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Published on: December 1, 2017
Inactivated influenza vaccine effectiveness in children under 6 years of age during the 2002-2003 season
Megumi Fujieda1, Akiko Maeda, Kyoko Kondo
1Department of Public Health, Osaka City University Faculty of Medicine, Japan. megmeg@med.osaka-cu.ac.jp
Insights
This study found influenza vaccine effectiveness of 24% in children under six. Vaccine effectiveness was higher, 33%, in children aged two and older, but not significant in very young children.
Area of Science:
- Pediatrics
- Vaccinology
- Epidemiology
Background:
- Influenza poses a significant health risk to children.
- Assessing influenza vaccine effectiveness is crucial for public health strategies.
Purpose of the Study:
- To evaluate the effectiveness of the influenza vaccine in children under six years of age during the 2002-2003 influenza season in Japan.
Main Methods:
- A cohort study involving 2913 children (1512 vaccinated, 1401 unvaccinated) across 54 pediatric clinics.
- Influenza-like illness (ILI) was defined as acute febrile illness (≥38.0°C) during peak epidemic periods.
- Vaccine effectiveness was calculated using logistic regression to compare ILI frequencies between vaccinated and unvaccinated groups, determining adjusted odds ratios (OR) and 95% confidence intervals (95% CI).
Main Results:
- Overall vaccine effectiveness was 24% (95% CI: 12%-34%), with a decreased odds ratio (OR: 0.76) for ILI in vaccinated children.
- In children aged two years and older, vaccine effectiveness was more pronounced at 33% (95% CI: 21%-44%), with an OR of 0.67.
- No statistically significant vaccine effectiveness was observed in children younger than two years (ORs ranging from 0.81 to 4.19).
Conclusions:
- The influenza vaccine demonstrated moderate effectiveness in children under six, particularly in those aged two and older.
- Effectiveness was not demonstrated in very young children (under two years), suggesting potential age-specific variations in vaccine response.
- These findings highlight the importance of age stratification when evaluating influenza vaccine efficacy in pediatric populations.
Abstract:
This study was carried out to investigate the effectiveness of influenza vaccine among 2913 children (1512 vaccinees and 1401 nonvaccinees) under 6 years of age during the 2002-2003 season. Study subjects were recruited from 54 paediatric clinics, located in eight areas in Japan. Maximum body temperatures were obtained weekly from parents between 2002 December 16 and 2003 April 13. Influenza-like illness (ILI) was defined as an acute febrile illness (> or =38.0 degrees C) during the peak epidemic period in each study area. The vaccine antigens included were A/New Caledonia/20/99(H1N1), A/Panama/2007/99(H3N2) and B/Shandong/7/97. Vaccine effectiveness was analyzed by comparing the frequencies of ILI between vaccinees and nonvaccinees. The adjusted odds ratio (OR) and its 95% confidence interval (95% CI) were calculated by the proportional odds model using logistic regression with three-level outcome variables (<38.0/38.0-38.9/> or =39.0 degrees C). A significantly decreased OR of vaccination was observed (OR: 0.76; 95% CI: 0.66-0.88), corresponding to a vaccine effectiveness (1-OR) of 24% (95% CI: 12%-34%). When the analysis was confined to those aged > or =2 years, a more pronounced OR (0.67, 0.56-0.79) was obtained with a vaccine effectiveness of 33% (21%-44%). On the other hand, no significant vaccine effectiveness was detected among very young children; the ORs were 1.84 (0.81-4.19) for those <1 year of age and 0.99 (0.72-1.36) for those 1.0-1.9 years of age and 1.07 (0.80-1.44) when these two age groups were combined. Thus, among very young children vaccine effectiveness could not be demonstrated.
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