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The risk of measles, mumps, and varicella among young adults: A serosurvey of US navy and marine corps recruits

Author

Listed:
  • Struewing, J.P.
  • Hyams, K.C.
  • Tueller, J.E.
  • Gray, G.C.

Abstract

Objectives. To assess the risk of epidemic transmission and to guide immunization policy, the seroprevalence of antibody to measles, mumps, and varicella was determined in a group of young adults. Methods. A cross- sectional study of 1533 US Navy and Marine Corps recruits was conducted in June 1989. Antibody status was determined with commercially available enzyme- linked immunosorbent assays. Results. Direct sex and race adjustment to the 15- to 29-year-old US population resulted in seronegativity rates of 17.8% for measles, 12.3% for mumps, and 6.7% for varicella. Measles and mumps seronegativity rates were higher among Whites whereas varicella seronegativity was higher among non-Whites. Recruits enlisting from outside the 50 US states, especially those from island territories, were more likely to lack varicella antibody. The sensitivity of a positive history of vaccination or disease in predicting antibody status was less than 90% for all diseases. Conclusions. These results suggest a continued potential for epidemics, especially of measles, and the need for mandatory immunization policies. Immigrants to the United States, especially those from island territories, may be a high-risk group that could benefit from varicella vaccination.

Suggested Citation

  • Struewing, J.P. & Hyams, K.C. & Tueller, J.E. & Gray, G.C., 1993. "The risk of measles, mumps, and varicella among young adults: A serosurvey of US navy and marine corps recruits," American Journal of Public Health, American Public Health Association, vol. 83(12), pages 1717-1720.
  • Handle: RePEc:aph:ajpbhl:1993:83:12:1717-1720_8
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