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[The first effect of the national vaccination campaign against meningococcal-C disease: a rapid and sharp decrease in
S C de Greeff1, H E de Melker, L Spanjaard
1Rijksinstituut voor Volksgezondheid en Milieu, Centrum voor Infectieziekten Epidemiologie, Postbus 1, 3720 BA Bilthoven. sabine.de.greeff@rivm.nl
Insights
The 2002 meningococcal C vaccination campaign in the Netherlands rapidly reduced disease incidence. This public health intervention significantly lowered cases of meningococcal C disease across all age groups.
Area of Science:
- Epidemiology
- Immunization
- Bacteriology
Context:
- Group C meningococcal disease posed a significant public health challenge in the Netherlands.
- Large-scale vaccination campaigns are critical public health interventions for controlling infectious diseases.
Purpose:
- To evaluate the immediate impact of a targeted vaccination campaign on the incidence of Neisseria meningitidis serogroup C disease.
- To assess the effectiveness of the 2002 vaccination strategy across different age demographics in the Netherlands.
Summary:
- A descriptive study analyzed patient data from January 1999 to January 2003 to determine disease incidence and serogroup distribution.
- Following the June-July and September-November 2002 vaccination campaigns, a substantial decline in meningococcal C disease incidence was observed.
- The incidence of meningococcal C disease decreased by up to 89% in vaccinated age groups, with a notable reduction in the overall proportion of serogroup C cases.
Impact:
- The vaccination campaign demonstrated rapid and significant success in reducing the burden of meningococcal serogroup C disease.
- Findings highlight the effectiveness of mass vaccination programs in controlling bacterial meningitis outbreaks.
- The study provides crucial data for informing future public health strategies against meningococcal disease.
Objective:
To describe the initial effects of the large-scale vaccination campaign in June-July of 2002 (1-5- and 15-18-year-olds) and September-November of 2002 (6-14-year-olds) on the incidence of group-C meningococcal disease in the Netherlands.
Design:
Descriptive.
Method:
The incidence of meningococcal disease and the serogroup distribution were determined on the basis of the patient data associated with isolates of Neisseria meningitidis that were sent to the Netherlands Reference Laboratory for Bacterial Meningitis during the period from 1 January 1999 to 31 January 2003.
Results:
The highest monthly incidence of serogroup-C disease was reported in January-April 2002 (2.2-3.1/100,000), after which the incidence remained more or less unchanged after September at a level of 0.1-0.4/100,000. The incidence of meningococcal-C disease was 73% lower in August-October 2002 compared with the same period in 2001. In the same months, the incidence of meningococcal-C disease for the 0, 1-5, 6-14, 15-18 and > 18 year-olds was 49%, 80%, 89%, 89% and 42%, respectively, lower than in the same months in the previous year. The percentage of meningococcal disease caused by serogroup-C fluctuated from 35 to 49% in January-August 2002 and decreased to 9-19% in September-December 2002. There was also a decrease in the unvaccinated age groups.
Conclusion:
The vaccination campaign led almost immediately to a sharp decrease in the number of patients with meningococcal serogroup-C disease.
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