Maintaining high rates of measles immunization in Africa

Justin T Lessler, William J Moss, S. A. Lowther, D. A T Cummings

Research output: Contribution to journalArticle


Supplementary immunization activities (SIAs) are important in achieving high levels of population immunity to measles virus. Using data from a 2006 survey of measles vaccination in Lusaka, Zambia, we developed a model to predict measles immunity following routine vaccination and SIAs, and absent natural infection. Projected population immunity was compared between the current programme and alternatives, including supplementing routine vaccination with a second dose, or SIAs at 1-, 2-, 3-, 4- and 5-year intervals. Current routine vaccination plus frequent SIAs could maintain high levels of population immunity in children aged

Original languageEnglish (US)
Pages (from-to)1039-1049
Number of pages11
JournalEpidemiology and Infection
Issue number7
Publication statusPublished - Jul 2011



  • Measles (rubeola)
  • vaccination (immunization)

ASJC Scopus subject areas

  • Infectious Diseases
  • Epidemiology

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