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Impact of SARS-CoV-2 vaccination of children ages 5-11 years on COVID-19 disease burden and resilience to new variants in the United States, November 2021-March 2022: A multi-model study.


ABSTRACT:

Background

The COVID-19 Scenario Modeling Hub convened nine modeling teams to project the impact of expanding SARS-CoV-2 vaccination to children aged 5-11 years on COVID-19 burden and resilience against variant strains.

Methods

Teams contributed state- and national-level weekly projections of cases, hospitalizations, and deaths in the United States from September 12, 2021 to March 12, 2022. Four scenarios covered all combinations of 1) vaccination (or not) of children aged 5-11 years (starting November 1, 2021), and 2) emergence (or not) of a variant more transmissible than the Delta variant (emerging November 15, 2021). Individual team projections were linearly pooled. The effect of childhood vaccination on overall and age-specific outcomes was estimated using meta-analyses.

Findings

Assuming that a new variant would not emerge, all-age COVID-19 outcomes were projected to decrease nationally through mid-March 2022. In this setting, vaccination of children 5-11 years old was associated with reductions in projections for all-age cumulative cases (7.2%, mean incidence ratio [IR] 0.928, 95% confidence interval [CI] 0.880-0.977), hospitalizations (8.7%, mean IR 0.913, 95% CI 0.834-0.992), and deaths (9.2%, mean IR 0.908, 95% CI 0.797-1.020) compared with scenarios without childhood vaccination. Vaccine benefits increased for scenarios including a hypothesized more transmissible variant, assuming similar vaccine effectiveness. Projected relative reductions in cumulative outcomes were larger for children than for the entire population. State-level variation was observed.

Interpretation

Given the scenario assumptions (defined before the emergence of Omicron), expanding vaccination to children 5-11 years old would provide measurable direct benefits, as well as indirect benefits to the all-age U.S. population, including resilience to more transmissible variants.

Funding

Various (see acknowledgments).

SUBMITTER: Borchering RK 

PROVIDER: S-EPMC9679449 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature

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Publications

Impact of SARS-CoV-2 vaccination of children ages 5-11 years on COVID-19 disease burden and resilience to new variants in the United States, November 2021-March 2022: A multi-model study.

Borchering Rebecca K RK   Mullany Luke C LC   Howerton Emily E   Chinazzi Matteo M   Smith Claire P CP   Qin Michelle M   Reich Nicholas G NG   Contamin Lucie L   Levander John J   Kerr Jessica J   Espino J J   Hochheiser Harry H   Lovett Kaitlin K   Kinsey Matt M   Tallaksen Kate K   Wilson Shelby S   Shin Lauren L   Lemaitre Joseph C JC   Hulse Juan Dent JD   Kaminsky Joshua J   Lee Elizabeth C EC   Hill Alison L AL   Davis Jessica T JT   Mu Kunpeng K   Xiong Xinyue X   Pastore Y Piontti Ana A   Vespignani Alessandro A   Srivastava Ajitesh A   Porebski Przemyslaw P   Venkatramanan Srini S   Adiga Aniruddha A   Lewis Bryan B   Klahn Brian B   Outten Joseph J   Hurt Benjamin B   Chen Jiangzhuo J   Mortveit Henning H   Wilson Amanda A   Marathe Madhav M   Hoops Stefan S   Bhattacharya Parantapa P   Machi Dustin D   Chen Shi S   Paul Rajib R   Janies Daniel D   Thill Jean-Claude JC   Galanti Marta M   Yamana Teresa T   Pei Sen S   Shaman Jeffrey J   España Guido G   Cavany Sean S   Moore Sean S   Perkins Alex A   Healy Jessica M JM   Slayton Rachel B RB   Johansson Michael A MA   Biggerstaff Matthew M   Shea Katriona K   Truelove Shaun A SA   Runge Michael C MC   Viboud Cécile C   Lessler Justin J  

Lancet regional health. Americas 20221122


<h4>Background</h4>The COVID-19 Scenario Modeling Hub convened nine modeling teams to project the impact of expanding SARS-CoV-2 vaccination to children aged 5-11 years on COVID-19 burden and resilience against variant strains.<h4>Methods</h4>Teams contributed state- and national-level weekly projections of cases, hospitalizations, and deaths in the United States from September 12, 2021 to March 12, 2022. Four scenarios covered all combinations of 1) vaccination (or not) of children aged 5-11 ye  ...[more]

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