The effectiveness of COVID-19 vaccines in Latin America, 2021: a multicenter regional case–control study
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/58743 |
Resumo: | Funding This study was funded by the Pan-American Health Organization (PAHO, World Health Organization (WHO)). PAHO convened and led the study implementation. |
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Kahn, RebeccaJanusz, Cara B.Castro, Marcia C.Matos, Aline da RochaDomingues, CarlaPonmattam, JamieRey-Benito, GloriaToscano, Cristiana M.Oliveira, Lucia Helena deRegional COVID-19 VE in Adults Study Working Group2023-05-26T14:09:08Z2023-05-26T14:09:08Z2023KHAN, Rebecca et al. The effectiveness of COVID-19 vaccines in Latin America, 2021: a multicenter regional case–control study. The Lancet Regional Health - Americas. v.20: 100474, p. 1 - 12, 2023.2667-193Xhttps://www.arca.fiocruz.br/handle/icict/5874310. 1016/j.lana.2023. 100474Funding This study was funded by the Pan-American Health Organization (PAHO, World Health Organization (WHO)). PAHO convened and led the study implementation.Harvard TH Chan School of Public Health, 677 Huntington Ave Suite 506, Boston, MA, 02115, USA.University of Michigan, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.Harvard TH Chan School of Public Health. Boston, MA, 02115, USA.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Vírus Respiratórios, Exantemáticos, Enterovírus e Emergências Virais. Rio de Janeiro, RJ, Brasil.SMDB conjunto 12b lote 3 Casa B. Brasília DF, Brasil.Harvard TH Chan School of Public Health. Boston, MA, 02115, USA.Immunization Unit, Pan American Health Organization, Washington, USA.Universidade Federal de Goiás. Instituto de Patologia Tropical e Saúde Pública. Goiânia, GO, Brasil.Immunization Unit, Pan American Health Organization, Washington, USA.Summary Background As of September 2022, nearly 1.3 billion doses of COVID-19 vaccine products have been administered in Latin America and the Caribbean, where 27% of global COVID-19 deaths have occurred. This study aimed to estimate the effectiveness of COVID-19 vaccines against lab-confirmed COVID-19 related hospitalizations and deaths among adults in Argentina, Brazil, Chile, and Colombia. Methods Using a test-negative case control design, we evaluated the effectiveness of a primary vaccination series considering six COVID-19 vaccine products (Sputnik V, mRNA-1273, CoronaVac, ChAdOx1, BNT162b2, Ad26.COV2.S) against lab-confirmed COVID-19 hospitalizations and deaths among 83,708 hospitalized adults from February–December, 2021. Data from hospitalization records, COVID surveillance, and vaccination registries were used. Vaccine effectiveness was estimated using logistic regression ((1-OR) x 100). Findings The average age of participants was 56.7 (SD = 17.5), and 45,894 (54.8%) were male. Adjusted VE (aVE) estimates for full vaccination against hospitalization were 82% for mRNA-1273 (95% confidence interval (CI) = −30 to 98%), 76% (71%–81%) for BNT162b2, 65% (61–68%) for ChAdOx1, 57% (10–79%) for Sputnik V, 53% (50–56%) for CoronaVac, and 46% (23–62%) for Ad26.COV2.S. Estimates, particularly for CoronaVac, varied by variant. Decreasing aVE was estimated as age increased, particularly for CoronaVac and ChAdOx1. aVE estimates against death were generally higher, with 100% (CI not estimated) for mRNA-1273, 82% (69–90%) for BNT162b2, 73% (69–77%) for ChAdOx1, 65% (60–67%) for CoronaVac, 38% (−75 to 78%) for Sputnik V, 6% (−58 to 44%) for Ad26.COV2.S.engElsevier Ltd.Vacinação COVID-19Eficácia da vacinaControle de casoTeste negativoBrasilChileArgentinaColômbiaCOVID-19 vaccinationVaccine effectivenessCase–controlTest-negativeBrazilChileArgentinaColombiaThe effectiveness of COVID-19 vaccines in Latin America, 2021: a multicenter regional case–control studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; 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dc.title.en_US.fl_str_mv |
The effectiveness of COVID-19 vaccines in Latin America, 2021: a multicenter regional case–control study |
title |
The effectiveness of COVID-19 vaccines in Latin America, 2021: a multicenter regional case–control study |
spellingShingle |
The effectiveness of COVID-19 vaccines in Latin America, 2021: a multicenter regional case–control study Kahn, Rebecca Vacinação COVID-19 Eficácia da vacina Controle de caso Teste negativo Brasil Chile Argentina Colômbia COVID-19 vaccination Vaccine effectiveness Case–control Test-negative Brazil Chile Argentina Colombia |
title_short |
The effectiveness of COVID-19 vaccines in Latin America, 2021: a multicenter regional case–control study |
title_full |
The effectiveness of COVID-19 vaccines in Latin America, 2021: a multicenter regional case–control study |
title_fullStr |
The effectiveness of COVID-19 vaccines in Latin America, 2021: a multicenter regional case–control study |
title_full_unstemmed |
The effectiveness of COVID-19 vaccines in Latin America, 2021: a multicenter regional case–control study |
title_sort |
The effectiveness of COVID-19 vaccines in Latin America, 2021: a multicenter regional case–control study |
author |
Kahn, Rebecca |
author_facet |
Kahn, Rebecca Janusz, Cara B. Castro, Marcia C. Matos, Aline da Rocha Domingues, Carla Ponmattam, Jamie Rey-Benito, Gloria Toscano, Cristiana M. Oliveira, Lucia Helena de Regional COVID-19 VE in Adults Study Working Group |
author_role |
author |
author2 |
Janusz, Cara B. Castro, Marcia C. Matos, Aline da Rocha Domingues, Carla Ponmattam, Jamie Rey-Benito, Gloria Toscano, Cristiana M. Oliveira, Lucia Helena de Regional COVID-19 VE in Adults Study Working Group |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Kahn, Rebecca Janusz, Cara B. Castro, Marcia C. Matos, Aline da Rocha Domingues, Carla Ponmattam, Jamie Rey-Benito, Gloria Toscano, Cristiana M. Oliveira, Lucia Helena de Regional COVID-19 VE in Adults Study Working Group |
dc.subject.other.en_US.fl_str_mv |
Vacinação COVID-19 Eficácia da vacina Controle de caso Teste negativo Brasil Chile Argentina Colômbia |
topic |
Vacinação COVID-19 Eficácia da vacina Controle de caso Teste negativo Brasil Chile Argentina Colômbia COVID-19 vaccination Vaccine effectiveness Case–control Test-negative Brazil Chile Argentina Colombia |
dc.subject.en.en_US.fl_str_mv |
COVID-19 vaccination Vaccine effectiveness Case–control Test-negative Brazil Chile Argentina Colombia |
description |
Funding This study was funded by the Pan-American Health Organization (PAHO, World Health Organization (WHO)). PAHO convened and led the study implementation. |
publishDate |
2023 |
dc.date.accessioned.fl_str_mv |
2023-05-26T14:09:08Z |
dc.date.available.fl_str_mv |
2023-05-26T14:09:08Z |
dc.date.issued.fl_str_mv |
2023 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
KHAN, Rebecca et al. The effectiveness of COVID-19 vaccines in Latin America, 2021: a multicenter regional case–control study. The Lancet Regional Health - Americas. v.20: 100474, p. 1 - 12, 2023. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/58743 |
dc.identifier.issn.en_US.fl_str_mv |
2667-193X |
dc.identifier.doi.none.fl_str_mv |
10. 1016/j.lana.2023. 100474 |
identifier_str_mv |
KHAN, Rebecca et al. The effectiveness of COVID-19 vaccines in Latin America, 2021: a multicenter regional case–control study. The Lancet Regional Health - Americas. v.20: 100474, p. 1 - 12, 2023. 2667-193X 10. 1016/j.lana.2023. 100474 |
url |
https://www.arca.fiocruz.br/handle/icict/58743 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Elsevier Ltd. |
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Elsevier Ltd. |
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reponame:Repositório Institucional da FIOCRUZ (ARCA) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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