Table 1. Epidemiological and economics characteristics of various age groups for considering norovirus vaccines 1 , 2 .
Incidence | Health care utilization 3 | Hospitalization | Deaths 4 | Societal costs | Health care costs | Role/risk in transmission | Challenges in vaccinating: immunological | Challenges in vaccinating: programmatic | |
---|---|---|---|---|---|---|---|---|---|
Children (<5 years) | High | High | High | Med. | High | High | High | Naïve: may need multiple doses | Interaction with other routine immunizations |
Older children (5–14 years) | Med. | Low | Low | Low | Med. | Low | Med. | History of exposure | |
Younger adults (15–64 years) | Med. | Low | Low | Low | Med. | Low | Med. | History of exposure | Generally low coverage |
Older adults (≥65 years) | Low | Med. | High | High | Low | High | Low | History of exposure immune senescence | Generally low coverage |
1 For all groups, revaccination may be required after strain shifts.
2 Rankings (low/medium/high) are subjective and relative to norovirus disease only—no comparisons to other diseases are intended.
3 Outpatient, emergency, and ambulatory services
4 Little data from lower income settings.