Table 4. Protective effect of a first typhoid visit against recurrent typhoid due to reinfection in the non-Vi vaccinated population including in-migrants post-vaccination (n = 47,995).
No. of individuals | No. of typhoid visits | Person-days † | Incidence per 100,000 person-days | Crude HR ‡ | Adjusted Protective Efficacy (95% CI) ‡ | |
---|---|---|---|---|---|---|
Cohort 1 | 47995 | 149 | 32868952 | 0.45 | Ref | Ref |
All recurrent typhoid visits | ||||||
Cohort 2 | 149 | 1 | 108912 | 0.92 | 4.21 (0.59, 30.13) | -88% (-1246, 74) |
Recurrent typhoid due to reinfection defined by strain§ | ||||||
Cohort 2 | 149 | 1 | 108912 | 0.92 | 4.21 (0.59, 30.13) | -88% (-1246, 74) |
Recurrent typhoid due to reinfection defined by antibiotic susceptibility∥ | ||||||
Cohort 2 | 149 | 1 | 108912 | 0.92 | 4.21 (0.59, 30.13) | -88% (-1246, 74) |
Recurrent typhoid due to reinfection defined by interval ¶ | ||||||
Cohort 2 | 147 | 0 | 109540 | 0 | -- | -- |
†In cohort 1, person-days calculated from zero time (date of vaccination with placebo or for non-dosed individuals, the median zero time for the cluster of residence at the time of vaccination, or date of entry for in-migrants post-vaccination) to end date, which is defined as date of study end, out-migration, or onset of the first typhoid visit. In cohort 2, person-days are calculated from the date of first typhoid visit to the date of study end, out-migration, death, or onset of the subsequent typhoid visit.
‡ Fitted a generalized proportional hazard model (AG model). The number of previous infections (0 or 1) was included in the model as a dummy variable; the reference group was the group with no previously detected typhoid visit. The hazard ratio was adjusted for age at date of entry.
§ Pairwise SNP difference >5
∥ Discordance in antibiotic susceptibility between infection pair >0
¶ Intervening period >30 days