1. Vaccine coverage and compliance in Mexico with the two-dose and three-dose rotavirus vaccines
- Author
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Luna-Casas, Gerardo, Juliao, Patricia, Carreño-Manjarrez, Roberto, Castañeda-Prado, Andrés, Cervantes-Apolinar, Maria Yolanda, Navarro-Rodriguez, Ricardo, Sánchez-González, Gilberto, Cortés-Alcalá, Ricardo, and DeAntonio, Rodrigo
- Abstract
ABSTRACTWorldwide, rotavirus infection has been a leading cause of severe diarrhea morbidity and mortality. Two rotavirus vaccines have been used in the National Immunization Program (NIP) in Mexico; two-dose Rotarixfrom 2006 to 2011 and three-dose RotaTeqsince 2011. This study assessed coverage (receiving at least one dose or full dose series) in eligible infants, compliance (% completing dose series and % completing series on schedule) in eligible infants vaccinated with Rotarix(2010) versus RotaTeq(2012), using Mexican Social Security Institute data nationwide and by regions.In 2010, 80.7% received at least one dose of Rotarix, 75.6% received both doses and 57.0% received both doses on schedule. In 2012, 85.7% received at least one dose of RotaTeq, 61.0% received all three doses and 43.2% received all three doses on schedule. More eligible infants received all doses with Rotarixversus RotaTeq(p < 0.001). Among infants vaccinated with Rotarixversus RotaTeq, 93.7% versus 71.1% completed full series (p < 0.001), and 75.5% versus 70.9% completed full series on schedule (p = 0.105), respectively. The full series coverage and compliance decreased in all regions with RotaTeqcompared with Rotarix. In conclusion, rotavirus vaccination has successfully reduced morbidity and mortality in children under 5 years in Mexico. This study found significant differences in full series coverage and compliance among infants and a higher proportion of completed scheduled at an earlier age in Mexico when comparing a two-dose vaccine in 2010 with a three-dose vaccine in 2012. Such differences might need to be taken into consideration to maximize NIP benefits, including early protection of the rotavirus vaccination program.
- Published
- 2019
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