Emerging Infectious Diseases ( IF 7.2 ) Pub Date : 2024-10-19 , DOI: 10.3201/eid3011.240375 Radhika Gharpure, Young M. Yoo, Ben Andagalu, Stefano Tempia, Sergio Loayza, Chiedza Machingaidze, Bryan O. Nyawanda, Jeanette Dawa, Eric Osoro, Rose Jalang’o, Kathryn E. Lafond, Melissa A. Rolfes, Gideon O. Emukule
In Kenya, influenza virus circulates year-round, raising questions about optimum strategies for vaccination. Given national interest in introducing influenza vaccination for young children 6–23 months of age, we modeled total influenza-associated illnesses (inclusive of hospitalizations, outpatient illnesses, and non‒medically attended illnesses) averted by multiple potential vaccination strategies: year-round versus seasonal-campaign vaccination, and vaccination starting in April (Southern Hemisphere influenza vaccine availability) versus October (Northern Hemisphere availability). We modeled average vaccine effectiveness of 50% and annual vaccination coverage of 60%. In the introduction year, year-round vaccination averted 6,410 total illnesses when introduced in October and 7,202 illnesses when introduced in April, whereas seasonal-campaign vaccination averted 10,236 (October) to 11,612 (April) illnesses. In the year after introduction, both strategies averted comparable numbers of illnesses (10,831–10,868 for year-round, 10,175–11,282 for campaign). Campaign-style vaccination would likely have a greater effect during initial pediatric influenza vaccine introduction in Kenya; however, either strategy could achieve similar longer-term effects.
中文翻译:
估计全年和季节性幼儿疫苗接种运动避免的流感疾病,肯尼亚
在肯尼亚,流感病毒全年传播,这引发了人们对最佳疫苗接种策略的质疑。鉴于国家对为 6-23 个月大的幼儿引入流感疫苗接种的兴趣,我们模拟了通过多种潜在疫苗接种策略避免的流感相关疾病总数(包括住院、门诊疾病和非就医疾病):全年疫苗接种与季节性疫苗接种,以及从 4 月开始的疫苗接种(南半球流感疫苗的可用性)与 10 月(北半球的可用性)。我们对平均疫苗有效性为 50% 和年疫苗接种覆盖率为 60% 进行建模。在引入年份,全年疫苗接种在 10 月引入时避免了 6,410 例疾病,在 4 月引入时避免了 7,202 例疾病,而季节性疫苗接种避免了 10,236 例(10 月)至 11,612 例(4 月)疾病。在引入后的一年里,两种策略都避免了相当数量的疾病(全年 10,831-10,868 人,运动 10,175-11,282 人)。在肯尼亚最初引入儿科流感疫苗期间,运动式疫苗接种可能会产生更大的影响;然而,这两种策略都可以实现类似的长期效果。