{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:45:15Z","timestamp":1785422715693,"version":"3.56.0"},"reference-count":47,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T00:00:00Z","timestamp":1780099200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100018688","name":"Korea Disease Control and Prevention Agency","doi-asserted-by":"crossref","award":["2024-16-01"],"award-info":[{"award-number":["2024-16-01"]}],"id":[{"id":"10.13039\/100018688","id-type":"DOI","asserted-by":"crossref"}]},{"award":["2024-16-01"],"award-info":[{"award-number":["2024-16-01"]}],"id":[{"id":"https:\/\/ror.org\/04jgeq066","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["TropicalMed"],"abstract":"<jats:p>Background: Even though South Korea had eliminated measles in 2006, a localized cluster of measles occurred in a university dormitory in Gyeongsangbuk-do, South Korea, in 2024, involving 22 international students. This study aims to explore measles transmission and to inform future preventive measures. Methods: In a cross-sectional study, 299 international students from two local universities underwent a self-reported questionnaire survey and targeted serological testing by enzyme-linked immunosorbent assay two months after the cluster of measles cases. Statistical analysis used Pearson\u2019s chi-square test, Fisher\u2019s exact test, multivariate logistic regression, and Firth\u2019s penalized logistic regression. Results: The overall seropositivity was 79.6%, and 78.0% among participants aged \u226430 years. Among multivariate analyses, nationality was independently associated with seropositivity (aOR up to 8.35 for Chinese students). Conclusions: These findings underscore the immunity gaps among international students, with seropositivity remaining below the 95% threshold required for herd immunity. Targeted serological screening and catch-up vaccination may help to improve immunity in mobile populations.<\/jats:p>","DOI":"10.3390\/tropicalmed11060150","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T08:09:16Z","timestamp":1780301356000},"page":"150","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Serological Susceptibility to Measles Among International Students in South Korea After a Cluster of Cases: A Cross-Sectional Study"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9144-3330","authenticated-orcid":false,"given":"Minyu","family":"Qin","sequence":"first","affiliation":[{"name":"Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6409-0461","authenticated-orcid":false,"given":"Na Young","family":"Hong","sequence":"additional","affiliation":[{"name":"Gyeongbuk Center for Infectious Diseases Control and Prevention, Andong 36759, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3755-8249","authenticated-orcid":false,"given":"Shin Woo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, School of Medicine, Kyungpook National University, 130, Dongdeok-ro, Jung-gu, Daegu 41944, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7359-1847","authenticated-orcid":false,"given":"Ji Hyuk","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9764-8097","authenticated-orcid":false,"given":"Seok Ju","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung Jun","family":"Park","sequence":"additional","affiliation":[{"name":"Gyeongbuk Center for Infectious Diseases Control and Prevention, Andong 36759, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Younjoo","family":"Kim","sequence":"additional","affiliation":[{"name":"Daegu Center for Infectious Diseases Control and Prevention, Daegu 41940, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Yun","family":"Cho","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease Response, Gyeongbuk Regional Center for Disease Control and Prevention, Korea Disease Control and Prevention Agency, Daegu 41914, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5135-8965","authenticated-orcid":false,"given":"Sook Hee","family":"Park","sequence":"additional","affiliation":[{"name":"Gyeongbuk Center for Infectious Diseases Control and Prevention, Andong 36759, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun Jun","family":"Kang","sequence":"additional","affiliation":[{"name":"Gyeongbuk Center for Infectious Diseases Control and Prevention, Andong 36759, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byeong Ryeon","family":"Kim","sequence":"additional","affiliation":[{"name":"Gyeongbuk Center for Infectious Diseases Control and Prevention, Andong 36759, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina","family":"Lee","sequence":"additional","affiliation":[{"name":"Daegu Center for Infectious Diseases Control and Prevention, Daegu 41940, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyejin","family":"Hong","sequence":"additional","affiliation":[{"name":"Daegu Center for Infectious Diseases Control and Prevention, Daegu 41940, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1114-9260","authenticated-orcid":false,"given":"Minjei","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease Response, Gyeongbuk Regional Center for Disease Control and Prevention, Korea Disease Control and Prevention Agency, Daegu 41914, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6524-1858","authenticated-orcid":false,"given":"Myung Jae","family":"Hwang","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease Response, Gyeongbuk Regional Center for Disease Control and Prevention, Korea Disease Control and Prevention Agency, Daegu 41914, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sookhyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease Response, Gyeongbuk Regional Center for Disease Control and Prevention, Korea Disease Control and Prevention Agency, Daegu 41914, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myung Hee","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Public Medicine, Gyeongsangbuk Do Provincial Government, Andong 36759, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6121-9457","authenticated-orcid":false,"given":"Min A.","family":"Lim","sequence":"additional","affiliation":[{"name":"Division of Public Medicine, Gyeongsangbuk Do Provincial Government, Andong 36759, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0482-0864","authenticated-orcid":false,"given":"Youkyoung","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Public Medicine, Gyeongsangbuk Do Provincial Government, Andong 36759, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2554-4170","authenticated-orcid":false,"given":"Kwan","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,30]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2025, September 17). 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