Measuring and strengthening waning immunity to measles in fully immunised young adults

PhD Scholarship
SUMANTA SAHA

 

Sumanta photo 2024 09 06 at 12 v2.13.25
Principal Investigator
Sumanta Saha
University of Otago
Public Contact
Kim Thomas
teniwhacomms@otago.ac.nz
Project Timeframe/Status
-
In Process

Whakarāpopoto Rangahau Summary of Research

Measles immunity is waning and the virus is re-emerging in previously measles-eliminated settings such as Aotearoa New Zealand. This project will inform policy and practice in New Zealand by generating knowledge about the waning of measles immunity, the effectiveness of alternative MMR-delivery methods in boosting measles immunity in young seronegative adults previously vaccinated with 2-doses of MMR vaccine, and the antibody responses to aerosolized MMR vaccine (proxy to measles exposure) in seropositive young adults.

Specifically:

  • Determining the prevalence and determinants of measles non-immunity in university students who have been screened for vaccine-preventable diseases, including measles.
  • Examining the diagnostic accuracy of a locally available test used for screening measles immunity by comparing it with a gold-standard test used internationally.
  • Comparing antibody responses to alternate vaccination (aerosol and intradermal) delivery methods with traditional (intramuscular) administration in a randomized-controlled trial.
  • Identifying antibody-based correlates of protection against measles using a challenge approach whereby aerosolized measles-containing vaccine (MMR) is used as a proxy for wild measles virus exposure.

The researcher’s overall project is possible by funding from both Te Niwha and the Health Research Council (HRC) New Zealand.

Te Hiranga a Rangahau Research Impact

Although New Zealand achieved measles elimination in 2017, the risk of outbreaks due to imported measles remains high. In the absence of endemic circulating measles and with immunity from the two scheduled childhood MMR vaccinations reducing, maintaining elimination will steadily become a more significant issue.

The project will generate knowledge about the waning of measles immunity and the effectiveness of alternative MMR-delivery methods in boosting measles immunity in young adults previously vaccinated with 2-doses of MMR vaccine to inform policy and practice in New Zealand and comparable settings.

The prevalence of measles non-immunity, the accuracy of the DiaSorin ELISA testing, the potential of alternative MMR delivery methods to generate strong and lasting immunity against measles, and correlates of protection from measles will be assessed using gold-standard antibody measures conducted at RIVM in the Netherlands.

This project (if an alternate vaccination method to intramuscular infection proves efficient) may lead to the adoption of a routine third dose of MMR and higher uptake due to non-needle delivery.

The dissemination of the research findings will occur via publications, conference presentations, and community hui.

Te Niwha

Kairangahau Research Personnel

Prof Peter McIntyre 
Department of Women's and Children's Health - University of Otago | Primary Supervisor

Research Assoc Prof Ari Samaranayaka 
Division of Health Sciences - University of Otago | Supervisor