<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-05-22T00:32:52Z</responseDate><request verb="GetRecord" identifier="oai:repisalud.isciii.es:20.500.12105/11495" metadataPrefix="marc">https://repisalud.isciii.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:repisalud.isciii.es:20.500.12105/11495</identifier><datestamp>2025-06-24T11:30:08Z</datestamp><setSpec>com_20.500.12105_2052</setSpec><setSpec>com_20.500.12105_2051</setSpec><setSpec>col_20.500.12105_19608</setSpec></header><metadata><record xmlns="http://www.loc.gov/MARC21/slim" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/MARC21/slim http://www.loc.gov/standards/marcxml/schema/MARC21slim.xsd">
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      <subfield code="a">dc</subfield>
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      <subfield code="a">Machado, Ausenda</subfield>
      <subfield code="e">author</subfield>
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      <subfield code="a">Kislaya, Irina</subfield>
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      <subfield code="a">Larrauri, Amparo</subfield>
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      <subfield code="a">Matias Dias, Carlos</subfield>
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      <subfield code="a">Nunes, Baltazar</subfield>
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      <subfield code="c">2019-12-16</subfield>
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      <subfield code="a">Background: All aged individuals with a chronic condition and those with 65 and more years are at increased risk of severe influenza post-infection complications. There is limited research on cases averted by the yearly vaccination programs in high-risk individuals. The objective was to estimate the impact of trivalent seasonal influenza vaccination on averted hospitalizations and death among the high-risk population in Portugal. Methods: The impact of trivalent seasonal influenza vaccination was estimated using vaccine coverage, vaccine effectiveness and the number of influenza-related hospitalizations and deaths. The number of averted events (NAE), prevented fraction (PF) and number needed to vaccinate (NVN) were estimated for seasons 2014/15 to 2016/17. Results: The vaccination strategy averted on average approximately 1833 hospitalizations and 383 deaths per season. Highest NAE was observed in the ≥65 years population (85% of hospitalizations and 95% deaths) and in the 2016/17 season (1957 hospitalizations and 439 deaths). On average, seasonal vaccination prevented 21% of hospitalizations in the population aged 65 and more, and 18.5% in the population with chronic conditions. The vaccination also prevented 29% and 19.5% of deaths in each group of the high-risk population. It would be needed to vaccinate 3360 high-risk individuals, to prevent one hospitalization and 60,471 high-risk individuals to prevent one death. Conclusion: The yearly influenza vaccination campaigns had a sustained positive benefit for the high-risk population, reducing hospitalizations and deaths. These results can support public health plans toward increased vaccine coverage in high-risk groups.</subfield>
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      <subfield code="a">BMC Public Health  . 2019 Dec 16;19(1):1690.</subfield>
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      <subfield code="a">10.1186/s12889-019-7958-8</subfield>
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      <subfield code="a">1471-2458</subfield>
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      <subfield code="a">BMC public health</subfield>
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      <subfield code="a">31842831</subfield>
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      <subfield code="a">http://hdl.handle.net/20.500.12105/11495</subfield>
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      <subfield code="a">Impact of national influenza vaccination strategy in severe influenza outcomes among the high-risk Portuguese population</subfield>
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