Report of the Korean Society of Infectious Diseases Roundtable Discussion on Responses to the Measles Outbreaks in Korea in 2019

Hyeri Seok, Dae Won Park, Kwang Nam Kim, Min Ja Kim, Sung Han Kim, Jeong Yeon Kim, Su Eun Park, Se Yoon Park, Byung Wook Eun, Mi Suk Lee, Hyun Ha Chang, Hyungul Jung, Hye Won Jeong, Soo Nam Jo, Bum Sik Chin, Young Hwa Choi, Eun Hwa Choi, Hee Jung Choi, Youngmee Jee, Yang Soo Kim

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

Abstract

During the 2019 domestic measles outbreak in Korea, measles occurred in healthcare workers with two doses of the measles, mumps and rubella vaccine, and the strict application of the Occupational Safety and Health Act required medical institutions to identify healthcare workers' immunity to measles and vaccinate the susceptible pockets. In response to the frontline medical institutions' request to review the measles recommendations and guidelines, the Korean Society of Infectious Diseases held a roundtable discussion on the causes of measles outbreak, timing of vaccinations, antibody tests, and booster vaccinations for healthcare workers, and financial support from the government and municipality as well as response strategies against the outbreak in healthcare settings. In Korea, the seroprevalence of measles is decreasing in the vaccine-induced immunity group during the maintenance of measles elimination over several years. The susceptible group against measles is in their 20s and 30s, and this may be because of waning immunity rather than nonresponse considering Korea's vaccine policy. The risk of measles nosocomial infection from community increases as these susceptible pockets actively engage in medical institutions. Thus, data on the immunity of low seroprevalence group in Korea are needed, further discussion is needed on the booster vaccination based on the data. Especially, antibody testing and vaccination in healthcare workers may be necessary to prevent the spread of measles in medical insutitutions, and further discussion is needed regarding specific testing methods, and the timing and frequency of test and vaccination.

Original languageEnglish
Pages (from-to)405-420
Number of pages16
JournalInfection and Chemotherapy
Volume53
Issue number3
DOIs
StatePublished - Sep 2021

Keywords

  • Disease outbreaks
  • Measles
  • Measles-mumps-rubella vaccine
  • Prevention and control
  • Vaccines

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