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Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
Sustained low hospitalization rates after four years of rotavirus mass vaccination in Austria
Maria Paulke-Korinek1, Herwig Kollaritsch, Stephan W Aberle
1Institute of Specific Prophylaxis and Tropical Medicine, Medical University Vienna, Austria.
Insights
Rotavirus mass vaccination in Austria significantly reduced hospitalizations by up to 70% in children under 15. The vaccine demonstrated high effectiveness and a favorable safety profile, with no severe adverse events reported.
Area of Science:
- Pediatric Infectious Diseases
- Vaccinology
- Public Health Surveillance
Background:
- Rotavirus is a leading cause of severe diarrheal disease in infants and young children globally.
- The implementation of rotavirus vaccination programs aims to reduce the burden of rotavirus gastroenteritis.
- Austria initiated a universal rotavirus mass vaccination program in August 2007.
Purpose of the Study:
- To evaluate the impact of the rotavirus mass vaccination program on hospitalization rates in children.
- To assess the vaccine's effectiveness and safety profile in a real-world setting.
- To identify trends in rotavirus strains, including those causing breakthrough infections.
Main Methods:
- Hospital-based surveillance study design.
- Analysis of rotavirus hospitalization data in children younger than 15 years.
- Comparison of incidence rates between the pre-vaccination era (2001-2005) and post-vaccination years (2010-2011).
- Field effectiveness estimation and genotyping for breakthrough infections.
Main Results:
- Significant decrease in rotavirus hospitalizations by 70% (2010) and 64% (2011) in children <15 years compared to pre-vaccination rates.
- Highest incidence rates observed in infants <90 days, emphasizing early vaccination.
- Sustained protection observed up to three years post-vaccination in children aged 2-3.5 years.
- Field vaccine effectiveness ranged from 79% to 96%.
- An increase in G2P[4] prevalence was suspected in breakthrough infections.
- Severe adverse events were rare (1.3-1.5 per 10(-5) doses), with no reported deaths, intussusception, or Kawasaki disease.
Conclusions:
- The rotavirus mass vaccination program has been highly effective in reducing childhood rotavirus hospitalizations in Austria.
- Early rotavirus immunization is crucial for maximum public health impact.
- The vaccine exhibits sustained protection and a favorable safety profile.
- Continued surveillance is important to monitor vaccine effectiveness and evolving rotavirus strains.
Abstract:
This hospital based surveillance study evaluates the effects of the rotavirus mass vaccination program, which was initiated in Austria in August 2007. Since then, incidence rates of rotavirus hospitalizations in children <15 years of age have decreased by 70% and 64% in 2010 and 2011 compared to the pre-vaccination era (2001-2005). Incidence rates were highest in children <90 days of age, highlighting the importance of the early start of active rotavirus immunization. In children between 2 and 3.5 years in 2011, who were in the second and third year after vaccination in the universal mass vaccination program, incidence rates remained low suggesting sustained protection after vaccination up to three years. In the years 2010 and 2011, field effectiveness of the vaccines was between 79% and 96%, depending on the assumptions made for children without information on vaccination history. From genotyping an increase of the prevalence of G2P[4] in children with breakthrough infection (disease despite vaccination) can be suspected. The rate of severe adverse events was 1.3-1.5 per 10(-5) administered doses of rotavirus vaccines and no death, intussusception or Kawasaki disease was reported in 2010 and 2011 following rotavirus vaccination.
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