Twenty-Year Public Health Impact of 7- and 13-Valent Pneumococcal Conjugate Vaccines in US Children

Pneumococcal conjugate vaccines (PCVs) have been used in the United States since 2000. To assess the cumulative 20-year effect of PCVs on invasive pneumococcal disease (IPD) incidence among children <5 years of age, we analyzed Active Bacterial Core Surveillance data, conducted a literature revie...

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Main Authors: Matt Wasserman, Ruth Chapman, Rotem Lapidot, Kelly Sutton, Desmond Dillon-Murphy, Shreeya Patel, Erica Chilson, Vincenza Snow, Raymond Farkouh, Stephen Pelton
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2021-06-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/27/6/20-4238_article
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author Matt Wasserman
Ruth Chapman
Rotem Lapidot
Kelly Sutton
Desmond Dillon-Murphy
Shreeya Patel
Erica Chilson
Vincenza Snow
Raymond Farkouh
Stephen Pelton
author_facet Matt Wasserman
Ruth Chapman
Rotem Lapidot
Kelly Sutton
Desmond Dillon-Murphy
Shreeya Patel
Erica Chilson
Vincenza Snow
Raymond Farkouh
Stephen Pelton
author_sort Matt Wasserman
collection DOAJ
description Pneumococcal conjugate vaccines (PCVs) have been used in the United States since 2000. To assess the cumulative 20-year effect of PCVs on invasive pneumococcal disease (IPD) incidence among children <5 years of age, we analyzed Active Bacterial Core Surveillance data, conducted a literature review, and modeled expected and observed disease. We found that PCVs have averted >282,000 cases of IPD, including ≈16,000 meningitis, ≈172,000 bacteremia, and ≈55,000 bacteremic pneumonia cases. In addition, vaccination has prevented 97 million healthcare visits for otitis media, 438,914–706,345 hospitalizations for pneumonia, and 2,780 total deaths. IPD cases declined 91%, from 15,707 in 1997 to 1,382 in 2019. Average annual visits for otitis media declined 41%, from 78 visits/100 children before PCV introduction to 46 visits/100 children after PCV13 introduction. Annual pneumonia hospitalizations declined 66%–79%, from 110,000–175,000 in 1997 to 37,000 in 2019. These findings confirm the substantial benefits of PCVs for preventing IPD in children.
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spelling doaj.art-56b656ace98144438f269a98cf699d402022-12-21T20:06:40ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592021-06-012761627163610.3201/eid2706.204238Twenty-Year Public Health Impact of 7- and 13-Valent Pneumococcal Conjugate Vaccines in US ChildrenMatt WassermanRuth ChapmanRotem LapidotKelly SuttonDesmond Dillon-MurphyShreeya PatelErica ChilsonVincenza SnowRaymond FarkouhStephen PeltonPneumococcal conjugate vaccines (PCVs) have been used in the United States since 2000. To assess the cumulative 20-year effect of PCVs on invasive pneumococcal disease (IPD) incidence among children <5 years of age, we analyzed Active Bacterial Core Surveillance data, conducted a literature review, and modeled expected and observed disease. We found that PCVs have averted >282,000 cases of IPD, including ≈16,000 meningitis, ≈172,000 bacteremia, and ≈55,000 bacteremic pneumonia cases. In addition, vaccination has prevented 97 million healthcare visits for otitis media, 438,914–706,345 hospitalizations for pneumonia, and 2,780 total deaths. IPD cases declined 91%, from 15,707 in 1997 to 1,382 in 2019. Average annual visits for otitis media declined 41%, from 78 visits/100 children before PCV introduction to 46 visits/100 children after PCV13 introduction. Annual pneumonia hospitalizations declined 66%–79%, from 110,000–175,000 in 1997 to 37,000 in 2019. These findings confirm the substantial benefits of PCVs for preventing IPD in children.https://wwwnc.cdc.gov/eid/article/27/6/20-4238_articlechildrenincidenceinvasive pneumococcal diseaseIPDotitis mediapneumococcal disease
spellingShingle Matt Wasserman
Ruth Chapman
Rotem Lapidot
Kelly Sutton
Desmond Dillon-Murphy
Shreeya Patel
Erica Chilson
Vincenza Snow
Raymond Farkouh
Stephen Pelton
Twenty-Year Public Health Impact of 7- and 13-Valent Pneumococcal Conjugate Vaccines in US Children
Emerging Infectious Diseases
children
incidence
invasive pneumococcal disease
IPD
otitis media
pneumococcal disease
title Twenty-Year Public Health Impact of 7- and 13-Valent Pneumococcal Conjugate Vaccines in US Children
title_full Twenty-Year Public Health Impact of 7- and 13-Valent Pneumococcal Conjugate Vaccines in US Children
title_fullStr Twenty-Year Public Health Impact of 7- and 13-Valent Pneumococcal Conjugate Vaccines in US Children
title_full_unstemmed Twenty-Year Public Health Impact of 7- and 13-Valent Pneumococcal Conjugate Vaccines in US Children
title_short Twenty-Year Public Health Impact of 7- and 13-Valent Pneumococcal Conjugate Vaccines in US Children
title_sort twenty year public health impact of 7 and 13 valent pneumococcal conjugate vaccines in us children
topic children
incidence
invasive pneumococcal disease
IPD
otitis media
pneumococcal disease
url https://wwwnc.cdc.gov/eid/article/27/6/20-4238_article
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