 107-111. ISSN 0264-410X DOI: 10.1016/j.vaccine.2019.10.040
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Measles has been reemerging in South Korea since December 2018 resulting in 185 cases by September 2019. We calculated contact-adjusted immunity levels against measles in South Korea using national seroprevalence data in 2014, vaccination uptake rates, and an age-specific contact matrix. We further explored options to achieve a contact-adjusted immunity level of 93% for herd immunity. The assessed contact-adjusted immunity level has increased from 86% in 2014 to 92% in 2018. Herd immunity could be achieved with immunizing 50% of susceptibles among birth cohorts 1999-2003 in 2018. Contact-adjusted immunity levels against measles have increased recently in South Korea, although they might not yet be high enough to guarantee herd immunity.


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