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Published on: August 14, 2019
Effectiveness and safety of influenza vaccination in children: European perspective
Terho Heikkinen1, Santtu Heinonen
1Department of Pediatrics, Turku University Hospital, Turku, Finland. terho.heikkinen@utu.fi
Insights
Influenza vaccines are effective and safe for young children, especially when vaccine strains match circulating viruses. Live attenuated influenza vaccines show greater effectiveness but are limited to older children.
Area of Science:
- Pediatrics
- Immunology
- Public Health
Background:
- Growing evidence highlights the significant impact of influenza on children.
- Interest in pediatric influenza vaccination is increasing.
- Few European countries recommend vaccinating healthy children due to perceived ineffectiveness.
Purpose of the Study:
- To evaluate the effectiveness and safety of influenza vaccines in young children.
- To address the misconception that inactivated influenza vaccines are ineffective in this age group.
Main Methods:
- Analysis of virologically confirmed studies on influenza vaccine effectiveness in children.
- Examination of vaccine effectiveness across different seasons and varying strain matches.
Main Results:
- Inactivated influenza vaccines demonstrate clear effectiveness in children under 2 years during seasons with good antigenic match.
- Live attenuated influenza vaccines offer greater effectiveness but are approved only for children over 2 years.
- Seasonal inactivated influenza vaccines have an excellent safety profile in the youngest children.
Conclusions:
- Influenza vaccination is a safe and effective strategy for young children.
- Vaccine effectiveness is significantly influenced by the match between vaccine and circulating influenza strains.
- Current recommendations should consider the proven efficacy and safety of inactivated influenza vaccines in pediatric populations.
Abstract:
Accumulating evidence for the substantial burden of influenza in children has increased interest in the vaccination of young children against influenza. So far, however, few European countries have issued official recommendations to vaccinate healthy children, which is largely due to the popular belief that inactivated influenza vaccines are ineffective in young children. Virologically confirmed studies performed during different seasons have yielded widely varying estimates for vaccine effectiveness and suggested that the match between the vaccine and the circulating strains of influenza viruses is one of the key drivers of the effectiveness of the vaccine. In seasons with good antigenic match, inactivated influenza vaccines are clearly effective also in children younger than 2 years of age. The live attenuated influenza vaccine provides even greater effectiveness in children, but the overall potential of this vaccine is limited by its licensure for only children older than 2 years of age. The safety record of seasonal inactivated influenza vaccines is excellent even in the youngest children.
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