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Detection and Genogrouping of Noroviruses from Children's Stools By Taqman One-step RT-PCR
Published on: July 22, 2012
Global age distribution of pediatric norovirus cases
Kayoko Shioda1, Anita Kambhampati1, Aron J Hall2
1National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA; Oak Ridge Institute for Science and Technology, Oak Ridge, TN 37831, USA.
Insights
Norovirus significantly impacts children under five, with most cases occurring between 6 and 23 months. Early vaccination by six months could prevent 85% of pediatric norovirus cases.
Area of Science:
- Pediatric infectious diseases
- Epidemiology of viral gastroenteritis
- Public health
Background:
- Norovirus is a leading cause of acute gastroenteritis in young children globally.
- Understanding the age distribution of pediatric norovirus cases is crucial for effective prevention strategies.
Purpose of the Study:
- To identify critical age periods for norovirus prevention in children under five.
- To assess the impact of socio-demographic factors on pediatric norovirus age distribution.
Main Methods:
- Systematic literature review of publications reporting detailed age distributions of pediatric norovirus cases.
- Analysis of age distribution patterns and their association with socio-demographic factors.
Main Results:
- Approximately 70% of pediatric norovirus cases occur between 6 and 23 months of age.
- Younger age distribution observed in lower-income countries and inpatient settings.
- Early vaccination by 6 months could potentially prevent 85% of pediatric cases, compared to 50% if delivered at 12 months.
Conclusions:
- An early norovirus immunization schedule, completed by 6 months of age, offers the greatest potential for preventing pediatric cases.
- Targeting prevention efforts towards infants aged 6-23 months is critical.
- Early prevention is particularly vital in lower-income settings due to a younger age distribution of cases.
Abstract:
Norovirus is increasingly recognized as a major cause of acute gastroenteritis among children <5 years of age. We searched for publications that reported detailed age distributions of pediatric norovirus cases, and assessed associations between age distribution and socio-demographic factors to identify the most critical age periods to prevent norovirus cases among young children. Approximately 70% of pediatric norovirus cases occurred between 6 and 23 months of age. A younger age distribution was found in lower income countries and inpatient settings. These findings suggest that a norovirus immunization schedule completed by 6 months could have the potential to prevent about 85% of pediatric cases, while a vaccine delivered at 12 months of age would only have the potential to prevent about 50% of pediatric cases. With a younger age distribution in lower income settings, early prevention would be even more critical.
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