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1.
Bouthry E, Picone O, Hamdi G, Grangeot-Keros L, Ayoubi JM, Vauloup-Fellous C, 2014. Rubella and pregnancy: diagnosis, management and outcomes. Prenat Diagn 34: 1246–1253.
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2.
World Health Organization, 2016. Global Vaccine Action Plan (GVAP) Secretariat report 2015. Available at: http://www.who.int/immunization/global_vaccine_action_plan/previous_secretariat_reports_immunization_scorecards/en/. Accessed July 25, 2016.
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3.
Lin CC, Yang CY, Shih YL, Hsu HW, Yang TH, Cheng YW, Chang CF, Hsieh LC, Chen BH, Lee CH, Huang YL, 2011. Rubella seroepidemiology and estimations of the catch-up immunization rate and persistence of antibody titers in pregnant women in Taiwan. BJOG 118: 706–712.
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4.
Department of Household Registration, Ministry of the Interior, Taiwan, 2016. Available at: http://www.ris.gov.tw/346. Accessed July 10, 2016.
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5.
Pham VH, Nguyen TV, Nguyen TT, Dang LD, Hoang NH, Nguyen TV, Abe K, 2013. Rubella epidemic in Vietnam: characteristic of rubella virus genes from pregnant women and their fetuses/newborns with congenital rubella syndrome. J Clin Virol 57: 152–156.
-
6.
Chen M, Zhu Z, Liu D, Huang G, Huang F, Wu J, Zhang T, Xu W, Pang X, 2013. Rubella epidemic caused by genotype 1E rubella viruses in Beijing, China, in 2007–2011. Virol J 10: 122.
-
7.
Portella G, Galli C; Multicenter Italian Group for Hospital ToRC evaluation, 2010. Multicentric evaluation of two chemiluminescent immunoassays for IgG and IgM antibodies towards rubella virus. J Clin Virol 49: 105–110.
-
8.
De Paschale M, Manco MT, Paganini A, 2012. Rubella antibody screening during pregnancy in an urban area of northern Italy. Infect Dis Rep 4: 17.
-
9.
Ramos JM, Milla A, Rodriguez JC, Gutierrez F, 2012. Rubella immune status among immigrant and nonimmigrant women in Spain. J Med Virol 84: 548–550.
-
10.
McElroy R, Laskin M, Jiang D, Shah R, Ray JG, 2009. Rates of rubella immunity among immigrant and non-immigrant pregnant women. J Obstet Gynaecol Can 31: 409–413.
-
11.
Tookey PA, Cortina-Borja M, Peckham CS, 2002. Rubella susceptibility among pregnant women in north London, 1996–1999. J Public Health Med 24: 211–216.
-
12.
Sathanandan D, Gupta L, Liu B, Rutherford A, Lane J, 2005. Factors associated with low immunity to rubella infection on antenatal screening. Aust N Z J Obstet Gynaecol 45: 435–438.
-
13.
Cheng WY, Wang HC, Liu MT, Wu HS, 2013. Molecular surveillance of rubella viruses in Taiwan from 2005 to 2011. J Med Virol 85: 745–753.
-
14.
World Health Organization, 2016. Rubella reported cases. Available at: http://apps.who.int/immunization_monitoring/globalsummary/timeseries/tsincidencerubella.html. Accessed September 25, 2016.
-
15.
Pfaff G, 2013. Strategies for measles and rubella elimination in the World Health Organization European Region. Eur J Public Health 23 (Suppl 1): 52.
-
16.
Alzeidan RA, Wahabi HA, Fayed AA, Esmaeil SA, Amer YS, 2013. Postpartum rubella vaccination for sero-negative women. Cochrane Database Syst Rev CD010752.
-
17.
Lai FY, Dover DC, Lee B, Fonseca K, Solomon N, Plitt SS, Jaipaul J, Tipples GA, Charlton CL, 2015. Determining rubella immunity in pregnant Alberta women 2009–2012. Vaccine 33: 635–641.
-
18.
Vilajeliu A, García-Basteiro AL, Valencia S, Barreales S, Oliveras L, Calvente V, Goncé A, Bayas JM, 2015. Rubella susceptibility in pregnant women and results of a postpartum immunization strategy in Catalonia, Spain. Vaccine 33: 1767–1772.
-
19.
Matthews L, Gray D, Gray S, Lawrance L, 2013. Post-partum MMR immunization rates in rubella-susceptible antenatal women. Br J Midwifery 21: 16–22.
-
20.
Lin CC, Yang CY, Shih CT, Chen BH, Huang YL, 2010. Rubella seroepidemiology and catch-up immunization among pregnant women in Taiwan: comparison between women born in Taiwan and immigrants from six countries in Asia. Am J Trop Med Hyg 82: 40–44.
| Past two years | Past Year | Past 30 Days | |
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| Abstract Views | 7 | 7 | 3 |
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Rubella Immunity in Pregnant Native Taiwanese and Immigrants from Asian Countries
Yeong-Hwa Zen
Yeong-Hwa Zen
Department of Obstetrics and Gynecology, Fooyin University Hospital, Pingtung, Taiwan.
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Ching-Tang Shih
Ching-Tang Shih
Department of Family Medicine, Fooyin University Hospital, Pingtung, Taiwan.
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Wan-Ju Kung
Wan-Ju Kung
Department of Laboratory Medicine, Fooyin University Hospital, Pingtung, Taiwan.
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Chien-Hung Lee
Chien-Hung Lee
Department of Public Health, Kaohsiung Medical University, Kaohsiung, Taiwan.
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Ching-Chiang Lin
Ching-Chiang Lin
Department of Laboratory Medicine, Fooyin University Hospital, Pingtung, Taiwan.
Department of Medical Laboratory Science and Biotechnology, Fooyin University, Kaohsiung, Taiwan.
Department of Education and Research, Fooyin University Hospital, Pingtung, Taiwan.
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Department of Medical Laboratory Science and Biotechnology, Fooyin University, Kaohsiung, Taiwan.
Department of Education and Research, Fooyin University Hospital, Pingtung, Taiwan.
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Vaccination is considered the most effective method to prevent rubella spread and congenital rubella syndrome (CRS). The aim of the present study was to investigate the rubella immunity among native and immigrant pregnant women in Taiwan. From 2000 to 2014, a total of 16,879 pregnant women who received routine prenatal examinations were recruited in this study. The rubella IgG antibodies were assayed using a microparticle enzyme immunoassay or chemiluminescent microparticle immunoassay. Subjects were categorized by nationality and subcategorized by specific periods of time for comparison. The rubella susceptibility was 12.7% in total, 11.1% in Taiwanese and 20.3% in immigrant population from 2000 to 2014. Among the immigrant women, those from Vietnam had the highest susceptibility (22.3%) and those from Thailand had the lowest susceptibility (3.8%). The immigrant women from Vietnam and China showed a significantly higher susceptibility compared with the native Taiwanese women in which the odds ratio was 2.30 (95% confidence interval [CI]: 2.04–2.60), 1.96 (95% CI: 1.59–2.41), respectively (P < 0.001). It meant that immigrants from Vietnam and China had a higher likelihood of rubella susceptibility and related CRS sequela than native women. From 2000–2004 to 2010–2014 cohort, there was no obvious change in rubella susceptibility in native women, which varied between 10.0% and 11.9%. However, there was a decreasing trend of rubella susceptibility in the immigrant women overall, from 24.5% to 11.5% (P < 0.001). To eliminate congenital rubella in Taiwan, additional catch-up immunization strategies are needed.
Author Notes
Authors' addresses: Yeong-Hwa Zen, Department of Obstetrics and Gynecology, Fooyin University Hospital, Pingtung, Taiwan, E-mail: froghwatin@gmail.com. Ching-Tang Shih, Department of Family Medicine, Fooyin University Hospital, Pingtung, Taiwan, E-mail: aaronshih@hotmail.com. Wan-Ju Kung, Department of Laboratory Medicine, Fooyin University Hospital, Pingtung, Taiwan, E-mail: alun62@yahoo.com.tw. Chien-Hung Lee, Department of Public Health, Kaohsiung Medical University, Kaohsiung, Taiwan, E-mail: cnhung@kmu.edu.tw. Ching-Chiang Lin, Department of Medical Laboratory Science and Biotechnology, Fooyin University, Kaohsiung, Taiwan, E-mail: x6053@ms25.hinet.net.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Bouthry E, Picone O, Hamdi G, Grangeot-Keros L, Ayoubi JM, Vauloup-Fellous C, 2014. Rubella and pregnancy: diagnosis, management and outcomes. Prenat Diagn 34: 1246–1253.
-
2.
World Health Organization, 2016. Global Vaccine Action Plan (GVAP) Secretariat report 2015. Available at: http://www.who.int/immunization/global_vaccine_action_plan/previous_secretariat_reports_immunization_scorecards/en/. Accessed July 25, 2016.
-
3.
Lin CC, Yang CY, Shih YL, Hsu HW, Yang TH, Cheng YW, Chang CF, Hsieh LC, Chen BH, Lee CH, Huang YL, 2011. Rubella seroepidemiology and estimations of the catch-up immunization rate and persistence of antibody titers in pregnant women in Taiwan. BJOG 118: 706–712.
-
4.
Department of Household Registration, Ministry of the Interior, Taiwan, 2016. Available at: http://www.ris.gov.tw/346. Accessed July 10, 2016.
-
5.
Pham VH, Nguyen TV, Nguyen TT, Dang LD, Hoang NH, Nguyen TV, Abe K, 2013. Rubella epidemic in Vietnam: characteristic of rubella virus genes from pregnant women and their fetuses/newborns with congenital rubella syndrome. J Clin Virol 57: 152–156.
-
6.
Chen M, Zhu Z, Liu D, Huang G, Huang F, Wu J, Zhang T, Xu W, Pang X, 2013. Rubella epidemic caused by genotype 1E rubella viruses in Beijing, China, in 2007–2011. Virol J 10: 122.
-
7.
Portella G, Galli C; Multicenter Italian Group for Hospital ToRC evaluation, 2010. Multicentric evaluation of two chemiluminescent immunoassays for IgG and IgM antibodies towards rubella virus. J Clin Virol 49: 105–110.
-
8.
De Paschale M, Manco MT, Paganini A, 2012. Rubella antibody screening during pregnancy in an urban area of northern Italy. Infect Dis Rep 4: 17.
-
9.
Ramos JM, Milla A, Rodriguez JC, Gutierrez F, 2012. Rubella immune status among immigrant and nonimmigrant women in Spain. J Med Virol 84: 548–550.
-
10.
McElroy R, Laskin M, Jiang D, Shah R, Ray JG, 2009. Rates of rubella immunity among immigrant and non-immigrant pregnant women. J Obstet Gynaecol Can 31: 409–413.
-
11.
Tookey PA, Cortina-Borja M, Peckham CS, 2002. Rubella susceptibility among pregnant women in north London, 1996–1999. J Public Health Med 24: 211–216.
-
12.
Sathanandan D, Gupta L, Liu B, Rutherford A, Lane J, 2005. Factors associated with low immunity to rubella infection on antenatal screening. Aust N Z J Obstet Gynaecol 45: 435–438.
-
13.
Cheng WY, Wang HC, Liu MT, Wu HS, 2013. Molecular surveillance of rubella viruses in Taiwan from 2005 to 2011. J Med Virol 85: 745–753.
-
14.
World Health Organization, 2016. Rubella reported cases. Available at: http://apps.who.int/immunization_monitoring/globalsummary/timeseries/tsincidencerubella.html. Accessed September 25, 2016.
-
15.
Pfaff G, 2013. Strategies for measles and rubella elimination in the World Health Organization European Region. Eur J Public Health 23 (Suppl 1): 52.
-
16.
Alzeidan RA, Wahabi HA, Fayed AA, Esmaeil SA, Amer YS, 2013. Postpartum rubella vaccination for sero-negative women. Cochrane Database Syst Rev CD010752.
-
17.
Lai FY, Dover DC, Lee B, Fonseca K, Solomon N, Plitt SS, Jaipaul J, Tipples GA, Charlton CL, 2015. Determining rubella immunity in pregnant Alberta women 2009–2012. Vaccine 33: 635–641.
-
18.
Vilajeliu A, García-Basteiro AL, Valencia S, Barreales S, Oliveras L, Calvente V, Goncé A, Bayas JM, 2015. Rubella susceptibility in pregnant women and results of a postpartum immunization strategy in Catalonia, Spain. Vaccine 33: 1767–1772.
-
19.
Matthews L, Gray D, Gray S, Lawrance L, 2013. Post-partum MMR immunization rates in rubella-susceptible antenatal women. Br J Midwifery 21: 16–22.
-
20.
Lin CC, Yang CY, Shih CT, Chen BH, Huang YL, 2010. Rubella seroepidemiology and catch-up immunization among pregnant women in Taiwan: comparison between women born in Taiwan and immigrants from six countries in Asia. Am J Trop Med Hyg 82: 40–44.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 7 | 7 | 3 |
| Full Text Views | 282 | 65 | 1 |
| PDF Downloads | 79 | 11 | 0 |