MeNZB vaccine and epidemic control: when do you stop vaccinating?

Vaccine. 2008 Nov 5;26(47):5899-904. doi: 10.1016/j.vaccine.2008.08.062. Epub 2008 Sep 17.

Abstract

New Zealand developed a strain-specific group B meningococcal vaccine to control an epidemic. Following a mass vaccination campaign of three doses to the population under 20 years of age, commencing in July 2004, the vaccine continued to be offered routinely as a four-dose schedule from 6 weeks of age. There is little international data on when to cease epidemic vaccination campaigns. The decision to stop using this vaccine needed to take into account a range of factors. These included epidemiology, vaccine effectiveness and duration of immunity, vaccine coverage, concomitant use with other vaccinations being added to the infant schedule, vaccine supply and cost-benefit criteria. This paper discusses these issues, along with the potential challenges for communication to both health professionals and the public.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Disease Outbreaks* / prevention & control
  • Humans
  • Immunization Programs*
  • Immunization Schedule*
  • Infant
  • Meningococcal Infections / epidemiology
  • Meningococcal Infections / prevention & control
  • Meningococcal Vaccines / administration & dosage*
  • Neisseria meningitidis, Serogroup B / immunology*
  • New Zealand / epidemiology
  • Time Factors
  • Vaccination
  • Young Adult

Substances

  • Meningococcal Vaccines