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. 2019 Jul 25;8(3):307–333. doi: 10.1007/s40121-019-0254-1

Table 1.

Incidence of IMD by country and serogroup and associated new vaccination recommendations

Country Year Number and/or percentage of IMD cases by serogroup Preceding meningococcal vaccine recommendation; age group Year current MenACWY vaccine recommendation introduceda; age group
B C W Y
England [41] 2016–2017 396 (53.0%) 37 (5.0%) 225 (30.1%) 80 (10.7%) MenC; infants, toddlers, adolescents [42, 65] 2015; adolescents [42]
2012–2013 595 (77.4%) 33 (4.3%) 55 (7.2%) 75 (9.8%)
France [43, 44] 2016 52%a 26%b 9%a 12%a MenC; infants, toddlers [45] Not introduced [45]
2015 242 (52.3%) 119 (25.8%) 32 (6.9%) 54 (11.7%)
2011 395 (70.2%) 84 (14.9%) 14 (2.5%) 45 (8.0%)
Italy [44] 2015 47 (25.1%) 57 (30.5%) 7 (3.7%) 22 (11.8%) MenC; toddlers [45, 46, 67]

2015; adolescents, adultsc [66]

2017; adolescents [46]

2011 75 (49.3%) 19 (12.5%) 4 (2.6%) 16 (10.5%)
Netherlands [44, 47] 2016 77 (50.1%) 6 (4.0%) 50 (33.1%) 17 (11.3%) MenC; toddlers [45, 48] 2018; toddlers, adolescents [48]
2015 65 (72.2%) 8 (8.9%) 9 (10.0%) 7 (7.8%)
2011 79 (74.5%) 4 (3.8%) 1 (0.9%) 13 (12.3%)
Australia [4951] 2017 138 (36.0%) 14 (3.7%) 140 (36.6%) 75 (19.6%) MenC; toddlers [38, 68]

2018; toddlers [38]

2019; adolescents [80]

2015 108 (62.1%) 2 (1.1%) 36 (20.7%) 22 (12.6%)
2011 179 (74.3%) 9 (3.7%) 11 (4.6%) 15 (6.2%)
Canada [5254] 2016 NA NA 15 (18.8%) NA

MenC; infants, toddlers; adolescentsd

MenACWY; adolescentsc [57, 81]

By 2019 in almost all provinces and territoriese; adolescents [56, 81, 128]
2015 63 (58%) 4 (4%) 6 (6.8%) 25 (23%)
2006–2011 669 (61.3%a) 138 (12.6%a) 62 (5.7%a) 196 (17.9%a)
Argentina [5860] 2014f 70 (47.0%) 2 (1.3%) 73 (49.0%) 4 (2.7%) NA 2017; infants, adolescents [61, 62]
2010 56 (41.8%) 7 (5.2%) 66 (49.3%) 4 (3.0%)
2006 46 (67.6%) 5 (7.4%) 4 (6.3%) 5 (7.4%)
Chile [5860, 63] 2017 26 (32.5%) 1 (1.3%) 47 (58.8%) 1 (1.3%) NA 2012; toddlers [39, 64, 69]
2014 28 (23.5%) 2 (1.7%) 87 (73.1%) 1 (0.8%)
2010 36 (64.3%) 8 (14.3%) 6 (10.7%) 4 (7.1%)
2006 53 (67.9%) 9 (11.5%) 3 (4.5%) 2 (2.6%)

IMD invasive meningococcal disease, MenACWY meningococcal serogroups A, C, W, and Y, MenC meningococcal serogroup C, NA not available

aNational and regional recommendations shown; does not include recommendations for at-risk populations or from medical societies

bPercentage of cases with serogroup information

cTuscany region

dDepending on province/territory

eWith the exception of Quebec

fPercentages are based on the total number of serogroup B, C, W, and Y isolates