Abstract

Background. The influenza vaccination coverage has steadily increased in the Russian Federation. The introduction of new domestic influenza vaccines into practice and the study of their effectiveness are of great importance for public health. However, a systematic analysis of the effectiveness of vaccines manufactured and used in Russia in recent years has not been performed. The aim ofthe study was to assess the epidemiological effectiveness of three domestic influenza vaccines in St. Petersburg during the 2018–2019 epidemic season.Material and methods. The organized community of 1892 young students aged 18 to 23 years has been under supervision during the period of time from October 2018 to March 2019. Influenza vaccines Grippol Plus, Sovigripp, and Ultrix were used for vaccination.Results and discussion. Prophylactic vaccination with influenza vaccines Sovigripp, Grippol Plus and Ultrix in the fall of 2018 led to a decrease in the incidence of influenza and other acute respiratory infections (ARI) by a total of 1.6–3.8 times; a decrease in the incidence of influenza by 2.7–7.1 times; the total protective efficacy of vaccines against influenza and ARI was 52.4%, and against influenza, taking into account laboratory correction, 73.3%.Conclusions. Under the conditions of the viruses circulating in Russia and in St. Petersburg in the 2018–2019 epidemic season the strains introduced into the composition of influenza vaccines, domestic influenza vaccines were characterized by good tolerance, were safe, areactogenic and had a pronounced protective effect. If the viruses circulating in Russia and in St. Petersburg in the 2018–2019 epidemic season corresponded to the strains introduced into the composition of influenza vaccines, domestic influenza vaccines, showing good tolerance, safety and low reactogenicity, had a pronounced protective effect.

Highlights

  • The influenza vaccination coverage has steadily increased in the Russian Federation

  • The introduction of new domestic influenza vaccines into practice and the study of their effectiveness are of great importance for public health

  • Influenza vaccines Grippol Plus, Sovigripp, and Ultrix were used for vaccination

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Summary

Practical Aspects of Epidemiology and Vaccine Prevention

Оценка профилактической эффективности гриппозных вакцин в эпидемический сезон 2018–2019 гг. в Санкт-Петербурге. По оценке ВОЗ, современные вакцины, при условии совпадения вакцинных и циркулирующих штаммов, обеспечивают снижение заболеваемости гриппом среди взрослых людей в среднем на 70–90%, снижение риска серьезных осложнений, в первую очередь у пожилых, – на 70–85%, на 56% – заболеваемость другими ОРВИ, на 48% сокращают число госпитализаций, связанных с осложнениями гриппа [2,3,4]. Для иммунизации использовали следующие вакцины: вакцина «Гриппол плюс», (серия 030718), инактивированная субъединичная, содержащая по 5 мкг гемагглютинина каждого из трех эпидемических штаммов вирусов гриппа типов А(H1N1), А(H3N2), В и 500 мкг иммуноадъюванта Полиоксидоний® в дозе 0,5 мл производства ООО «НПО Петровакс Фарм». Показатель заболеваемости гриппом и ОРВИ всего населения превысил уровень значения недельного эпидемического порога на 28,9%. В организованном коллективе под наблюдением состояли 1892 человека – студенты, в возрасте от 18 до 23 лет, которые находились в тесном контакте при ежедневных учебных занятиях, проживании в общежитии, что увеличивало вероятность перекрестного инфицирования респираторными вирусами, в том числе и вирусами гриппа. The weekly epidemic threshold was calculated according to MR 3.1.2.0118–17 (orange line)**

Неделя Week
ИЭ Efficacy index
Непривитые Not vaccinated
ИЭ Efficacy
ИНФОРМАЦИЯ РОСПОТРЕБНАДЗОРА
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