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.
Abstract

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