Effect of Haemophilus influenzae type b vaccination without a booster dose on invasive H influenzae type b disease, nasopharyngeal carriage, and population.

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Effect of Haemophilus influenzae type b vaccination without a booster dose on invasive H influenzae type b disease, nasopharyngeal carriage, and population immunity in Kilifi, Kenya: a 15-year regional surveillance study  Dr Laura L Hammitt, MD, Rosie J Crane, MBBS, Angela Karani, BSc, Alex Mutuku, MSc, Susan C Morpeth, FRACP, Polly Burbidge, BSc, Prof David Goldblatt, MB ChB, Tatu Kamau, MPH, Shahnaaz Sharif, MD, Neema Mturi, MRCPCH, Prof J Anthony G Scott, FRCP  The Lancet Global Health  Volume 4, Issue 3, Pages e185-e194 (March 2016) DOI: 10.1016/S2214-109X(15)00316-2 Copyright © 2016 Hammitt et al. Open Access article distributed under the terms of CC BY Terms and Conditions

Figure 1 Incidence of invasive Haemophilus influenzae type b disease in children younger than 5 years in the Kilifi Health and Demographic Surveillance System, 2000–14 Hib vaccine was introduced in November, 2001. Error bars show 95% CI. The Lancet Global Health 2016 4, e185-e194DOI: (10.1016/S2214-109X(15)00316-2) Copyright © 2016 Hammitt et al. Open Access article distributed under the terms of CC BY Terms and Conditions

Figure 2 Children with anti-PRP concentrations of >1 μg/mL, by age group and survey year Data for 1998 and 2000 combined (A), 2004–05 (B), 2007 (C), and 2009 (D). The proportion of children aged 4–7 months in (A) is 0%. Error bars show 95% CI. PRP=polyribosylribitol phosphate. The Lancet Global Health 2016 4, e185-e194DOI: (10.1016/S2214-109X(15)00316-2) Copyright © 2016 Hammitt et al. Open Access article distributed under the terms of CC BY Terms and Conditions

Figure 3 Reverse cumulative proportions of children with anti-PRP concentrations that exceed thresholds, by age group and survey year Data for children aged 4–11 months (A) 1–2 years (B), 3–4 years (C), and 5–12 years (D). Vertical lines indicate thresholds for short-term (0·15 μg/mL) and long-term (1 μg/mL) protection against invasive H influenzae type b disease. The Lancet Global Health 2016 4, e185-e194DOI: (10.1016/S2214-109X(15)00316-2) Copyright © 2016 Hammitt et al. Open Access article distributed under the terms of CC BY Terms and Conditions