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. 2021 Oct 11;11(10):e055575. doi: 10.1136/bmjopen-2021-055575

Table 1.

Incidence and number per 100 000 person-years of pneumococcal pneumonia, invasive pneumococcal disease (IPD) and pneumonia

Disease* All ages 18–49 years 50–64 years ≥65 years
No of episodes Incidence rate per
100 000 person-years
No of episodes Incidence rate per
100 000 person-years
No of episodes Incidence rate per
100 000 person-years
No of cases Incidence rate per
100 000 person-years
IPD
 Period 1 699 2.2 125 0.7 195 2.2 379 6.2
 Period 2 26 2.4 5 0.9 6 2.0 15 6.6
 Period 3 17 0.2 3 0.08 8 0.4 6 0.4
 % reduction† 88.9% (79.8% to 98.0%)*** 88.6% (66.8% to 110.4%)*** 81.3% (62.1% to 100.4%)*** 93.5% (82,2% to 104.8%)***
 IRR‡ 0.11 (0.07 to 0.18)*** 0.11 (0.04 to 0.36)*** 0.19 (0.09 to 0.38)*** 0.07 (0.03 to 0.15)***
Pneumococcal pneumonia
 Period 1 1970 6.2 217 1.3 435 4.9 1318 21.7
 Period 2 74 6.9 11 2.0 14 4.7 49 32.4
 Period 3 119 1.7 8 0.2 24 1.2 87 5.9
 % reduction 72.5% (65.9% to 79.1%)*** 82.5% (64.5% to 100.5%)*** 74.8% (61.0% to 88.6%)*** 73.0% (65.2% to 80.8%)***
 IRR‡ 0.28 (0.23 to 0.33)*** 0.18 (0.09 to 0.35)*** 0.25 (0.17 to 0.38)*** 0.27 (0.22 to 0.34)***
All-cause pneumonia
 Period 1 372 660 1169.7 19 502 115.3 38 360 432.4 314 798 5177.1
 Period 2 13 865 1288.2 843 153.6 1448 484.6 11 574 5062.3
 Period 3 67 474 964.5 2473 69.3 6181 318.3 58 820 3958.0
 % reduction 17.5% (16.8% to 18.2%)*** 39.9% (37.1% to 42.7%)*** 26.4% (24.3% to 28.5%)*** 23.5% (22.8% to 24.3%)***
 IRR‡ 0.83 (0.82 to 0.83)*** 0.60 (0.58 to 0.63)*** 0.74 (0.72 to 0.76)*** 0.77 (0.76 to 0.77)***

*P<0.05–0.01, **p<0.01–0.005, ***p<0.005.

*Period 1, January 2015–December 2019 (before COVID-19); period 2, January 2020–February 2020 (transition period); period 3, March 2020–March 2021 (post-COVID-19).

†Percentage reduction in period 3 relative to period 1 as the baseline.

‡IRR between period 1 and period 3.

IRR, incidence rate ratio.