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                  <mods:namePart>Kislaya, Irina</mods:namePart>
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                  <mods:namePart>Larrauri, Amparo</mods:namePart>
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                  <mods:namePart>Matias Dias, Carlos</mods:namePart>
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                  <mods:namePart>Nunes, Baltazar</mods:namePart>
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                  <mods:dateAccessioned encoding="iso8601">2020-12-04T07:26:11Z</mods:dateAccessioned>
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               <mods:identifier type="citation">BMC Public Health  . 2019 Dec 16;19(1):1690.</mods:identifier>
               <mods:identifier type="doi">10.1186/s12889-019-7958-8</mods:identifier>
               <mods:identifier type="e-issn">1471-2458</mods:identifier>
               <mods:identifier type="journal">BMC public health</mods:identifier>
               <mods:identifier type="pubmedID">31842831</mods:identifier>
               <mods:identifier type="uri">http://hdl.handle.net/20.500.12105/11495</mods:identifier>
               <mods:abstract>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.</mods:abstract>
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                  <mods:title>Impact of national influenza vaccination strategy in severe influenza outcomes among the high-risk Portuguese population</mods:title>
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