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2015 ; 348
(6235
): 694-9
Nephropedia Template TP
Mina MJ
; Metcalf CJ
; de Swart RL
; Osterhaus AD
; Grenfell BT
Science
2015[May]; 348
(6235
): 694-9
PMID25954009
show ga
Immunosuppression after measles is known to predispose people to opportunistic
infections for a period of several weeks to months. Using population-level data,
we show that measles has a more prolonged effect on host resistance, extending
over 2 to 3 years. We find that nonmeasles infectious disease mortality in
high-income countries is tightly coupled to measles incidence at this lag, in
both the pre- and post-vaccine eras. We conclude that long-term immunologic
sequelae of measles drive interannual fluctuations in nonmeasles deaths. This is
consistent with recent experimental work that attributes the immunosuppressive
effects of measles to depletion of B and T lymphocytes. Our data provide an
explanation for the long-term benefits of measles vaccination in preventing
all-cause infectious disease. By preventing measles-associated immune memory
loss, vaccination protects polymicrobial herd immunity.