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Impact of national influenza vaccination strategy in severe influenza outcomes among the high-risk Portuguese population

dc.contributor.authorMachado, Ausenda
dc.contributor.authorKislaya, Irina
dc.contributor.authorLarrauri, Amparo
dc.contributor.authorMatias Dias, Carlos
dc.contributor.authorNunes, Baltazar
dc.date.accessioned2020-04-27T06:33:48Z
dc.date.available2020-04-27T06:33:48Z
dc.date.issued2019-12-16
dc.description.abstractAll aged individuals with a chronic condition and those with 65 and more years are at increased risk of severe influenza post-infection complications. There is limited research on cases averted by the yearly vaccination programs in high-risk individuals. The objective was to estimate the impact of trivalent seasonal influenza vaccination on averted hospitalizations and death among the high-risk population in Portugal. The impact of trivalent seasonal influenza vaccination was estimated using vaccine coverage, vaccine effectiveness and the number of influenza-related hospitalizations and deaths. The number of averted events (NAE), prevented fraction (PF) and number needed to vaccinate (NVN) were estimated for seasons 2014/15 to 2016/17. The vaccination strategy averted on average approximately 1833 hospitalizations and 383 deaths per season. Highest NAE was observed in the ≥65 years population (85% of hospitalizations and 95% deaths) and in the 2016/17 season (1957 hospitalizations and 439 deaths). On average, seasonal vaccination prevented 21% of hospitalizations in the population aged 65 and more, and 18.5% in the population with chronic conditions. The vaccination also prevented 29% and 19.5% of deaths in each group of the high-risk population. It would be needed to vaccinate 3360 high-risk individuals, to prevent one hospitalization and 60,471 high-risk individuals to prevent one death. The yearly influenza vaccination campaigns had a sustained positive benefit for the high-risk population, reducing hospitalizations and deaths. These results can support public health plans toward increased vaccine coverage in high-risk groups.pt_PT
dc.description.sponsorshipActivities related to individuals aged 65 and more years were supported by European Commission Horizon 2020 programme [grant agreement No 634446].pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBMC Public Health. 2019 Dec 16;19(1):1690. doi: 10.1186/s12889-019-7958-8pt_PT
dc.identifier.doi10.1186/s12889-019-7958-8pt_PT
dc.identifier.issn1471-2458
dc.identifier.urihttp://hdl.handle.net/10400.18/6523
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Nature/ BMCpt_PT
dc.relationI-MOVE+ Integrated Monitoring of Vaccines Effects in Europe: a platform to measure and compare effectiveness and impact of influenza and pneumococcal vaccines and vaccination strategies in the elderly
dc.relation.publisherversionhttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7958-8pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectInfluenza Vaccinept_PT
dc.subjectVacina Antigripalpt_PT
dc.subjectInfluenza Vaccination Impactpt_PT
dc.subjectHospitalizationpt_PT
dc.subjectDeterminantes da Saúde e da Doençapt_PT
dc.subjectCuidados de Saúdept_PT
dc.titleImpact of national influenza vaccination strategy in severe influenza outcomes among the high-risk Portuguese populationpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleI-MOVE+ Integrated Monitoring of Vaccines Effects in Europe: a platform to measure and compare effectiveness and impact of influenza and pneumococcal vaccines and vaccination strategies in the elderly
oaire.awardURIinfo:eu-repo/grantAgreement/EC/H2020/634446/EU
oaire.citation.issue1pt_PT
oaire.citation.startPage1690pt_PT
oaire.citation.titleBMC Public Healthpt_PT
oaire.citation.volume19pt_PT
oaire.fundingStreamH2020
project.funder.identifierhttp://doi.org/10.13039/501100008530
project.funder.nameEuropean Commission
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isProjectOfPublicationccfd73a6-6f3c-4702-956c-544973bca97d
relation.isProjectOfPublication.latestForDiscoveryccfd73a6-6f3c-4702-956c-544973bca97d

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