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Table 1 Annual incidence (per 100,000 inhabitants) of IPD in Taiwan from July 2008 to June 2016 and a comparison of the incidence during July 2008–June 2009 vs. that during July 2015–June 2016 (n = 5324)

From: Application of the screening and indirect cohort methods to evaluate the effectiveness of pneumococcal vaccination program in adults 75 years and older in Taiwan

Age Group

Serotype

2008–2009

2009–2010

2010–2011

2011–2012

2012–2013

2013–2014

2014–2015

2015–2016

Trend test

p value

July 2008–June 2013

incidence

July 2008–June 2013

incidence

2013–2016 vs. 2008–2013 RR

(95% CI)

≤5

 

n = 167

n = 175

n = 249

n = 206

n = 180

n = 101

n = 87

n = 75

 

n = 977

n = 263

  

Total cases

13.32

14.33

21.23

17.70

15.13

8.51

7.25

6.14

<.0001

16.28

7.29

0.45

(0.39–0.51)

PCV13 VT

12.20

12.94

19.53

15.46

12.10

5.90

3.00

2.86

<.0001

14.40

3.91

0.27

(0.23–0.32)

PPV23 VT

11.80

12.12

18.51

14.77

11.93

5.48

3.41

3.19

<.0001

13.78

4.02

0.29

(0.24–0.35)

PPV23-non PCV13 VT

0.24

0.08

0.09

0.17

0.42

0.25

0.58

0.49

0.013

0.20

0.44

2.22

(1.05–4.69)

Non-PCV13

1.12

1.39

1.71

2.23

3.03

2.61

4.25

3.27

<.0001

1.88

3.38

1.80

(1.39–2.32)

19A

2.39

4.26

8.70

10.05

8.99

4.13

2.00

2.13

0.002

6.80

2.74

0.40

(0.32–0.50)

6–64

 

n = 300

n = 268

n = 322

n = 276

n = 279

n = 270

n = 207

n = 272

 

n = 1445

n = 749

  

Total cases

1.55

1.38

1.65

1.41

1.43

1.39

1.07

1.41

0.003

1.48

1.29

0.87

(0.79–0.95)

PCV13 VT

1.13

0.98

1.31

1.02

0.93

0.94

0.55

0.81

<.0001

1.08

0.77

0.71

(0.64–0.80)

PPV23 VT

1.15

1.04

1.33

1.02

0.95

0.97

0.61

0.89

<.0001

1.10

0.82

0.75

(0.67–0.83)

PPV23-non PCV13 VT

0.06

0.10

0.08

0.09

0.13

0.09

0.09

0.12

0.115

0.09

0.10

1.08

(0.78–1.50)

Non-PCV13

0.42

0.40

0.34

0.39

0.50

0.44

0.51

0.60

< 0.001

0.41

0.52

1.27

(1.09–1.47)

19A

0.03

0.08

0.18

0.17

0.21

0.26

0.07

0.20

<.0001

0.13

0.18

1.31

(1.02–1.70)

65–74

 

n = 102

n = 109

n = 100

n = 88

n = 86

n = 79

n = 89

n = 83

 

n = 485

n = 251

  

Total cases

7.43

7.83

7.22

6.31

6.01

5.31

5.69

5.03

<.0001

6.95

5.34

0.77

(0.66–0.89)

PCV13 VT

5.39

6.18

5.56

4.80

4.47

3.56

2.81

2.72

<.0001

5.28

3.02

0.57

(0.47–0.69)

PPV23 VT

6.05

6.54

6.06

4.88

4.61

3.90

3.39

2.91

<.0001

5.62

3.38

0.60

(0.50–0.72)

PPV23-non PCV13 VT

0.73

0.57

0.94

0.14

0.42

0.40

0.64

0.24

0.067

0.56

0.43

0.76

(0.44–1.30)

Non-PCV13

2.04

1.65

1.66

1.51

1.54

1.75

2.88

2.30

0.064

1.68

2.32

1.38

(1.06–1.79)

19A

0.15

0.36

0.36

0.43

0.84

0.54

0.70

0.54

0.026

0.43

0.60

1.38

(0.83–2.32)

≥ 75

 

n = 166

n = 138

n = 151

n = 162

n = 147

n = 125

n = 147

n = 118

 

n = 764

n = 390

  

Total cases

16.11

12.94

13.70

14.29

12.57

10.37

11.82

9.17

<.0001

13.89

10.44

0.75

(0.67–0.85)

PCV13 VT

12.52

9.57

9.71

10.67

8.12

7.46

6.75

5.21

<.0001

10.07

6.45

0.64

(0.55–0.75)

PPV23 VT

13.69

10.88

10.52

10.58

8.29

7.96

7.07

5.67

<.0001

10.72

6.88

0.64

(0.55–0.74)

PPV23-non PCV13 VT

1.36

1.41

1.45

0.71

0.60

0.75

0.48

0.62

0.001

1.09

0.62

0.56

(0.35–0.91)

Non-PCV13

3.59

3.38

3.99

3.62

4.45

2.90

5.06

3.96

0.253

3.82

3.99

1.04

(0.85–1.29)

19A

0.29

0.19

0.27

0.71

1.11

1.08

0.96

1.09

0.000

0.53

1.04

1.98

(1.22–3.20)

all ages

 

n = 735

n = 690

n = 822

n = 732

n = 692

n = 575

n = 530

n = 548

 

n = 3671

n = 1653

  

Total cases

3.19

2.98

3.55

3.15

2.97

2.46

2.26

2.33

<.0001

3.17

2.35

0.74

(0.70–0.79)

PCV13 VT

2.50

2.32

2.89

2.45

2.08

1.70

1.16

1.29

<.0001

2.45

1.38

0.56

(0.53–0.61)

PPV23 VT

2.58

2.41

2.92

2.41

2.10

1.75

1.28

1.41

<.0001

2.49

1.48

0.60

(0.55–0.64)

PPV23-non PCV13 VT

0.16

0.19

0.20

0.13

0.19

0.15

0.17

0.17

0.813

0.17

0.17

0.96

(0.77–1.21)

Non-PCV13

0.69

0.67

0.66

0.71

0.89

0.76

1.11

1.04

<.0001

0.72

0.97

1.34

(1.21–1.48)

19A

0.18

0.32

0.63

0.71

0.74

0.52

0.26

0.37

0.220

0.52

0.38

0.74

(0.64–0.86)

  1. IPD invasive pneumococcal disease, VT vaccine type, RR rate ratio, CI confidence interval, PCV13 thirteen-valent pneumococcal conjugate vaccine, PPV23 23-valent pneumococcal polysaccharide vaccine, PCV13 VT serotypes of 1, 3, 4, 5, 6A, 6B, 7F, 9 V, 14, 18C, 19A, 19F, and 23F, PPV23 VT serotypes of 1, 2, 3, 4, 5, 6B, 7F, 8, 9 N, 9 V, 10A, 11A, 12F, 14, 15B,17F, 18C, 19A, 19F, 20, 22F, 23F and 33F, PPV23-non PCV13 VT 11 serotypes that included in PPV23 but not in PCV13, Non-PCV13 serotypes not found in PCV13 regardless of their relationship to PPV23 serotypes