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Evaluation of the Effectiveness of Immunization Saint-Petersburg Population against COVID-19

https://doi.org/10.31631/2073-3046-2022-21-5-21-28

Abstract

Relevance. Vaccination is being replaced by the primary and most effective means of protecting the world's population from a new coronavirus infection.

Aim. Evaluation of the effectiveness of COVID-19 immunization in Saint-Petersburg.

Materials and methods: We retrospectively studied the epidemiological data on the cumulative incidence of COVID-19 in St. Petersburg among adults vaccinated (1,558,030 people) and unvaccinated (2,863,050 people) for period from December 01, 2020 to November 30, 2021 on 12.01.2021. We analyzed the data presented in the Federal Register of Persons with COVID-19 and the Federal Register of Those Vaccinated against COVID-19.

Results. The risk of COVID-19 infection among vaccinated is statistically significantly lower than among unvaccinated RR = 0.11 (95% CI 0.109–0.110; p < 0.001). Infected COVID-19 Vaccinated patients were less likely to need for emergency care/hospitalization RR = 0.30 (95% CI 0.29–0.30; p < 0.001). Also among the vaccinated mortality was lower RR = 0.35 (95% CI 0.33–0.37; p < 0.001).

Conclusion: We have established reliable preventive effectiveness of the use of domestic vaccines by reducing morbidity, the frequency of development of forms of the disease requiring inpatient treatment; reducing mortality among vaccinated and, accordingly, reducing the burden on the healthcare system of St. Petersburg.

About the Authors

M. G. Dar'ina
Medical Information and Analytical Center of the Health Committee of Saint Petersburg; North-Western State Medical University named after I. I. Mechnikov of the Ministry of Health of Russia
Russian Federation

Mariya G. Dar’ina – Cand Sci. (Med.), Associate Professor, head of the city coordination organizational and methodological department, Saint Petersburg Medical Information and Analytical Centre; Associate Professor Epidemiology Department of North-western state medical university named after I.I. Mechnikov

30, st. Shkapina, St. Petersburg, 198095



A. V. Ljubimova
North-Western State Medical University named after I. I. Mechnikov of the Ministry of Health of Russia
Russian Federation

Anna V. Lyubimova – Professor at the Epidemiology Department

St. Petersburg



Yu. S. Svetlichnaja
Medical Information and Analytical Center of the Health Committee of Saint Petersburg; North-Western State Medical University named after I. I. Mechnikov of the Ministry of Health of Russia
Russian Federation

Yuliya S. Svetlichnaya – head of the hospital epidemiology sector of the city Medical Information and Analytical Centre; Associate Professor of Epidemiology Department of North-western state medical university named after I.I. Mechnikov

St. Petersburg



A. S. Zahvatova
Medical Information and Analytical Center of the Health Committee of Saint Petersburg; North-Western State Medical University named after I. I. Mechnikov of the Ministry of Health of Russia
Russian Federation

Anastasiya S. Zahvatova – physician-methodist of the hospital epidemiology sector of the St. Petersburg Medical Information and Analytical Centre; postgraduate of Epidemiology Department

St. Petersburg



A. V. Jazenok
Medical Information and Analytical Center of the Health Committee of Saint Petersburg
Russian Federation

Arkadij V. Yazenok – director

St. Petersburg



S. M. Harit
Pediatric Research and Clinical Center for Infectious Disease of the Federal Medical and Biological Agency
Russian Federation

Susanna M. Harit – head of the Department of prevention infectious diseases of the Clinical Department

St. Petersburg



B. I. Aslanov
North-Western State Medical University named after I. I. Mechnikov of the Ministry of Health of Russia
Russian Federation

Batyrbek I. Aslanov  – head of the Epidemiology Department

St. Petersburg



References

1. Logunov DY, Dolzhikova IV, Shcheblyakov DV, et al. Safety and efficacy of an rAd26 and rAd5 vector-based heterologous prime-boost COVID-19 vaccine: an interim analysis of a randomised controlled phase 3 trial in Russia. Lancet 397 (10275) p. 671–681. doi: 10.1016/S0140-6736(21)00234-8.

2. Tukhvatulin AI, Dolzhikova IV, Shcheblyakov DV, et al. An open, non-randomised, phase 1/2 trial on the safety, tolerability, and immunogenicity of single-dose vaccine Sputnik Light for prevention of coronavirus infection in healthy adults. Lancet Reg Health Eur. 2021, 11:100241.

3. CDC COVID-19 Vaccine Breakthrough Case Investigations Team. COVID-19 vaccine breakthrough infections reported to CDC – United States, january 1 april 30, 2021. MMWR Morb Mortal Wkly Rep.2021, 28 may; 70 (21): р. 792–793.

4. Menni C, Klaser K, May A, et al. Vaccine side-effects and SARS-CoV-2 infection after vaccination in users of the COVID Symptom Study app in the UK: a prospective observational study. Lancet Infect Dis. 2021, р. 939–949. doi: 10.1016/S1473-3099(21)00224-3.

5. Dagan N, Barda N, Kepten E, et al. Covid-19 Vaccine in a Nationwide Mass Vaccination Setting. N Engl J Med. 2021, Apr 15; 384(15):1412–1423. doi: 10.1056/NEJMoa2101765.

6. Tenforde MW, Embi PJ, Levy ME, et al. Influenza and Other Viruses in the Acutely Ill (IVY) Network. Association Between mRNA Vaccination and COVID-19 Hospitalization and Disease Severity. JAMA. 2021;326:2043–54. doi:10.1001/jama.2021.19499.

7. Jabłońska K, Aballéa S, Toumi M. The real-life impact of vaccination on COVID-19 mortality in Europe and Israel. Public Health. 2021. Sep;198:230–237. DOI: 10.1016/j.puhe.2021.07.037

8. Xu S, Heing-Becker I, Zhang J, et al. COVID-19 Vaccination and Non-COVID-19 Mortality Risk Seven Integrated Health Care Organizations, United States, December 14, 2020July 31, 2021. MMWR Morb Mortal Wkly Rep. 2021 Oct 29;70(43):1520–1524.

9. Vaishya R, Gupta BM, Kappi M, et al. Symptomatic post-vaccination SARS-CoV-2 infections in healthcare workers – A multicenter cohort study. Diabetes Metab Syndr. 2021 Oct 4; 15 (6):102306.

10. Rovida F, Esposito GL, Rissone M, et al. SARS-CoV-2 vaccine breakthrough infections with the alpha variant are asymptomatic or mildly symptomatic among health care workers. Nat Commun. 2021 Oct 15; 12 (1): 6032.

11. Liu C, Sun H, Yi Y, Shen W, et al. Retrospective Analysis of COVID-19 mRNA Vaccine Breakthrough Infections – Risk Factors and Vaccine Effectiveness // medRxiv [Preprint]. 2021 Oct 7:2021.10.05.21264583.

12. Brown CM, Vostok J, Johnson H, et al. Outbreak of SARS-CoV-2 Infections, Including COVID-19 Vaccine Breakthrough Infections, Associated with Large Public Gatherings Barnstable County, Massachusetts, July 2021. MMWR Morb Mortal Wkly Rep. 2021 Aug 6;70(31):1059–1062.

13. Naito T, Yan Yan,Yoko Tabe, et al. Real-world evidence for the effectiveness and breakthrough of BNT162b2 mRNA COVID-19 vaccine at a medical center in Japan. Hum Vaccin Immunother. 2021 Oct 6:1–2.

14. Hacisuleyman E, Hale C, Saito Y, et al. Vaccine Breakthrough Infections with SARS-CoV-2 Variants. N Engl J Med. 2021 Jun 10; 384(23):2212–2218.

15. Jain VK, Yengar KP, Ish P. Elucidating causes of COVID-19 infection and related deaths after vaccination. Diabetes Metab Syndr. 2021 Sep-Oct; 15 (5): 102212. doi: 10.1016/j.dsx.2021.102212. Epub 2021 Jul 15. 1

16. Wang R, Chen J, Hozumi Yu, et al. Emerging vaccine-breakthrough SARS-CoV-2 variants. ArXiv. 2021 Sep 9: arXiv:2109.04509v1.

17. Wang L, WangQQ, Pamela BD, et al. Increased risk for COVID-19 breakthrough infection in fully vaccinated patients with substance use disorders in the United States between December 2020 and August 2021. World Psychiatry. 2021 Oct 5.


Review

For citations:


Dar'ina M.G., Ljubimova A.V., Svetlichnaja Yu.S., Zahvatova A.S., Jazenok A.V., Harit S.M., Aslanov B.I. Evaluation of the Effectiveness of Immunization Saint-Petersburg Population against COVID-19. Epidemiology and Vaccinal Prevention. 2022;21(5):21-28. (In Russ.) https://doi.org/10.31631/2073-3046-2022-21-5-21-28

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ISSN 2073-3046 (Print)
ISSN 2619-0494 (Online)