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.

Vaccine
|June 9, 2015
PubMed

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.

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