scholarly journals Translation of the UK Pediatric Influenza Vaccination Programme in Primary Schools to 13 European Countries Using a Dynamic Transmission Model

10.36469/9802 ◽  
2017 ◽  
Vol 5 (1) ◽  
pp. 109-124
Author(s):  
Laetitia Gerlier ◽  
Judith Hackett ◽  
Richard Lawson ◽  
Sofia Dos Santos Mendes ◽  
Martin Eichner

Objectives: To simulate the impact of a pediatric influenza vaccination programme using quadrivalent live attenuated influenza vaccine (QLAIV) in Europe by applying coverage rates achieved in the United Kingdom during the 2014–2015 season and to compare the model outcomes to the UK results. Methods: We used a deterministic, age-structured, dynamic transmission model adapted to the demography, contact patterns and influenza incidence of 13 European countries, with a 10-year horizon. The reference strategy was the unchanged country-specific coverage rate, using quadrivalent inactivated vaccine (assumed efficacy against infection from 45% in 1-year-old children to 60% in healthy adults). In the evaluated strategy, 56.8% of 5–10-year-old children were additionally vaccinated with QLAIV (assumed efficacy 80%), as was the case in 2014–2015 in the United Kingdom’s primary school pilot areas. Symptomatic influenza cases and associated medical resources (primary care consultations [PCC], hospitalization, intensive care unit [ICU] admissions) were calculated. The evaluated versus reference strategies were compared using odds ratios (ORs) for PCC in the target (aged 5–10-years) and non-target adult (aged >17 years) populations as well as number needed to vaccinate (NNV) with QLAIV to avert one PCC, hospitalization or ICU admission. Model outcomes, averaged over 10 seasons, were compared with published real-life data from the United Kingdom for the 2014–2015 season. Results: Over 13 countries and 10 years, the evaluated strategy prevented 32.8 million of symptomatic influenza cases (172.3 vs 205.2 million). The resulting range of ORs for PCC was 0.18–0.48 among children aged 5–10-years, and the published OR in the United Kingdom was 0.06 (95% confidence interval [0.01; 0.62]). In adults, the range of ORs for PCC was 0.60–0.91 (UK OR=0.41 [0.19; 0.86]). NNV ranges were 6–19 per averted PCC (UK NNV=16), 530–1524 per averted hospitalization (UK NNV=317) and 5298–15 241 per averted ICU admission (UK NNV=2205). Conclusions: Across a range of European countries, our model shows the beneficial direct and indirect impact of a paediatric vaccination programme using QLAIV in primary school-aged children, consistent with what was observed during a single season in the United Kingdom. Recommendations for the implementation of pediatric vaccination programmes are, therefore, supported in Europe.

Author(s):  
James Painter

This article examines the television coverage of the three 2013 and 2014 reports by the Working Groups of the IPCC in five European countries: Germany, Norway, Poland, Spain and the United Kingdom. The presence, salience and dominance of four frames (disaster, uncertainty, explicit risk and opportunity) were examined in each of the bulletins monitored. The «disaster» frame was the strongest of all the frames, measured by all three metrics. «Opportunity» was the next most present, followed by «uncertainty». Although the IPCC put considerable emphasis on a risk management approach to tackling climate change in its communication of the WG2 report, the «explicit risk» frame was hardly present. The UK stood out for including some coverage of sceptical viewpoints.


2017 ◽  
Vol 22 (4) ◽  
Author(s):  
Richard Pebody ◽  
Bersabeh Sile ◽  
Fiona Warburton ◽  
Mary Sinnathamby ◽  
Camille Tsang ◽  
...  

The United Kingdom is introducing a universal annual influenza vaccination programme for children. Live attenuated influenza vaccine (LAIV) effectiveness (VE) against laboratory-confirmed influenza hospitalisation in 2 to 6 year-olds in England was measured in 2015/16 using the screening method. VE adjusted for age, geography and month was 54.5% (95% confidence interval (CI): 31.5% to 68.4%) for all influenza types combined; 48.3% (95% CI: 16.9% to 67.8%) for A(H1N1)pdm09 and 70.6% (95% CI: 33.2% to 87.1%) for B. The findings support on-going programme roll-out.


2020 ◽  
Author(s):  
Roberto Zavatta

This paper provides an overview of territorial patterns of COVID-19 deaths in four European countries severely affected by the pandemic, Spain, France, Italy, and the United Kingdom. The analysis focuses on cumulated COVID-19 mortality at the sub-regional level, following the territorial subdivision of countries adopted by the European Union. The paper builds upon a dataset with highly granular information on COVID-19 deaths assembled from various sources. The analysis shows remarkable differences in territorial patterns of COVID-19 mortality, both within and across the four countries reviewed. Results somewhat differ depending on the aspect considered (concentration of deaths or mortality rates) but, in general, Italy, France and Spain display significant territorial disparities, with selected sub-regions being disproportionately affected by the pandemic. Instead, the picture is more uniform in the UK, with comparatively lower differences across the various sub-regions. These findings suggest that analyses of COVID-19 mortality at the national level (and, sometimes, even at the regional level) may conceal major differences and therefore be of limited use, both analytically and from an operational viewpoint.


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Loh Teng-Hern Tan ◽  
Vengadesh Letchumanan ◽  
Hooi-Leng Ser ◽  
Jodi Woan-Fei Law ◽  
Nurul-Syakima Ab Mutalib ◽  
...  

COVID-19 has greatly impacted the world and posed an enormous public health threat. The United Kingdom is hit harder by the COVID-19 crisis than any other European countries, besides Italy, Spain and France. The UK government has come under heavy criticism for its response to COVID-19, with lack of preparedness, shortages of personal protective equipment and COVID-19 testing. Despite the lockdown is in place to slow the spread of COVID-19, UK death toll continues to surge. As of 21st April 2020, more than 120,000 confirmed COVID-19 cases and 16,000 deaths had been recorded in UK.


2005 ◽  
Vol 10 (14) ◽  
Author(s):  
J Stuart ◽  
A Perrocheau

Practical guidelines on the management of meningococcal disease in universities have recently been published in the United Kingdom. Universities in the UK are increasingly aware that cases of meningococcal disease cause great distress and disturbance on campuses


Author(s):  
M. Ellis ◽  
P.J. Avery

Slaughter weights for pigs in the United Kingdom have traditionally been much lower than those in most other European countries and in North America. For example, in 1988 average carcass weights in the UK were around 64 kg compared to 72 kg in Denmark, 80 kg in Holland and over 105 kg in Italy. Currently, there is considerable interest within the BritisTi pig industry in heavier slaughter weights for pigs to exploit potential advantages in reducing fixed costs of production per unit of output. A research programme is currently being undertaken at this centre to investigate the potential for increasing slaughter weight and results from the first two studies undertaken are reported here.


Until 2019, TBE was considered only to be an imported disease to the United Kingdom. In that year, evidence became available that the TBEV is likely circulating in the country1,2 and a first “probable case” of TBE originating in the UK was reported.3 In addition to TBEV, louping ill virus (LIV), a member of the TBEV-serocomplex, is also endemic in parts of the UK. Reports of clinical disease caused by LIV in livestock are mainly from Scotland, parts of North and South West England and Wales.4


2016 ◽  
Vol 4 (4) ◽  
pp. 30
Author(s):  
Nooriha Abdullah ◽  
Darinka Asenova ◽  
Stephen J. Bailey

The aim of this paper is to analyse the risk transfer issue in Public Private Partnership/Private Finance Initiative (PPP/PFI) procurement documents in the United Kingdom (UK) and Malaysia. It utilises qualitative research methods using documentation and interviews for data collection. The UK documents (guidelines and contracts) identify the risks related to this form of public procurement of services and makeexplicittheappropriateallocation of those risks between the public and the private sector PPP/PFI partners and so the types of risks each party should bear. However, in Malaysia, such allocation of risks was not mentioned in PPP/PFI guidelines. Hence, a question arises regarding whether risk transfer exists in Malaysian PPP/PFI projects, whether in contracts or by other means. This research question is the rationale for the comparative analysis ofdocumentsand practicesrelatingtorisk transfer in the PPP/PFI procurements in both countries. The results clarify risk-related issues that arise in implementing PPP/PFI procurement in Malaysia, in particular how risk is conceptualised, recognised and allocated (whether explicitly or implicitly), whether or not that allocation is intended to achieve optimum risk transfer, and so the implications forachievement ofvalue for moneyor other such objectivesinPPP/PFI.


2003 ◽  
Vol 7 (48) ◽  
Author(s):  
◽  

The Health Protection Agency Communicable Disease Surveillance Centre for England and Wales and others have reported that the number of people living with HIV in the UK has increased


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