First assessment of all-cause acute diarrhoea and rotavirus-confirmed cases following massive vaccination in Argentina

• Published in: Epidemiology and infection 2018-11, Vol.146 (15), p.1948-1954
• Main Authors: Degiuseppe, J. I., Stupka, J. A.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Age groups; Argentina - epidemiology; Child, Preschool; Children; Cross-Sectional Studies; Declination; Diarrhea; Diarrhea - epidemiology; Diarrhea - prevention & control; Ecological monitoring; Female; Gastroenteritis; Gastroenteritis - epidemiology; Gastroenteritis - prevention & control; Genomes; Genotype; Genotypes; Health surveillance; Hospitals; Humans; Incidence; Infant; Infant, Newborn; Infectious diseases; Laboratories; Male; Middle Aged; Original Paper; Pediatrics; Polymerase chain reaction; Provinces; Public health; Rotavirus; Rotavirus - classification; Rotavirus - genetics; Rotavirus - isolation & purification; Rotavirus Infections - epidemiology; Rotavirus Infections - prevention & control; Rotavirus Vaccines - administration & dosage; Vaccination; Vaccines; Virology; Viruses; Young Adult
• ISSN: 0950-2688; 1469-4409; 1469-4409
• DOI: 10.1017/S0950268818001954

Argentina incorporated rotavirus massive vaccination in 2015. No specific strategy has been designed to accurately measure the impact of this recent introduction on the diarrhoeal disease burden in our country. We assessed post-vaccine introduction data (all-cause acute diarrhoea and rotavirus laboratory-confirmed cases, and genotype distribution), compared with pre-vaccination period in children under 5 years of age in Argentina. Cross-sectional ecologic analysis was conducted with data from the Argentine Surveillance Health System. Endemic channel and global and seasonal incidence rates of pre- and post-vaccination periods were calculated and further compared. Conventional binary genotypification on rotavirus-positive samples was also performed. In post-vaccination period, a global decrease of 20.8% in the rate of all-cause acute diarrhoea cases was found. The endemic channel showed that declination was more significant in the autumn/winter season. Rotavirus laboratory-confirmed cases showed 61.7% of reduction and the weekly distribution analyses indicated a significant flattening of the expected seasonal peak. G2P[4] was the most prevalent circulating genotype (57.2%). This study represents the first assessment of diarrhoeal disease burden since rotavirus massive vaccination strategy was implemented in Argentina. This introduction represented a successful intervention due to the significant decrease in all-cause acute diarrhoea cases and rotavirus laboratory-confirmed cases.