2018, Number 3
Dengue surveillance in children who received CYD tetravalent dengue vaccine during their second year of life while participating in a clinical trial in a southern state of Mexico
Arredondo-García JL, Rodríguez MFI, Sosa CZP, Sosa BGC, Sansores RAJ
Language: English
References: 13
Page: 104-109
PDF size: 192.49 Kb.
ABSTRACT
Dengue is a systemic viral infection transmitted to humans by mosquitoes and is a public health challenge due to its rapid global expansion and lack of specific therapeutic agents. To date (January 2018), the CYD-TDV vaccine has been granted licensure in 19 countries. The World Health Organization global strategy for dengue prevention and control 2012-2020 has, as a global goal, the reduction of the burden of disease. One of the technical elements of this strategy is the implementation of a dengue vaccine. This is an epidemiological descriptive study of 248 subjects with retrospective and passive surveillance for 2 years; from this cohort, 162 subjects, ages 4 years 8 months to 5 years 9 months, underwent active surveillance. Eligible participants were children who participated in the previous randomized phase III trial conducted in Merida, Yucatan, Mexico. All the subjects who completed the previous trial were included for retrospective/passive surveillance; the subjects who underwent active surveillance (n = 162 subjects) were identified during a three-month enrollment period. Blood draws and phone calls (study procedures) were performed under the applicable local and international regulations. None of the 248 participants followed for passive surveillance had a reported confirmed dengue case. Forty-one cases of suspected vector-transmitted disease without virological or serological confirmation were detected. The result of this study provides support for the safety of the vaccine in this age group. Further follow-ups in similar populations should be done in order to obtain more information.REFERENCES
Melo FIR, Morales JJR, De Los Santos AHM, Rivas E, Vigne C, Noriega F. Immunogenicity and safety of a booster injection of DTap-IPV//Hib (Pentaxim) administered concomitantly with tetravalent dengue vaccine in healthy toddlers 15-18 months of age in Mexico: a randomized trial. Pediatr Infect Dis J. 2017; 36 (6): 602-608.