Modeling the impact of rubella vaccination in Vietnam

Supported by GAVI Alliance, measles-rubella vaccination was introduced in Vietnam in 2014, involving a mass campaign among 1-14 year olds and routine immunization of children aged 9 months. We explore the impact on the incidence of Congenital Rubella Syndrome (CRS) during 2013-2050 of this strategy...

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Veröffentlicht in:Human vaccines & immunotherapeutics 2016-01, Vol.12 (1), p.150-158
Hauptverfasser: Vynnycky, Emilia, Yoshida, Lay Myint, Huyen, Dang Thi Thanh, Trung, Nguyen Dac, Toda, Kohei, Cuong, Nguyen Van, Thi Hong, Duong, Ariyoshi, Koya, Miyakawa, Masami, Moriuchi, Hiroyuki, Tho, Le Huu, Nguyen, Hien Anh, Duc Anh, Dang, Jit, Mark, Hien, Nguyen Tran
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container_end_page 158
container_issue 1
container_start_page 150
container_title Human vaccines & immunotherapeutics
container_volume 12
creator Vynnycky, Emilia
Yoshida, Lay Myint
Huyen, Dang Thi Thanh
Trung, Nguyen Dac
Toda, Kohei
Cuong, Nguyen Van
Thi Hong, Duong
Ariyoshi, Koya
Miyakawa, Masami
Moriuchi, Hiroyuki
Tho, Le Huu
Nguyen, Hien Anh
Duc Anh, Dang
Jit, Mark
Hien, Nguyen Tran
description Supported by GAVI Alliance, measles-rubella vaccination was introduced in Vietnam in 2014, involving a mass campaign among 1-14 year olds and routine immunization of children aged 9 months. We explore the impact on the incidence of Congenital Rubella Syndrome (CRS) during 2013-2050 of this strategy and variants involving women aged 15-35 years. We use an age and sex-structured dynamic transmission model, set up using recently-collected seroprevalence data from Central Vietnam, and also consider different levels of transmission and contact patterns. If the serological profile resembles that in Central Vietnam, the planned vaccination strategy could potentially prevent 125,000 CRS cases by 2050 in Vietnam, despite outbreaks predicted in the meantime. Targeting the initial campaign at 15-35 year old women with or without children aged 9 months-14 years led to sustained reductions in incidence, unless levels of ongoing transmission were medium-high before vaccination started. Assumptions about contact greatly influenced predictions if the initial campaign just targeted 15-35 year old women and/or levels of ongoing transmission were medium-high. Given increased interest in rubella vaccination, resulting from GAVI Alliance funding, the findings are relevant for many countries.
doi_str_mv 10.1080/21645515.2015.1060380
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subjects Adolescent
Adult
Aged
Child
Child, Preschool
Disease Transmission, Infectious - prevention & control
Female
Humans
Immunization Programs
Incidence
Infant
Infant, Newborn
Middle Aged
Models, Statistical
Research Papers
Rubella - epidemiology
Rubella - prevention & control
Rubella Vaccine - administration & dosage
Rubella Vaccine - immunology
rubella, Congenital Rubella Syndrome, measles-rubella vaccination, mathematical modelling, Vietnam
Seroepidemiologic Studies
Vaccination
Vietnam - epidemiology
Young Adult
title Modeling the impact of rubella vaccination in Vietnam
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