Vaccines for the Unvaccinated: Protecting the Herd
Author(s) -
David S. Stephens
Publication year - 2008
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1086/527402
Subject(s) - carriage , meningococcal disease , neisseria meningitidis , medicine , meningococcal vaccine , virology , serotype , herd immunity , conjugate vaccine , vaccination , microbiology and biotechnology , immunology , biology , immunization , antibody , bacteria , pathology , genetics
andcharacterizedbygenotypingandphenotyping. A significant and specific reduction in the prevalence of serogroup C meningococcal carriage was noted that lasted at least during the 2 years of the study, without evidence of new meningococcal serogroup replacement. Vaccine efficacy against serogroup C carriage was at least 75%, with a high impact on the virulent clonal complex of serogroup C meningococci associated with invasive meningococcal disease. The decreases in the prevalence of carriage correlated with reductions in serogroup C meningococcal disease in unvaccinated individuals; at least 50% of the effectiveness of the meningococcal serogroup C conjugate vac
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