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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.
Abstract:
In Israel, vaccination are the overall responsibility of the government. We were the first in Israel to give the Hib (Haemophilus influenza type b) vaccine to the population, through independent means, without government control. The aim of the study was to follow longitudinally the specific group of children vaccinated in our ambulatory clinic. In this study, 1,497 children between 2 and 52 [mean (SD) 13 (9)] months of age at the time of first vaccination were vaccinated with Hib vaccine. Over the next 7 years, they were followed up by repeated phone calls when parents were asked about hospitalisation and any serious infectious diseases. Of the 1,497, 1,444 were followed during the years 1992 to 1999 and 36 were hospitalised during this time. All blood and cerebrospinal fluid cultures were negative. No proven case of Hib infection could be demonstrated. Despite the small sample size, this study justifies the continued use of the vaccine along with maintaining surveillance for Hib infection.
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