Seventy-two children were included in this study which examined measles maternal antibodies in children at the ages of six and nine months. The seroconversion after the first measles vaccination at nine months and revaccination at fifteen months was also evaluated. Results of testing were negative in 33% of the children at six months and in 36% at nine months, indicating continued susceptibility to measles. No significant difference was found in the measles IgG level between six and nine months of age. After the initial vaccination at nine months of age, the seroconversion rate was 85%. After revaccination at fifteen months of age, the children showed a significant increase in their measles IgG levels. The persistence of maternal antibodies is the important cause of the primary vaccine failure observed in infants younger than twelve months [1][2][3]. The optimal age of vaccination remains controversial, and varies in different areas. Seroconversion studies in different populations can be done to determine the earliest age for effective vaccination [4]. Alternatively, a seroprevalence study can be carried out in young infants to determine when maternal antibodies are waning.This study aims to evaluate measles maternal antibodies in children at six and nine months of age and their relationship to the mothers' measles antibody level in order to determine the earliest possible age of vaccination, the seroconversion rate after measles vaccination at the age of nine months, and the effect of revaccination at fifteen months of age.
Material and MethodsSeventy-two healthy children, who were referred from primary health care centers and who had normal growth parameters and no history of chronic illness at the age of six months, were included in the study. They were followed through four visits, and at each, a special form was filled out. The first visit was made at six months, and blood samples for measles antibodies were taken from the mother and child. At the second visit, when the infant was nine months old, additional blood samples were taken and the child vaccinated (Schwartz vaccine; Rouvax Biomerieux). The third visit was scheduled when the child was fifteen months old. At that time a third blood sample was taken and an MMR vaccine given (Merck, Sharp, and Dohme). The fourth visit was scheduled two weeks following the MMR vaccination.Twenty-one children had four samples taken. The vaccines were tested for potency using TCID50 (tissue culture infective dose 50%). The end titer in Vero cells was determined using growth and maintenance media (Earl's