Infect Chemother.  2016 Dec;48(4):257-266. 10.3947/ic.2016.48.4.257.

Indirect Effects of Pneumococcal Conjugate Vaccines in National Immunization Programs for Children on Adult Pneumococcal Disease

Affiliations
  • 1Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 2Division of Pulmonary, Allergy, and Critical Care, University of Alabama at Birmingham, Birmingham, AL, USA. nahm@uab.edu

Abstract

The pneumococcal conjugate vaccine (PCV) was developed to overcome the limitations of the pneumococcal polysaccharide vaccine, which produces poor immunogenicity in infants younger than 2 years. As many countries have included PCVs in national immunization programs for children, the incidence of invasive pneumococcal disease caused by vaccine type Streptococcus pneumoniae has declined markedly, not only among the vaccinated pediatric population, but also among unvaccinated adults. In this review, we present a concise overview of the indirect effects of mass pediatric PCV immunization on unvaccinated adults.

Keyword

Pneumococcal vaccines; Pneumococcal infections; Mass vaccination; Immunity; Herd

MeSH Terms

Adult*
Child*
Humans
Immunization Programs*
Immunization*
Incidence
Infant
Mass Vaccination
Pneumococcal Infections
Pneumococcal Vaccines
Streptococcus pneumoniae
Vaccines, Conjugate*
Pneumococcal Vaccines
Vaccines, Conjugate

Figure

  • Figure 1 Countries with Pneumococcal Conjugate vaccine (PCV) in the national immunization program and planned introductions in 2016, adapted to include dates of introduction for PCV for selected countries, organized by WHO region World Health Organization. Immunization, Vaccines, and Biologicals-Data, statistics and graphics. Updated 01 December 2016. Available at http://www.who.int/immunization/monitoring_surveillance/data/en Accessed 7 December 2016. *Includes partial introduction

  • Figure 2 Trends in the incidence of invasive pneumococcal diseases according to serotypes among unvaccinated adults PCV, pnemococcal conjugate vaccine. *Incidence is not real number


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