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10.1126/science.aaa3662

http://scihub22266oqcxt.onion/10.1126/science.aaa3662
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suck abstract from ncbi


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pmid25954009
      Science 2015 ; 348 (6235 ): 694-9
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  • Long-term measles-induced immunomodulation increases overall childhood infectious disease mortality #MMPMID25954009
  • 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.
  • |*Child Mortality [MESH]
  • |*Immunomodulation [MESH]
  • |B-Lymphocytes/immunology [MESH]
  • |Child [MESH]
  • |Child, Preschool [MESH]
  • |England/epidemiology [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Immunologic Memory [MESH]
  • |Incidence [MESH]
  • |Lymphocyte Depletion [MESH]
  • |Male [MESH]
  • |Measles Vaccine/administration & dosage/*immunology [MESH]
  • |Measles/*epidemiology/*immunology/prevention & control [MESH]
  • |Opportunistic Infections/immunology/*mortality/*prevention & control [MESH]
  • |T-Lymphocytes/immunology [MESH]
  • |Time Factors [MESH]
  • |United States/epidemiology [MESH]
  • |Vaccination [MESH]


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