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.

Vaccine
|April 20, 2013
PubMed

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.

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