Preview

Epidemiology and Vaccinal Prevention

Advanced search

Estimation of Prophylactic Efficacy of the Grippol® Vaccine for Large-Scale Immunization in Adult and Children's Organized Collectives in the Republic of Belarus

https://doi.org/10.31631/2073-3046-2017-16-5-33-42

Abstract

Abstract estimation of anti-epidemic efficacy of a polymer-subunit vaccine Grippol® for large-scale immunization in adult work collectives and secondary schools in Vitebsk, Minsk and Grodno was conducted. Acute respiratory infection agents were detected by the means of RT-PCR in selected individuals. The overall number of participants was 12308 (5391 were children aged 6 - 17 and 6917 were 18 years or older). Influenza and ARI morbidity analysis demonstrates that Grippol® plus has a high anti-epidemic efficacy, reducing the influenza morbidity in the vaccinated cohort by 2.1 (adults) and 3.0 (children) times compared to that in unvaccinated persons. Efficacy and efficacy rate amounted to 50 3% and 2 2 in adults and 66 2% and 3 0 in children respectively A decrease in number of recurrent diseases complications in children was also demonstrated A dynamic morbidity analysis showed that in unvaccinated children there had been an evident increase in influenza and ARI among the unvaccinated children in late January - February 2016, while among the children who were vaccinated the morbidity rate was consistently low across all months of the influenza season.

About the Authors

N. P. Shmeleva
State Institution «Republican Research and Practical Center for Epidemiology and Microbiology» Ministry of Health of the Republic of Belarus
Russian Federation


V. P. Shimanovich
State Institution «Republican Research and Practical Center for Epidemiology and Microbiology» Ministry of Health of the Republic of Belarus
Russian Federation


N. V. Sivets
State Institution «Republican Research and Practical Center for Epidemiology and Microbiology» Ministry of Health of the Republic of Belarus
Russian Federation


T. P. Lapo
State Institution «Republican Research and Practical Center for Epidemiology and Microbiology» Ministry of Health of the Republic of Belarus
Russian Federation


N. V. Gribkova
State Institution «Republican Research and Practical Center for Epidemiology and Microbiology» Ministry of Health of the Republic of Belarus
Russian Federation


References

1. Influenza (Seasonal) Fact sheet. 2016. Available at: http://www.who.int/mediacentre/factsheets/fs211/ru/ (in Russian).

2. CDC. Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR. 2011; 60 (RR – 07): 1 – 45.

3. CDC. Recommended adult immunization schedule - United States – 2016. Доступно на сайте: https://www.cdc.gov/vaccines/schedules/hcp/adult.html

4. Maltezou H.C., Poland G.A. Vaccination policies for health-care workers Europe. Vaccine. 2014; 32: 4876 – 4880.

5. Seasonal influenza vaccination in Europe. Overview of vaccination recommendations and coverage rates in the EU Member States for the 2012–13 influenza season. ECDC technical report. Доступно на сайте: http://ecdc.europa.eu/en/publications/Publications/Seasonal-influenza-vaccination-Europe-2012-13 pdf.

6. Healthcare in the Republic of Belarus: official statistical compendium for 2015. Minsk; State Institution «Republican Research and Practical Center for Epidemiology and Microbiology». 2016: 281 (in Russian).

7. Gribkova N.V., Sivets N.V., Cheshenok E.V., Lapo T.P., Anoshko O..N. Epidemic Season for Influenza 2012/13. in the world and the Republic of Belarus. Medicinskie novosti. [Medical News]. 2013; 120: 51 – 54 (in Russian).

8. Shmeleva N.P., Sivets N.V., Gribkova N.V., Lapo T.P., Cheshenok E.V., Anoshko O.N. Etiological spectrum of pathogens of acute respiratory viral infection in Belarus in 2010 2014. Health care. 2014; 10: 69 – 71.

9. Ilyina T.N. Assessment of the epidemiological efficacy of the influenza inactivated polymer-subunit vaccine in immunizing school children. Voprosi sovremennoi pideadrii. [Issues of modern Pediatrics]. 2009; 8 (5): 48 – 52.

10. Erofeeva M.K., Nikonorov I.Yu., Maksakova V.L., Elshina G.A., Gorbunov MA Krainova T.I. et al. Evaluation of the effectiveness of the influenza vaccine Grippol® Plus in school-age children during the influenza epidemic in 2008 – 2009. Epidemiology and Vaccine Prophylaxis. 2010; 4 (53): 80 – 86.

11. CDC. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices [ACIP]. MMWR. 2001; 50 (RR – 4): 1 – 44.

12. Nichol K. Cost-benefit analysis of a strategy to vaccinate healthy working adults against influenza. Arch. Intern. Med. 2001; 161: 749 – 759.

13. Nichol K.L., Lind A., Margolis K.L., Murdoch M., McFadden R., Hauge M. et al. The effectiveness of vaccination against influenza in healthy, working adults. N. Engl. J. Med. 1995; 333: 889 – 93.

14. Bridges C.B., Thompson W.W., Meltzer M.I., Reeve G.R., Talamonti W.J., Cox N.J. et al. Effectiveness and cost-benefit of influenza vaccination of healthy working adults: a randomized controlled trial. JAMA. 2000; 284: 1655 – 1663.

15. Flu vaccination coverage. United States, 2015 – 2016 Influenza Season. USA National Immunization CDC. Available at: https://www.cdc.gov/flu/fluvaxview/coverage-1516estimates.htm.

16. Ordinance of the Ministry of Health of the Republic of Belarus on July 18, 2012 No. 106 On the establishment of the National Shedul of preventive vaccinations, the list of preventive vaccinations for epidemiological indications, the procedure and timing of their conduct and the revocation of decisions of the Ministry of Health of the Republic of Belarus of September 29, 2006 No. 76 and August 8, 2011 № 78 (in Russian).

17. Vysotskaya V.S., Glinskaya I.N., Karaban I.A., Pashkovich V.V., Grin V.V., Shmeleva N.P. et al. Epidemiological effectiveness and economic feasibility of vaccine prevention of the population of the Republic of Belarus against influenza. Modern problems of human infectious pathology: Minsk: GU RNMB, 2017; 10 (in Russian).

18. Bakhareva N.V., Prikhodko G.F., Yusupova G.K., Korchagina T.M., Kosova E.S. Assessment of the epidemiological and economic efficiency of immunization of employees of the Krasnoyarsk Railways with influenza vaccine Fluarix. Consilium medicum. 2000; 2 (5) (in Russian).

19. Batashova I.I., Burtsev D.V., Polyakova L.L., Melnik L.N. Analysis of the medical and biological effectiveness of influenza vaccine prophylaxis among children of organized groups. Infectious diseases. 2010; 8 (3): 72 – 76 (in Russian).

20. Simpson CR, Lone NI, Kavanagh K, Ritchie LD, Robertson C, Sheikh A. et al. Trivalent inactivated seasonal influenza vaccine effectiveness for the prevention of laboratory-confirmed influenza in a Scottish population 2000 to 2009. Euro Surveill. 2015 Feb 26; 20(8). pii: 21043.

21. Victor JC, Lewis KD, Diallo A, Niang MN, Diarra B, Dia N, et al. Efficacy of a Russian-backbone live attenuated influenza vaccine among children in Senegal: a randomised, double-blind, placebo-controlled trial. Lancet Glob. Health. 2016. 4 (12): e955 – e965.

22. Grigorieva E.P., Drinevsky V.P., Doroshenko E.M., Desheva Yu.A., Erofeeva M.K., Maksakova V.L. et al. Effectiveness of live influenza reassortant vaccine in the circulation of drift variants of the influenza virus. Epidemiology and vaccinoprophylaxis. 2009; 1 (44): 45 – 51 (in Russian).

23. Wang Z., Tobler S., Roayaei J., Eick A. Live attenuated or inactivated influenza vaccines and medical encounters for respiratory illnesses among US military personnel. JAMA. 2009 Mar 4; 301 (9): 945 – 53.

24. Viechtbauer W. Conducting meta-analyses in R with the metafor package. Journal of Statistical Software. 2010; 36 (3): 1 – 48.


Review

For citations:


Shmeleva N.P., Shimanovich V.P., Sivets N.V., Lapo T.P., Gribkova N.V. Estimation of Prophylactic Efficacy of the Grippol® Vaccine for Large-Scale Immunization in Adult and Children's Organized Collectives in the Republic of Belarus. Epidemiology and Vaccinal Prevention. 2017;16(5):33-42. (In Russ.) https://doi.org/10.31631/2073-3046-2017-16-5-33-42

Views: 1042


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


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