Impact of universal varicella vaccination on 1-year-olds in Uruguay: 1997–2005
2008

Impact of Universal Varicella Vaccination in Uruguay

publication Evidence: high

Author Information

Author(s): J Quian, R Rüttimann, C Romero, P Dall’Orso, A Cerisola, T Breuer, M Greenberg, T Verstraeten

Primary Institution: Republic University, Montevideo, Uruguay

Hypothesis

The introduction of universal varicella vaccination in Uruguay will significantly reduce hospitalizations and outpatient visits for varicella among children.

Conclusion

The burden of varicella has decreased substantially in Uruguayan children since the introduction of the varicella vaccination.

Supporting Evidence

  • Hospitalizations due to varicella reduced by 81% overall.
  • Ambulatory visits for varicella decreased by 87% overall.
  • Significant reductions were observed in all age groups studied.

Takeaway

After starting the varicella vaccine program, fewer kids got sick and had to go to the hospital for chickenpox.

Methodology

Data on hospitalizations and medical consultations for varicella were collected from health systems in Montevideo and compared before and after vaccination.

Potential Biases

Potential under-reporting of cases in one health system could affect findings.

Limitations

The study could not confirm reported varicella cases by laboratory testing and may have overestimated the impact of vaccination.

Participant Demographics

The study focused on children under 15 years old in Montevideo, Uruguay.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1136/adc.2007.126243

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