Evaluating Measles Vaccination as A Preventive Lifestyle Medicine Intervention Post Covid-19 Pandemic: Insights from Measles Surveillance Data in Kelantan State, Malaysia from 2018 to 2024

DOI

10.2991/978-94-6463-962-9_4How to use a DOI?

Keywords

Measles; Vaccination; Lifestyle Medicine; Covid-19 Pandemic

Abstract

Lifestyle medicine emphasizes preventive behaviours such as diet, exercise, and adequate sleep, yet immunization also represents a vital practice for sustaining individual and community health. This study evaluated the protective role of measles vaccination against confirmed measles cases in Kelantan, Malaysia, comparing pre-pandemic (2018–2020) and post-pandemic (2022–2024) periods. Surveillance data from all notified measles cases were analysed, excluding 2021 when no cases were reported. Logistic regression models were applied separately for each period and in pooled analyses. Among 5,642 notified cases, 498 were confirmed measles. Complete vaccination was consistently protective. Pre-pandemic, two doses reduced risk substantially (AOR 0.34, 95% CI [0.18, 0.61]), while one dose was not significant (AOR 0.80, 95% CI [0.52, 1.19]). Post-pandemic, full vaccination remained strongly protective (AOR 0.20, 95% CI [0.12, 0.31]), but incomplete vaccination increased risk (AOR 1.85, 95% CI [1.30, 2.62]). Pooled analysis confirmed durable protection from two doses (AOR 0.26, 95% CI [0.14, 0.44]) and showed a significant rise in risk with one dose post-pandemic (interaction AOR 2.86, 95% CI [1.73, 4.79]). These findings reaffirm vaccination as a core lifestyle medicine behaviour. Ensuring completion of the two-dose schedule and strengthening catch-up programmes are essential to sustain measles elimination in the post-pandemic era.

Copyright

© 2025 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Mohd Fittri Fahmi Fauzi
AU  - Mohd Azimullah Abdullah
AU  - Kamarul Imran Musa
PY  - 2026
DA  - 2026/01/02
TI  - Evaluating Measles Vaccination as A Preventive Lifestyle Medicine Intervention Post Covid-19 Pandemic: Insights from Measles Surveillance Data in Kelantan State, Malaysia from 2018 to 2024
BT  - Proceedings of the 2nd International Conference on Lifestyle Diseases and Natural Medicine (ICOLIFEMED 2025)
PB  - Atlantis Press
SP  - 22
EP  - 36
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-962-9_4
DO  - 10.2991/978-94-6463-962-9_4
ID  - Fauzi2026
ER  -