Waning of Vaccine Protection Against Rotavirus Hospitalization Among Children Aged <5 Years in Low- and Middle-Income Countries, 2007¨C2023

What to know

  • Presentation Day/Time: Friday, April 25, 9:00–10:25 am
  • Presenter: Adiba Hassan, PhD, MSPH, MPH, EIS officer assigned to the National Center for Immunization and Respiratory Diseases, Division of Viral Diseases
Adiba Hassan, PhD, MSPH, MPH

What did we do?

• We explored waning rotavirus vaccine effectiveness (VE) during the first-year post vaccination using pooled data from 25 test-negative design case-control studies conducted during 2007–2023 in low- and middle-income countries across Asia, Africa, and Latin America. A total of 13,760 children were included.

What did we find?

  • Estimated VE against rotavirus hospitalization was highest at 61% within 0-2 months post-rotavirus vaccine series completion, then gradually declined to 47% within 9-11 months post-series completion.
  • In with the highest U5M burden, VE was 50% within 0–2 months post rotavirus vaccine series completion but declined sharply to 18% by 9–11 months post completion.
  • VE remained high (70%) throughout the first-year postvaccine series completion in the lowest U5M strata countries.

Why does it matter?

  • Rotavirus vaccine protection against hospitalization is highest within three months after vaccination but appears to wane rapidly within the first year in countries with the highest U5M burden.
  • Adding a booster dose at 9–12 months or optimizing timing of vaccination may help minimize this burden.

***This presentation has updated data that will be shared at the EIS Conference.

Field Photo

EIS officer (Class of 2024) and Tillman Scholar, LT Adiba Hassan, talking to Pat Tillman Middle School students on being a disease detective for an Arizona Cardinals Salute to Service event.
EIS officer (Class of 2024) and Tillman Scholar, LT Adiba Hassan, talking to Pat Tillman Middle School students on being a disease detective for an Arizona Cardinals Salute to Service event.

Abstract Category: Global Health, Vaccines