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

Vaccine
|September 21, 2005
PubMed

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.