S. Livolti et al., DURATION OF THE IMMUNE-RESPONSE TO MMR VACCINE IN CHILDREN OF 2 AGE-DIFFERENT GROUPS, European journal of epidemiology, 9(3), 1993, pp. 311-314
A combined vaccine against measles, mumps and rubella (MMR) was admini
stered to both a group of children aged 10-12 months simultaneously wi
th booster doses of compulsory diphtheria-tetanus toxoids and oral pol
iovirus vaccine and a group of children aged 15-24 months who had prev
iously received booster doses of the compulsory vaccines. Apart from o
ne subject belonging to the second group who was non responder and one
from the same group who did not seroconvert against the mumps virus a
lone, 5 to 6 weeks after MMR vaccine administration we found protectiv
e levels of antibodies against measles, mumps and rubella viruses in a
ll children. The follow up of both groups at 3 years did not reveal di
fference between the two groups. Protective levels of serum antibodies
against measles and mumps were found in the two groups, altough a sig
nificant decline of rubella antibodies was shown (p < 0.05). Since the
immunogenicity of the vaccines in the two groups did not differ, we r
ecommend that the scientific community reconsider the vaccination sche
dule until now recommended. In our opinion the MMR vaccine should be a
dministered simultaneously with booster doses of diphtheria-tetanus to
xoids and oral poliovirus vaccine at 10-12 months of age because this
policy improves parents' compliance, markedly reduces community costs
and simplifies routine immunization schedule.