Haemophilus influenza type b vaccine in Israel: experience in a paediatric ambulatory clinic

T Tauber1, E Lahat, G Dolinsky

  • 1Paediatric Ambulatory Clinic, Assaf Harofeh Medical Centre, Sackler Faculty of Medicine, Tel Aviv University, Zerifin, Israel.

Insights

This study tracked 1,497 children vaccinated with Haemophilus influenza type b (Hib) vaccine. No Hib infections were confirmed, supporting the vaccine's continued use.

Area of Science:

  • Pediatrics
  • Immunology
  • Public Health

Background:

  • Vaccination policies in Israel are typically government-led.
  • This study initiated independent Haemophilus influenza type b (Hib) vaccination outside government control.
  • The study focused on a specific cohort receiving Hib vaccination at an ambulatory clinic.

Purpose of the Study:

  • To longitudinally monitor children vaccinated with the Hib vaccine.
  • To assess the incidence of Hib infection and hospitalizations in a vaccinated pediatric cohort.
  • To evaluate the effectiveness of independent Hib vaccination initiatives.

Main Methods:

  • A cohort of 1,497 children aged 2-52 months received the Hib vaccine.
  • Follow-up occurred over 7 years (1992-1999) via phone calls.
  • Parents reported hospitalizations and serious infectious diseases; cultures were analyzed.

Main Results:

  • 1,444 children were followed for the study period.
  • 36 hospitalizations occurred, with all blood and cerebrospinal fluid cultures negative.
  • No confirmed cases of Haemophilus influenza type b infection were identified in the vaccinated group.

Conclusions:

  • The study supports the continued use of the Haemophilus influenza type b vaccine.
  • Maintaining surveillance for Hib infection is recommended.
  • Independent vaccination programs can be effective in reducing disease incidence.

Related Concept Videos

Vaccinations01:51

Vaccinations

Overview
Acute Pharyngitis01:30

Acute Pharyngitis

Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Vaccines01:21

Vaccines

Vaccines are among the most effective tools in preventive medicine, designed to prepare the immune system to recognize and combat infectious agents. By introducing antigens—substances that the immune system identifies as foreign—vaccines stimulate an adaptive immune response that leads to immunological memory. This immunological memory enables the body to mount a faster and more effective response upon future exposures to the actual pathogen.Vaccines can be categorized based on the type of...
Poliomyelitis01:17

Poliomyelitis

Poliomyelitis is caused by poliovirus, a small, non-enveloped, positive-sense RNA virus of the Picornaviridae family and Enterovirus genus. Transmission occurs primarily via the fecal-oral route, often through ingestion of contaminated water or food. The virus initially replicates in the oropharynx and intestinal mucosa, particularly in lymphoid tissues such as the tonsils, Peyer’s patches, and regional lymph nodes. Primary viremia follows, allowing dissemination throughout the body.In most...
Respiratory Syncytial Virus Disease01:29

Respiratory Syncytial Virus Disease

Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...
Bacterial Meningitis I: Introduction01:22

Bacterial Meningitis I: Introduction

Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...