Herd Immunity to the Measles, Mumps and Rubella Viruses Among the Belgradian Population in May, 2024

<b>Background/Objectives:</b> In the Republic of Serbia, measles vaccination was first introduced in 1971, while combined vaccination (measles, mumps, rubella) was made mandatory in 1996 as part of the national vaccination program. Reported prevalence values for 2023 were <0.75 cases...

Full description

Saved in:
Bibliographic Details
Main Authors: Anna Y. Popova, Vyacheslav S. Smirnov, Svetlana A. Egorova, Luka Dragačević, Angelica M. Milichkina, Jelena Protić, Ekaterina M. Danilova, Irina V. Drozd, Marija Petrušić, Ojuna B. Zhimbaeva, Elizaveta S. Glazkova, Nataša Gutić, Valeri A. Ivanov, Edward S. Ramsay, Oleg V. Kotsar, Vyacheslav Y. Smolensky, Areg A. Totolian
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/13/6/652
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849425753744080896
author Anna Y. Popova
Vyacheslav S. Smirnov
Svetlana A. Egorova
Luka Dragačević
Angelica M. Milichkina
Jelena Protić
Ekaterina M. Danilova
Irina V. Drozd
Marija Petrušić
Ojuna B. Zhimbaeva
Elizaveta S. Glazkova
Nataša Gutić
Valeri A. Ivanov
Edward S. Ramsay
Oleg V. Kotsar
Vyacheslav Y. Smolensky
Areg A. Totolian
author_facet Anna Y. Popova
Vyacheslav S. Smirnov
Svetlana A. Egorova
Luka Dragačević
Angelica M. Milichkina
Jelena Protić
Ekaterina M. Danilova
Irina V. Drozd
Marija Petrušić
Ojuna B. Zhimbaeva
Elizaveta S. Glazkova
Nataša Gutić
Valeri A. Ivanov
Edward S. Ramsay
Oleg V. Kotsar
Vyacheslav Y. Smolensky
Areg A. Totolian
author_sort Anna Y. Popova
collection DOAJ
description <b>Background/Objectives:</b> In the Republic of Serbia, measles vaccination was first introduced in 1971, while combined vaccination (measles, mumps, rubella) was made mandatory in 1996 as part of the national vaccination program. Reported prevalence values for 2023 were <0.75 cases per 100K population for measles, 0.09 cases per 100K for mumps, and no cases of rubella. <b>Methods</b>: This cross-sectional study was performed in May, 2024 as part of the project “Herd Immunity to Vaccine-Preventable and Other Relevant Infections in the Belgradian Population.” It focused on assessing herd immunity to measles, mumps and rubella (MMR) among residents insofar as these remain a public concern despite the availability of vaccines. A total of 2533 subjects were distributed across nine age groups, covering those aged 1–70<sup>+</sup> years and various professional groups residing in Belgrade. Participants were stratified by age and activity. Upon obtaining individual information by online questionnaire and receiving a signed statement of informed consent, blood samples were obtained for IgG antibody testing (ELISA) to determine MMR serological status. The results were compared to national and international immunization standards to evaluate herd immunity levels. <b>Results</b>: Our results indicate varying levels of immunity for each virus, with specific demographic groups showing different immunity levels. Total measles seroprevalence during this study was 74.7%, with significant variation across all age groups. While high seropositivity was observed in both children (90.7%) and elder age groups (98.4%), middle-aged individuals in the age group 30–49 years showed significantly lower IgG levels. Between 2021 and 2023, there were no registered cases of rubella detected in Serbia, which indicates a high level of immunity. This was confirmed here with consistently high IgG levels across all age groups, with an average seropositivity of 94.8%. Average mumps seropositivity across all age groups was 85.1%. The lowest value was in the young child (1–5 years) age group (76.1%); the highest was in the elderly group (92.6%). <b>Conclusions</b>: The current findings suggest that the Belgradian population has strong overall immunity to MMR, yet with some concerns regarding measles immunity in middle-aged adults, suggesting a potential need for catch-up vaccinations. While rubella status indicates strong herd immunity and minimal risk of outbreaks, mumps immunity in some groups (children, middle-aged adults) is below the protective threshold. While it is still sufficient to prevent widespread transmission, it should be closely observed. To our knowledge, this study is the first of its kind to provide data about MMR seroprevalence in Belgrade. Findings indicate the need for constant surveillance and revaccination of vulnerable/seronegative groups.
format Article
id doaj-art-a934e246bde340c685b9bc9da771635c
institution Kabale University
issn 2076-393X
language English
publishDate 2025-06-01
publisher MDPI AG
record_format Article
series Vaccines
spelling doaj-art-a934e246bde340c685b9bc9da771635c2025-08-20T03:29:39ZengMDPI AGVaccines2076-393X2025-06-0113665210.3390/vaccines13060652Herd Immunity to the Measles, Mumps and Rubella Viruses Among the Belgradian Population in May, 2024Anna Y. Popova0Vyacheslav S. Smirnov1Svetlana A. Egorova2Luka Dragačević3Angelica M. Milichkina4Jelena Protić5Ekaterina M. Danilova6Irina V. Drozd7Marija Petrušić8Ojuna B. Zhimbaeva9Elizaveta S. Glazkova10Nataša Gutić11Valeri A. Ivanov12Edward S. Ramsay13Oleg V. Kotsar14Vyacheslav Y. Smolensky15Areg A. Totolian16Federal Service for the Oversight of Consumer Protection and Welfare,127994 Moscow, RussiaSaint Petersburg Pasteur Institute, 197101 St. Petersburg, RussiaSaint Petersburg Pasteur Institute, 197101 St. Petersburg, RussiaInstitute of Virology, Vaccines, and Sera “Torlak”, 11152 Belgrade, SerbiaSaint Petersburg Pasteur Institute, 197101 St. Petersburg, RussiaInstitute of Virology, Vaccines, and Sera “Torlak”, 11152 Belgrade, SerbiaSaint Petersburg Pasteur Institute, 197101 St. Petersburg, RussiaSaint Petersburg Pasteur Institute, 197101 St. Petersburg, RussiaInstitute of Virology, Vaccines, and Sera “Torlak”, 11152 Belgrade, SerbiaSaint Petersburg Pasteur Institute, 197101 St. Petersburg, RussiaSaint Petersburg Pasteur Institute, 197101 St. Petersburg, RussiaInstitute of Virology, Vaccines, and Sera “Torlak”, 11152 Belgrade, SerbiaSaint Petersburg Pasteur Institute, 197101 St. Petersburg, RussiaSaint Petersburg Pasteur Institute, 197101 St. Petersburg, RussiaSaint Petersburg Pasteur Institute, 197101 St. Petersburg, RussiaFederal Service for the Oversight of Consumer Protection and Welfare,127994 Moscow, RussiaSaint Petersburg Pasteur Institute, 197101 St. Petersburg, Russia<b>Background/Objectives:</b> In the Republic of Serbia, measles vaccination was first introduced in 1971, while combined vaccination (measles, mumps, rubella) was made mandatory in 1996 as part of the national vaccination program. Reported prevalence values for 2023 were <0.75 cases per 100K population for measles, 0.09 cases per 100K for mumps, and no cases of rubella. <b>Methods</b>: This cross-sectional study was performed in May, 2024 as part of the project “Herd Immunity to Vaccine-Preventable and Other Relevant Infections in the Belgradian Population.” It focused on assessing herd immunity to measles, mumps and rubella (MMR) among residents insofar as these remain a public concern despite the availability of vaccines. A total of 2533 subjects were distributed across nine age groups, covering those aged 1–70<sup>+</sup> years and various professional groups residing in Belgrade. Participants were stratified by age and activity. Upon obtaining individual information by online questionnaire and receiving a signed statement of informed consent, blood samples were obtained for IgG antibody testing (ELISA) to determine MMR serological status. The results were compared to national and international immunization standards to evaluate herd immunity levels. <b>Results</b>: Our results indicate varying levels of immunity for each virus, with specific demographic groups showing different immunity levels. Total measles seroprevalence during this study was 74.7%, with significant variation across all age groups. While high seropositivity was observed in both children (90.7%) and elder age groups (98.4%), middle-aged individuals in the age group 30–49 years showed significantly lower IgG levels. Between 2021 and 2023, there were no registered cases of rubella detected in Serbia, which indicates a high level of immunity. This was confirmed here with consistently high IgG levels across all age groups, with an average seropositivity of 94.8%. Average mumps seropositivity across all age groups was 85.1%. The lowest value was in the young child (1–5 years) age group (76.1%); the highest was in the elderly group (92.6%). <b>Conclusions</b>: The current findings suggest that the Belgradian population has strong overall immunity to MMR, yet with some concerns regarding measles immunity in middle-aged adults, suggesting a potential need for catch-up vaccinations. While rubella status indicates strong herd immunity and minimal risk of outbreaks, mumps immunity in some groups (children, middle-aged adults) is below the protective threshold. While it is still sufficient to prevent widespread transmission, it should be closely observed. To our knowledge, this study is the first of its kind to provide data about MMR seroprevalence in Belgrade. Findings indicate the need for constant surveillance and revaccination of vulnerable/seronegative groups.https://www.mdpi.com/2076-393X/13/6/652measlesmumpsrubellaBelgradeseropositivityvaccination
spellingShingle Anna Y. Popova
Vyacheslav S. Smirnov
Svetlana A. Egorova
Luka Dragačević
Angelica M. Milichkina
Jelena Protić
Ekaterina M. Danilova
Irina V. Drozd
Marija Petrušić
Ojuna B. Zhimbaeva
Elizaveta S. Glazkova
Nataša Gutić
Valeri A. Ivanov
Edward S. Ramsay
Oleg V. Kotsar
Vyacheslav Y. Smolensky
Areg A. Totolian
Herd Immunity to the Measles, Mumps and Rubella Viruses Among the Belgradian Population in May, 2024
Vaccines
measles
mumps
rubella
Belgrade
seropositivity
vaccination
title Herd Immunity to the Measles, Mumps and Rubella Viruses Among the Belgradian Population in May, 2024
title_full Herd Immunity to the Measles, Mumps and Rubella Viruses Among the Belgradian Population in May, 2024
title_fullStr Herd Immunity to the Measles, Mumps and Rubella Viruses Among the Belgradian Population in May, 2024
title_full_unstemmed Herd Immunity to the Measles, Mumps and Rubella Viruses Among the Belgradian Population in May, 2024
title_short Herd Immunity to the Measles, Mumps and Rubella Viruses Among the Belgradian Population in May, 2024
title_sort herd immunity to the measles mumps and rubella viruses among the belgradian population in may 2024
topic measles
mumps
rubella
Belgrade
seropositivity
vaccination
url https://www.mdpi.com/2076-393X/13/6/652
work_keys_str_mv AT annaypopova herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT vyacheslavssmirnov herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT svetlanaaegorova herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT lukadragacevic herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT angelicammilichkina herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT jelenaprotic herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT ekaterinamdanilova herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT irinavdrozd herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT marijapetrusic herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT ojunabzhimbaeva herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT elizavetasglazkova herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT natasagutic herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT valeriaivanov herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT edwardsramsay herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT olegvkotsar herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT vyacheslavysmolensky herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024
AT aregatotolian herdimmunitytothemeaslesmumpsandrubellavirusesamongthebelgradianpopulationinmay2024