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Effectiveness of Japanese encephalitis SA 14-14-2 live attenuated vaccine among Indian children: Retrospective 1:4
Babasaheb V Tandale1, Siraj A Khan2, Komal P Kushwaha3
1Epidemiology, ICMR-National Institute of Virology, Pune, India.
Insights
The single-dose SA 14-14-2 Japanese encephalitis (JE) vaccine showed moderate effectiveness in Indian children. This live-attenuated vaccine campaign targeted children aged 1-15 years.
Area of Science:
- * Public Health
- * Vaccinology
- * Epidemiology
Background:
- * Japanese encephalitis (JE) is a serious mosquito-borne viral disease prevalent in Asia.
- * The SA 14-14-2 live-attenuated vaccine is used to prevent JE.
- * Understanding vaccine effectiveness in real-world settings is crucial for public health strategies.
Purpose of the Study:
- * To estimate the effectiveness of a single dose of the SA 14-14-2 JE vaccine.
- * To evaluate the vaccine campaign conducted among children aged 1-15 years in India.
- * To assess vaccine effectiveness based on different data sources.
Main Methods:
- * Retrospective case-control study of acute encephalitis syndrome (AES) cases and controls.
- * Laboratory confirmation of JE cases using ELISA and RT-PCR.
- * Conditional logistic regression analysis of matched case-control sets.
Main Results:
- * Vaccination effectiveness was 43.8% (95% CI, 1.9-67.8) based on vaccination records.
- * Effectiveness increased to 72.2% (95% CI, 56.2-82.4) when including parental history.
- * Higher vaccine effectiveness was observed in Assam compared to Uttar Pradesh.
Conclusions:
- * The SA 14-14-2 JE vaccine provides moderate effectiveness in Indian children.
- * Data verification methods (e.g., parental history) can influence effectiveness estimates.
- * The findings support the use of this vaccine in JE prevention programs.
Objectives:
We estimate the effectiveness of Japanese encephalitis (JE) SA 14-14-2 live-attenuated vaccination single dose campaign among children aged 1-15 years in India during 2006-07.
Methods:
Acute encephalitis syndrome (AES) cases hospitalized following vaccination campaigns during the years 2006-08 were investigated retrospectively. The laboratory-confirmed JE cases were detected from the surveillance laboratories based on anti-JE IgM antibody by ELISA or viral RNA detection by RT-PCR in sera or cerebrospinal fluid. Consent was sought from parents or guardians. Four community controls were chosen randomly per case during house-to-house survey employing individual matching on age, gender and residence during the risk period. Vaccination history was enquired from the child's guardian and verified from vaccination card at home or records at health centre. Conditional logistic regression was conducted on matched case-control sets.
Results:
We studied 149 cases and matched 596 controls. Vaccination effectiveness was 43.8% (95% CI, 1.9-67.8) based on vaccination card or record. However, effectiveness was 72.2% (95% CI, 56.2-82.4) based on parental history or card/record. Vaccination effectiveness in Assam state was higher than in Uttar Pradesh state.
Conclusions:
We concluded that the single subcutaneous dose of SA 14-14-2 JE vaccine provided moderate effectiveness in Indian children.
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