Prevalence of antibodies against measles among pediatricians in a teachinghospital

Objective A measles outbreak occurred in S. Paulo stare, during 1996 and 19 97, resulting in 20,921 cases. Forty seven percent of the cases occurred in people between 20 and 29 pears of age, and one of the control strategies o f the Department of Health was the vaccination of health care workers. The prevalence of antibodies against measles among the hospital pediatricians w as investigated. Methods One hundred and fifty samples were taken from voluntee pediatrician s to test for measles antibodies using ELISA. A questionnaire about their h aving had measles and the vaccine was filled out. Results Of the 150 doctors, 122 (81.4%) were female and 28 (18.6%) male, of between 23 and 46 years of age (mean and median 27 years). The majority (9 8%-147/ 150) had protective levels of antibodies against measles (>100 UI/m l); 118 (80.3%-118/147) without and 29 (19.7%-29/147) with a history of mea sles. Only 3 pediatricians (2%-3/150), had negative serology, 2 without and 1 with a history of measles. Out of the 118 without history of measles, 79 (67%-39/118) in spite of the protective level of antibodies against measle s, did not know if they, had been vaccinated. Out of the 79 vaccinated pedi atricians, 64 (81%-64/79), had been vaccinated 25 years before, and still m aintained protective levels of antibodies. Of the 3 doctors with negative s orologies only one declared that he had been vaccinated. Conclusions Measles seroprevalence among pediatricians of this hospital is high, especially due to preceeding vaccination. On the other hand, the 2% o f pediatricians with negative sorology, in an epidemic situation could cons titute a significant population for the acquisition and dissemination of th e disease.