Abstract

The United Kingdom is introducing a universal annual influenza vaccination programme for children. Live attenuated influenza vaccine (LAIV) effectiveness (VE) against laboratory-confirmed influenza hospitalisation in 2 to 6 year-olds in England was measured in 2015/16 using the screening method. VE adjusted for age, geography and month was 54.5% (95% confidence interval (CI): 31.5% to 68.4%) for all influenza types combined; 48.3% (95% CI: 16.9% to 67.8%) for A(H1N1)pdm09 and 70.6% (95% CI: 33.2% to 87.1%) for B. The findings support on-going programme roll-out.

Highlights

  • The United Kingdom (UK) started the phased introduction of a universal paediatric influenza vaccination programme in 2013/14, following recommendations from the UK Joint Committee on Vaccination and Immunisation (JCVI) [1]

  • The UK has published evidence that live attenuated influenza vaccine (LAIV) provided significant protection against influenza for children consulting in primary care in 2015/16 [4], to date no data have been published on the potential effectiveness of this vaccine against more severe disease

  • There were a total of 176 children 2 to 6 years of age on 1 September 2015 with laboratory-confirmed influenza infection reported to UK Severe Influenza Surveillance System (USISS), who were hospitalised between week 40 2015 and week 20 2016

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Summary

Introduction

The United Kingdom (UK) started the phased introduction of a universal paediatric influenza vaccination programme in 2013/14, following recommendations from the UK Joint Committee on Vaccination and Immunisation (JCVI) [1]. The UK has published a series of papers demonstrating that the programme has provided direct protection against influenza-confirmed infection in primary care over the first three seasons [3,4]. The UK Severe Influenza Surveillance System (USISS) was established after the 2009 influenza pandemic and collects information on laboratory-confirmed influenza hospitalisations through a sentinel network of acute hospital trusts in England [5]. This surveillance system provides an opportunity to measure whether the new paediatric influenza vaccination programme provides direct protection against more severe infection in children

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