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Effectiveness of a nationwide COVID-19 vaccination program in Mexico against symptomatic COVID-19, hospitalizations, and death: a retrospective analysis of national surveillance data.


ABSTRACT:

Objectives

Vaccination has been effective in ameliorating the impact of COVID-19. Here, we report vaccine effectiveness (VE) of the nationally available COVID-19 vaccines in Mexico.

Methods

Retrospective analysis of a COVID-19 surveillance system to assess the VE of the BNT162b2, messenger RNA (mRNA)-12732, Gam-COVID-Vac, Ad5-nCoV, Ad26.COV2.S, ChAdOx1, and CoronaVac vaccines against SARS-CoV-2 infection, COVID-19 hospitalization, and death in Mexico. The VE was estimated using time-varying Cox proportional hazard models in vaccinated and unvaccinated adults, adjusted for age, sex, and comorbidities. VE was also estimated for adults with diabetes, aged ≥60 years, and comparing the predominance of SARS-CoV-2 variants B.1.1.519 and B.1.617.2.

Results

We assessed 793,487 vaccinated and 4,792,338 unvaccinated adults between December 24, 2020 and September 27, 2021. The VE against SARS-CoV-2 infection was the highest for fully vaccinated individuals with mRNA-12732 (91.5%, 95% confidence interval [CI] 90.3-92.4) and Ad26.COV2.S (82.2%, 95% CI 81.4-82.9); for COVID-19 hospitalization, BNT162b2 (84.3%, 95% CI 83.6-84.9) and Gam-COVID-Vac (81.4% 95% CI 79.5-83.1), and for mortality, BNT162b2 (89.8%, 95% CI 89.2-90.2) and mRNA-12732 (93.5%, 95% CI 86.0-97.0). The VE decreased for all vaccines in adults aged ≥60 years, people with diabetes, and periods of Delta variant predominance.

Conclusion

All the vaccines implemented in Mexico were effective against SARS-CoV-2 infection, COVID-19 hospitalization, and death. Mass vaccination with multiple vaccines is useful to maximize vaccination coverage.

SUBMITTER: Bello-Chavolla OY 

PROVIDER: S-EPMC9918316 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

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Effectiveness of a nationwide COVID-19 vaccination program in Mexico against symptomatic COVID-19, hospitalizations, and death: a retrospective analysis of national surveillance data.

Bello-Chavolla Omar Yaxmehen OY   Antonio-Villa Neftali Eduardo NE   Valdés-Ferrer Sergio Iván SI   Fermín-Martínez Carlos A CA   Fernández-Chirino Luisa L   Vargas-Vázquez Arsenio A   Ramírez-García Daniel D   Mancilla-Galindo Javier J   Kammar-García Ashuin A   Ávila-Funes José Alberto JA   Zúñiga-Gil Clemente Humberto CH   García-Grimshaw Miguel M   Ceballos-Liceaga Santa Elizabeth SE   Carbajal-Sandoval Guillermo G   Montes-González José Antonio JA   Zaragoza-Jiménez Christian Arturo CA   García-Rodríguez Gabriel G   Cortés-Alcalá Ricardo R   Reyes-Terán Gustavo G   López-Gatell Hugo H   Gutiérrez-Robledo Luis Miguel LM  

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases 20230211


<h4>Objectives</h4>Vaccination has been effective in ameliorating the impact of COVID-19. Here, we report vaccine effectiveness (VE) of the nationally available COVID-19 vaccines in Mexico.<h4>Methods</h4>Retrospective analysis of a COVID-19 surveillance system to assess the VE of the BNT162b2, messenger RNA (mRNA)-12732, Gam-COVID-Vac, Ad5-nCoV, Ad26.COV2.S, ChAdOx1, and CoronaVac vaccines against SARS-CoV-2 infection, COVID-19 hospitalization, and death in Mexico. The VE was estimated using ti  ...[more]

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