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General immunisation at the age of nine months has been discussed in 2005 when the immunisation schedule has been modified in the context of the implementation of the French National Plan for elimination of measles and congenital rubella [2]. At that time, this was considered not relevant because the majority of childbearing women had acquired immunity through natural infection and would thus transfer to their newborn a high level of antibodies able to inhibit living vaccine measles virus for a long time. We agree with Gagneur and Pinquier that the situation has changed and that at present, the majority of childbearing women, born in 1983 or later, have acquired immunity through vaccination, which results in more rapidly waning antibody levels in the newborns. In theory, administration of measles-mumps-rubella (MMR) vaccine at nine month of age seems now possible.

Authors’ reply. Spotlight on measles 2010: Timely administration of the first dose of measles vaccine in the context of measles outbreak in France