Single-Dose Vaccination Among Infants and Toddlers Provides Modest Protection Against Influenza Illness, Which Wanes After 5 Months

Author:

Wagner Abram L1,Sanchez Nery2,Kubale John1,Kuan Guillermina23,Gresh Lionel2,Lopez Roger24,Ojeda Sergio2,Azziz-Baumgartner Eduardo5,Balmaseda Angel24,Gordon Aubree1ORCID

Affiliation:

1. Department of Epidemiology, School of Public Health, University of Michigan , Ann Arbor, Michigan , USA

2. Sustainable Sciences Institute , Managua , Nicaragua

3. Centro de Salud Sócrates Flores Vivas, Ministry of Health , Managua , Nicaragua

4. Laboratorio Nacional de Virología, Centro Nacional de Diagnóstico y Referencia, Ministry of Health , Managua , Nicaragua

5. Influenza Division, Centers for Disease Control and Prevention , Atlanta, Georgia , USA

Abstract

Abstract In their first season of vaccination, young children are recommended 2 doses of influenza vaccine, but a 2-dose schedule might be difficult to implement in many countries. Within a cohort study of 742 children aged 6 to <24 months in Managua, Nicaragua, this study estimated effectiveness of partial vaccination from 3 to 9 months postvaccination. Vaccine effectiveness was 74% (95% confidence interval [CI], 24%–91%) within 3 months and 55% (95% CI, 10%–77%) within 4 months. There was not significant protection beyond 5 months. Partial vaccination might confer some benefits but should be followed by a second dose.

Funder

US Centers for Disease Control and Prevention

National Institute of Allergy and Infectious Diseases

National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Immunology and Allergy

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