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. Author manuscript; available in PMC: 2021 Sep 16.
Published in final edited form as: N Engl J Med. 2021 Sep 16;385(12):1104–1115. doi: 10.1056/NEJMoa2035916

Table 2.

Occurrence of Blood Culture-Confirmed Typhoid Fever and Efficacy of Typhoid Conjugate Vaccine (TCV).

Variable TCV MenA Vaccine Efficacy of TCV Absolute Risk Reduction Number Needed to Vaccinate††
Participants (total follow-up time) Cases Incidence Participants (total follow-up time) Cases Incidence
no. (person-years) no. of cases/100,000 person-years (95% CI) no. (person-years) no. of cases/100,000 person-years (95% CI) percent (95% CI) per 1000 (95% CI) no. (95% CI)
Intention-to-treat population (from time of vaccination)
Age Group
 Total participants 14,069 (25,577) 12 46.9 (24.2–82) 14,061 (25,493) 62 243.2 (186.5–311.8) 80.7 (64.2–89.6) 3.6 § (2.4–4.8) 277.8 (208.3–416.7)
 <5years 5058 (9086) 5 55 (17.9–128.4) 5179 (9305) 20 215 (131.3–332) 74.4 (31.7–90.4) 2.9 (1–4.8) 344.8 (208.3–1000)
 ≥5years 9011 (16,491) 7 42.5 (17.1–87.5) 8882 (16,188) 42 259.5 (187–350.7) 83.7 (63.6–92.7) 4 (2.4–5.5) 250 (181.8–416.7)
Per-protocol population (14 days after vaccination)
Age Group
 Total participants 13,945 (25,323) 10 39.5 (18.9–72.6) 13,937 (25,239) 61 241.7 (184.9–310.5) 83.7 (68.1–91.6) 3.7 § (2.5–4.8) 270.3 (208.3–400)
 <5years 5044 (9057) 5 55.2 (17.9–128.8) 5158 (9261) 20 216 (131.9–333.5) 74.4 (31.8–90.4) 2.9 (1.0–4.8) 344.8 (208.3–1000)
 ≥5years 8901 (16,267) 5 30.7 (10–71.7) 8779 (15,978) 41 256.6 (184.1–348.1) 88 (69.7–95.3) 4.1 (2.6–5.6) 243.9 (178.6–384.6)
*

CI denotes confidence interval, and MenA group A meningococcal.

p-value <0.001

§

p-value <0.001

Absolute risk reduction (=risk in MenA – risk in TCV) is the total reduction in risk of blood culture-confirmed typhoid fever that results from TCV vaccination.

††

The number of children needed to be vaccinated to prevent one case of blood-culture confirmed typhoid fever.