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Rubella Virus Immunization of Preschool Children via the Respiratory Tract FREE

Rama Ganguly, PhD; Brigitte Durrer; Robert H. Waldman, MD
[+] Author Affiliations

Received for publication Feb 25, 1974; accepted June 16.

Reprint requests to PO Box 732, J. Hillis Miller Health Center, Gainesville, FL 32610 (Dr. Waldman).


Am J Dis Child. 1974;128(6):821-823. doi:10.1001/archpedi.1974.02110310069012.
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The efficacy of various routes of administration of rubella vaccine RA27/3 was evaluated in a group of children. The vaccinees were randomly divided into three groups: subcutaneous, nose drop, and aerosol spray. Immunization was evaluated in terms of serum antibody rise and clinical side effects.

Seroconversion was achieved in 100% of the children with no significant difference in the geometric mean titers of serum antibody in the various groups. Thus, respiratory tract immunization of small children with rubella vaccine RA27/3 is equally effective, compared to the subcutaneous route, in stimulating serum antibody. Side effects occurred in only 4% of the vaccinees in each group, the symptoms being mild and transient. We believe local immunization is less painful than subcutaneous injection and is an acceptable technique for mass administration of the vaccine in children.

REFERENCES

Ganguly R, Ogra PL, Regas S, et al:  Rubella immunization of volunteers via the respiratory tract . Infect Immun 8:497-502, 1973;.
Rubella Vaccine: Advisory Committee on Immunization Practices , publication (HSM) 72-8154. US Dept of Health, Education, and Welfare, Center for Disease Control, 1972;, pp 23-25.
Plotkin SA, Farquhar JD, Katz M, et al:  Attenuation of RA27/3 rubella virus in WI-38 human diploid cells . Am J Dis Child 118:178-185, 1969;.
Ferris RD:  Laboratory tests for assessment of rubella vaccines . Postgrad Med J 48( (suppl 3) ):35-38, 1972;.
Plotkin SA, Bechtel DJ, Sedwick WD:  A simple method for removal of rubella hemagglutination inhibitors from serum adaptable to fingertip blood . Am J Epidemiol 88:301-304, 1968;.
Meyer HM Jr, Parkman PD, Hobbins TE, et al:  Clinical studies with experimental live rubella virus vaccine (strain HPV77): Evaluation of vaccine-induced immunity . Am J Dis Child 115:648-654, 1968;.
Meyer HM Jr, Parkman PD, Hopps HE:  The control of rubella . Pediatrics 44:5-20, 1969;.
Detels R, Grayston JT, Kim KSW, et al:  Prevention of clinical and subclinical rubella infection: Efficacy of three HPV-77 derivative vaccines . Am J Dis Child 118:295-300, 1969;.
Horstman DM, Pajot TG, Leibhaber H:  Epidemiology of rubella: Subclinical infection and occurrence of reinfection . Am J Dis Child 118:133-136, 1969;.
Horstman DM, Liebhaber H, Le Bouvier GL, et al:  Rubella reinfection of vaccinated and naturally immune persons exposed to an epidemic . N Engl J Med 283:771-778, 1970;.
Link to Article
Ingalls TH, Plotkin SA, Philbrook FR, et al:  Immunization of school children with rubella (RA27-3) vaccine . Lancet 1:99-101, 1970;.
Link to Article
Buser F, Nicolas A:  Vaccination with RA27/3 rubella vaccine . Am J Dis Child 122:53-56, 1971;.
Saidi S, Naficy K:  Subcutaneous and intranasal administration of RA27/3 rubella vaccine: Alone and in conjunction with live attenuated measles vaccine . Am J Dis Child 118:209-212, 1969;.
Wallace RB, Isacson P:  Comparative trial of HPV-77, DE-5 and RA27/3 live-attentuated rubella vaccines . Am J Dis Child 124:536-538, 1972;.
Plotkin SA, Farquhar JD, Ogra PL:  Immunologic properties of RA27/3 rubella virus vaccine: A comparison with strains presently licensed in the United States . JAMA 225:585-590, 1973;.
Link to Article
Tobin JOH:  Rubella vaccination of postpartum women and of adolescents in the north west of England . Can J Public Health 62:64-67, 1971;.
Marshall WC:  Rubella vaccination in adult and adolescent females . Can J Public Health 62:58-63, 1971;.
Dudgeon JA, Marshall WC, Peckham CS:  Rubella vaccine trials in adults and children: Comparison of three attenuated vaccines . Am J Dis Child 118:237-242, 1969;.
Plotkin SA, Ingalls TH, Farquhar JD, et al:  Intranasally administered rubella vaccine . Lancet 2:934-936, 1968;.
Link to Article
Ogra PL, Kerr-Grant D, Umana G, et al:  Antibody response in serum and nasopharynx after naturally acquired and vaccine induced infection with rubella virus . N Engl J Med 285:1333-1339, 1971;.
Link to Article
Naficy K, Nategh R, Ahangary S, et al:  Artificial challenge studies in rubella: Utilization of RA27/3 rubella vaccinees, rubella naturally acquired seropositives, and rubella susceptible children . Am J Dis Child 120:520-523, 1970;.
Liebhaber H, Ingalls TH, Le Bouvier GL, et al:  Vaccination with RA27/3 rubella vaccine: Persistence of immunity and resistance to challenge after two years . Am J Dis Child 123:133-136, 1972;.

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References

Ganguly R, Ogra PL, Regas S, et al:  Rubella immunization of volunteers via the respiratory tract . Infect Immun 8:497-502, 1973;.
Rubella Vaccine: Advisory Committee on Immunization Practices , publication (HSM) 72-8154. US Dept of Health, Education, and Welfare, Center for Disease Control, 1972;, pp 23-25.
Plotkin SA, Farquhar JD, Katz M, et al:  Attenuation of RA27/3 rubella virus in WI-38 human diploid cells . Am J Dis Child 118:178-185, 1969;.
Ferris RD:  Laboratory tests for assessment of rubella vaccines . Postgrad Med J 48( (suppl 3) ):35-38, 1972;.
Plotkin SA, Bechtel DJ, Sedwick WD:  A simple method for removal of rubella hemagglutination inhibitors from serum adaptable to fingertip blood . Am J Epidemiol 88:301-304, 1968;.
Meyer HM Jr, Parkman PD, Hobbins TE, et al:  Clinical studies with experimental live rubella virus vaccine (strain HPV77): Evaluation of vaccine-induced immunity . Am J Dis Child 115:648-654, 1968;.
Meyer HM Jr, Parkman PD, Hopps HE:  The control of rubella . Pediatrics 44:5-20, 1969;.
Detels R, Grayston JT, Kim KSW, et al:  Prevention of clinical and subclinical rubella infection: Efficacy of three HPV-77 derivative vaccines . Am J Dis Child 118:295-300, 1969;.
Horstman DM, Pajot TG, Leibhaber H:  Epidemiology of rubella: Subclinical infection and occurrence of reinfection . Am J Dis Child 118:133-136, 1969;.
Horstman DM, Liebhaber H, Le Bouvier GL, et al:  Rubella reinfection of vaccinated and naturally immune persons exposed to an epidemic . N Engl J Med 283:771-778, 1970;.
Link to Article
Ingalls TH, Plotkin SA, Philbrook FR, et al:  Immunization of school children with rubella (RA27-3) vaccine . Lancet 1:99-101, 1970;.
Link to Article
Buser F, Nicolas A:  Vaccination with RA27/3 rubella vaccine . Am J Dis Child 122:53-56, 1971;.
Saidi S, Naficy K:  Subcutaneous and intranasal administration of RA27/3 rubella vaccine: Alone and in conjunction with live attenuated measles vaccine . Am J Dis Child 118:209-212, 1969;.
Wallace RB, Isacson P:  Comparative trial of HPV-77, DE-5 and RA27/3 live-attentuated rubella vaccines . Am J Dis Child 124:536-538, 1972;.
Plotkin SA, Farquhar JD, Ogra PL:  Immunologic properties of RA27/3 rubella virus vaccine: A comparison with strains presently licensed in the United States . JAMA 225:585-590, 1973;.
Link to Article
Tobin JOH:  Rubella vaccination of postpartum women and of adolescents in the north west of England . Can J Public Health 62:64-67, 1971;.
Marshall WC:  Rubella vaccination in adult and adolescent females . Can J Public Health 62:58-63, 1971;.
Dudgeon JA, Marshall WC, Peckham CS:  Rubella vaccine trials in adults and children: Comparison of three attenuated vaccines . Am J Dis Child 118:237-242, 1969;.
Plotkin SA, Ingalls TH, Farquhar JD, et al:  Intranasally administered rubella vaccine . Lancet 2:934-936, 1968;.
Link to Article
Ogra PL, Kerr-Grant D, Umana G, et al:  Antibody response in serum and nasopharynx after naturally acquired and vaccine induced infection with rubella virus . N Engl J Med 285:1333-1339, 1971;.
Link to Article
Naficy K, Nategh R, Ahangary S, et al:  Artificial challenge studies in rubella: Utilization of RA27/3 rubella vaccinees, rubella naturally acquired seropositives, and rubella susceptible children . Am J Dis Child 120:520-523, 1970;.
Liebhaber H, Ingalls TH, Le Bouvier GL, et al:  Vaccination with RA27/3 rubella vaccine: Persistence of immunity and resistance to challenge after two years . Am J Dis Child 123:133-136, 1972;.

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