Early evidence for direct and indirect effects of the infant rotavirus vaccine program in Queensland

To assess the impact of introducing a publicly funded infant rotavirus vaccination program on disease notifications and on laboratory testing and results. Retrospective analysis of routinely collected data (rotavirus notifications [2006-2008] and laboratory rotavirus testing data from Queensland Hea...

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Published inMedical journal of Australia Vol. 191; no. 3; p. 157
Main Authors Lambert, Stephen B, Faux, Cassandra E, Hall, Lisa, Birrell, Frances A, Peterson, Karen V, Selvey, Christine E, Sloots, Theo P, Nissen, Michael D, Grimwood, Keith
Format Journal Article
LanguageEnglish
Published Australia 03.08.2009
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Abstract To assess the impact of introducing a publicly funded infant rotavirus vaccination program on disease notifications and on laboratory testing and results. Retrospective analysis of routinely collected data (rotavirus notifications [2006-2008] and laboratory rotavirus testing data from Queensland Health laboratories [2000-2008]) to monitor rotavirus trends before and after the introduction of a publicly funded infant rotavirus vaccination program in Queensland in July 2007. Age group-specific rotavirus notification trends; number of rotavirus tests performed and the proportion positive. In the less than 2 years age group, rotavirus notifications declined by 53% (2007) and 65% (2008); the number of laboratory tests performed declined by 3% (2007) and 15% (2008); and the proportion of tests positive declined by 45% (2007) and 43% (2008) compared with data collected before introduction of the vaccination program. An indirect effect of infant vaccination was seen: notifications and the proportion of tests positive for rotavirus declined in older age groups as well. The publicly funded rotavirus vaccination program in Queensland is having an early impact, direct and indirect, on rotavirus disease as assessed using routinely collected data. Further observational studies are required to assess vaccine effectiveness. Parents and immunisation providers should ensure that all Australian children receive the recommended rotavirus vaccine doses in the required timeframe.
AbstractList To assess the impact of introducing a publicly funded infant rotavirus vaccination program on disease notifications and on laboratory testing and results. Retrospective analysis of routinely collected data (rotavirus notifications [2006-2008] and laboratory rotavirus testing data from Queensland Health laboratories [2000-2008]) to monitor rotavirus trends before and after the introduction of a publicly funded infant rotavirus vaccination program in Queensland in July 2007. Age group-specific rotavirus notification trends; number of rotavirus tests performed and the proportion positive. In the less than 2 years age group, rotavirus notifications declined by 53% (2007) and 65% (2008); the number of laboratory tests performed declined by 3% (2007) and 15% (2008); and the proportion of tests positive declined by 45% (2007) and 43% (2008) compared with data collected before introduction of the vaccination program. An indirect effect of infant vaccination was seen: notifications and the proportion of tests positive for rotavirus declined in older age groups as well. The publicly funded rotavirus vaccination program in Queensland is having an early impact, direct and indirect, on rotavirus disease as assessed using routinely collected data. Further observational studies are required to assess vaccine effectiveness. Parents and immunisation providers should ensure that all Australian children receive the recommended rotavirus vaccine doses in the required timeframe.
Author Faux, Cassandra E
Nissen, Michael D
Peterson, Karen V
Selvey, Christine E
Sloots, Theo P
Grimwood, Keith
Lambert, Stephen B
Hall, Lisa
Birrell, Frances A
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  organization: Queensland Paediatric Infectious Diseases Laboratory, Royal Children's Hospital, and Discipline of Paediatrics and Child Health, University of Queensland, Brisbane, QLD, Australia. sblambert@uq.edu.au
– sequence: 2
  givenname: Cassandra E
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/19645646$$D View this record in MEDLINE/PubMed
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Med J Aust. 2010 May 3;192(9):525
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Snippet To assess the impact of introducing a publicly funded infant rotavirus vaccination program on disease notifications and on laboratory testing and results....
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StartPage 157
SubjectTerms Child, Preschool
Female
Gastroenteritis - epidemiology
Gastroenteritis - prevention & control
Gastroenteritis - virology
Humans
Immunization Programs
Infant
Male
Queensland - epidemiology
Rotavirus Infections - epidemiology
Rotavirus Infections - prevention & control
Rotavirus Vaccines
Title Early evidence for direct and indirect effects of the infant rotavirus vaccine program in Queensland
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Volume 191
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