Fall in Haemophilus influenzae serotype b (Hib) disease following implementation of a booster campaign

S Ladhani1, M P Slack, M Heys

  • 1Immunisation Department, Centre for Infections, Health Protection Agency, 61 Colindale Avenue, London, UK. shamez.ladhan@hpa.org.uk

Insights

The Haemophilus influenzae type b (Hib) booster campaign significantly reduced Hib disease in targeted children, re-establishing herd immunity. However, a rise in cases among unvaccinated toddlers highlights the need for routine Hib boosting.

Area of Science:

  • Public Health
  • Vaccinology
  • Infectious Disease Epidemiology

Background:

  • A rise in invasive Haemophilus influenzae type b (Hib) cases occurred nationwide after 1999.
  • Hib disease affects all age groups, necessitating targeted interventions.

Purpose of the Study:

  • To evaluate the effectiveness of a Hib vaccination booster campaign.
  • To assess the campaign's impact on Hib disease incidence in England and Wales.

Main Methods:

  • Prospective monitoring of all invasive H. influenzae cases by the Health Protection Agency Centre for Infections.
  • Collection of vaccine coverage data from primary care trusts (PCTs) for the booster campaign.

Main Results:

  • Booster campaign achieved 71.8% coverage in 6-12-month-olds and 63.2% in 13-48-month-olds.
  • Dramatic reduction in Hib cases within 12 months in targeted age groups.
  • Subsequent decrease in cases among older children and adults, but an increase in unvaccinated 1-3-year-olds post-campaign.

Conclusions:

  • The Hib booster campaign successfully re-established herd immunity in the UK.
  • Increased Hib disease in toddlers post-2004 supports introducing routine Hib boosting at 12 months.
  • Ongoing surveillance and targeted programs are crucial for controlling Hib infections.
Abstract

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