Table 2. Characteristics of surveillance sites included in meta-analysis (n = 21).
Country | Population | Vaccine Schedulea | Catch-up | Percent PCV7 Coverageb | Type of Surveillancec | n Surveillance Yearsd | Average Annual n IPD Isolates Pre-PCV7 | Percent Meningitis Cases pre-PCV7 | |||||
Year 1 | Maximum | Pre-PCV7 | Post-PCV7 | <5 y | ≥18 y | <5 y | ≥18 y | ||||||
Australia | Indigenous (NT) | 3+PPVa | Y | 73 | 86 | P | 5 | 8 | 20 | 31 | 9 | 0 | |
Australia | Non-indigenous | 3+0 | Y | 89 | 92 | P | 3 | 5 | 415 | 831 | 3 | 0 | |
Canada | Calgary | 3+1 | Y | 89 | 94 | A | 4 | 7 | 14 | 77 | 19 | 3 | |
Czech Republic | National | 3+1 | N | 80 | 80 | P | 2 | 1 | 35 | 207 | N/Ae | N/Ae | |
Denmark | National | 2+1 | Y | 89 | 90 | P | 5 | 3 | 91 | 984 | 22 | 6 | |
England and Wales | National | 2+1 | Y | 84 | 93 | P | 5f | 3 | 690 | 4,929 | 13 | 2 | |
France | Metropolitan | 2+1 | N | N/Pb | 80 | A | 2 | 6 | N/Ag | N/Ag | 23 | N/Ae | |
Greece | Crete | 3+1 | Y | 60 | 92 | P | 5 | 4 | 2 | 3 | 25 | 0 | |
Ireland | National | 2+1 | Y | N/Pb | 88 | P | 4 | 2 | N/Ag | N/Ag | 4 | 0 | |
Israel | National | 2+1 | Y | 85 | 85 | A | 5 | 1 | 238 | N/Ag | 11 | N/Ae | |
The Netherlands | National | 3+1 | N | 94 | 94 | P | 5f | 3 | 49 | 596 | 34 | 8 | |
New Zealand | National | 3+1 | Y | 88 | 90 | P | 5 | 2 | 159 | 341 | 7 | 2 | |
Norway | National | 2+1 | N | 94 | 95 | P | 4f | 4 | 92 | 969 | N/Ae | 5 | |
Scotland | National | 2+1 | Y | N/Pb | 97 | P | 3 | 4 | 86 | 568 | 8 | 1 | |
Switzerland | National | 2+1 | N | 30 | 80 | P | 3 | 3 | 73 | 783 | 8 | 2 | |
Uruguay | National | 2+1 | Y | 91 | 91 | P | 5 | 2 | 103 | N/Ag | 10 | N/Ae | |
USA | Seven sites (ABCs) | 3+1 | Y | 7 | 93 | A | 2 | 9 | 358 | 2,796 | 13 | 3 | |
USA | Alaska | 3+1 | Y | 20 | 87 | A | 5 | 7 | 19 | 76 | 14 | 5 | |
USA | Navajo | 3+1 | Y | 80 | 90 | A | 5f | 10 | 20 | 91 | 4 | 1 | |
USA | KPNC | 3+1 | Y | 33 | 81 | P | 4 | 4 | 22 | N/Ag | 9 | N/Ae | |
USA | Utah | 3+1 | Y | N/Pb | 90 | A | 3 | 10 | 20 | N/Ag | 21 | N/Ae |
Australia non-Indigenous does not include data from the State of New South Wales.
Vaccine schedule = Primary + booster.
Proportion of children receiving the full infant dose by 12 months. N/P (not provided), meaning that immunization coverage not provided for year 1 and/or last year of surveillance data provided, although all included datasets were from sites that indicated they reached ≥70% coverage in the post-PCV period.
Active (A), proactive effort to identify all cases in an area; passive (P), reporting of cases by clinicians or laboratories without a systematic approach to capture cases not reported.
Number of surveillance years included in the IPD analysis for children <5 y. Number of surveillance years the same for adult age groups unless otherwise indicated.
Not applicable (N/A), age group not included in meningitis analysis. For some sites, some ≥18 y age categories excluded from meningitis analysis (Table 1; Table S1).
Site, adult age group (n surveillance years). England and Wales: 18–49 y (4); 50–64 y, and ≥65 y (2). The Netherlands: ≥18 y (2). Norway: ≥18 y (2). USA-Navajo: 50–64 y (4).
Not applicable (NA), age group not included in IPD analysis. France and Ireland only included in the meningitis only analysis.
ABCs, Active Bacterial Core Surveillance; KPNC, Kaiser Permanente Northern California; NT, Northern Territory; PPV, pneumococcal polysaccharide vaccine.