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The effect of heterogeneity in measles vaccination on population immunity

Published online by Cambridge University Press:  09 July 2004

K. GLASS
Affiliation:
National Centre for Epidemiology and Population Health, Australian National University, Canberra 0200, Australia
J. KAPPEY
Affiliation:
Department of Zoology, University of Cambridge, Downing St, Cambridge CB2 3EJ, UK
B. T. GRENFELL
Affiliation:
Department of Zoology, University of Cambridge, Downing St, Cambridge CB2 3EJ, UK
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Abstract

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High overall vaccination levels sometimes hide pockets of poor coverage. We adopted a meta-population framework to model local aggregation of populations, and used this to investigate the effects of vaccination heterogeneity. A recent survey of antibody levels in a community with low vaccination levels in The Netherlands enabled us to assess the relative importance of local and long-range infective contacts, and thus identify feasible levels of aggregation in the meta-population model. In the aggregated model, we found that heterogeneity in vaccination coverage can lead to a much increased rate of infection among unvaccinated individuals, with a simultaneous drop in the average age at infection.

Type
Research Article
Copyright
2004 Cambridge University Press