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Three Rotavirus Outbreaks in the Postvaccine Era - California, 2017
MMWR. Morbidity and Mortality Weekly Report
|April 27, 2018
Summary
Rotavirus vaccines significantly reduced severe illness, but outbreaks still occur, even in vaccinated children. Continued emphasis on rotavirus vaccination is crucial for disease prevention in the U.S.
Area of Science:
- Pediatrics
- Infectious Diseases
- Vaccinology
Background:
- Rotavirus was a leading cause of severe diarrhea in U.S. children before vaccine introduction in 2006.
- Licensed rotavirus vaccines show high effectiveness (78%-89%) against moderate to severe illness, reducing overall prevalence.
- Rotavirus vaccine series completion (73%) lags behind other routine childhood vaccines (95%).
Purpose of the Study:
- To describe rotavirus activity and outbreaks in the post-vaccine era.
- To analyze the characteristics of recent rotavirus outbreaks in California.
Main Methods:
- Retrospective analysis of rotavirus outbreaks reported in California in 2017.
- Description of case demographics, illness severity, and vaccination status.
Main Results:
- Three rotavirus outbreaks occurred in California in 2017, including one fatality.
- Most cases presented with mild to moderate illness.
- Illness occurred across all age groups and affected vaccinated children.
Conclusions:
- Rotavirus activity persists in a biennial pattern despite widespread vaccination.
- Rotavirus vaccines are most effective against severe disease; mild/moderate infections can still occur.
- Continued emphasis on rotavirus vaccination is essential for reducing disease burden in the U.S.
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