Serious pneumococcal infections are a major global health problem and are vaccine-preventable.

Publications
This is a list of key reports and scientific papers about pneumoccocal disease and vaccines.
WHO Position Paper, Pneumococcal Conjugate Vaccine for Childhood Immunization.
WER 2007 Mar 23; 82(12):83-104.
GACVS Report on Safety of Pneumococcal Conjugate Vaccine
WER 2007 Jan 19; 82 (3):17-24.
UNICEF/WHO Report, Pneumonia: The Forgotten Killer of Children, 2006.
APPG Report, Improving Global Health by Preventing Pneumococcal Disease.
Improving Global Health by Preventing Pneumococcal Disease PDF - Pneumococcal Disease Burden
- Serotype Distribution
- Pneumococcal Vaccine Efficacy Studies
- Routine PCV: Health Impacts
- Cost Effectiveness and Economic Impacts of PCV
- Indirect Effects (Herd Immunity, Replacement Disease)
- Immunogenicity
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Pneumococcal Disease Burden
- Brooks WA, et al. Invasive Pneumococcal Disease Burden and Implications for Vaccine Policy in Urban Bangladesh.Am J Trop Med Hyg. 2007 Nov;77(5):795-801.
- Madhi SA, Klugman KP. World Health Organisation Definition of "Radiologically-Confirmed Pneumonia" May Under-Estimate the True Public Health Value of Conjugate Pneumococcal Vaccines.Vaccine. 2007 Mar 22;25(13):2413-9. Epub 2006 Sep 18.
- Scott JA. The Preventable Burden of Pneumococcal Disease in the Developing World.Vaccine 2007 Mar 22; 25(13): 2398-405.
- Hausdorff WP, et al. The Epidemiology of Pneumococcal, Meningococcal, and Haemophilus Disease in the Middle East and North Africa (MENA) Region—Current Status and Needs.Vaccine 2007 Mar 1; 25(11): 1935-44.
- Obaro SK, Madhi SA. Bacterial Pneumonia Vaccines and Childhood Pneumonia: Are We Winning, Refining, or Redefining?Lancet Infectious Disease March 2006; 5(3): 150-161.
- Parent Du Chatelet, I. Bacterial Meningitis in Burkina Faso: Surveillance using Field-Based Polymerase Chain Reaction Testing.Clin Infect Dis. 2005 Jan 1;40(1):17-25.
- Rudan I, et al. Global Estimate of the Incidence of Clinical Pneumonia among Children Under Five Years of Age.Bull World Health Organ. Dec 2004; 82(12): 895-903.
- Campbell JD, et al. Invasive Pneumococcal Infections among Hospitalized Children in Bamako, Mali.Pediatr Infect Dis J. 2004 Jul;23(7):642-9.
- Mulholland K. Global Burden of Acute Respiratory Infections in Children: Implications for Interventions.Ped. Pulmon. Nov 2003; 36(6):469-474.
- Williams BG, et al. Estimates of World-Wide Distribution of Child Deaths from Acute Respiratory Infections.Lancet Infectious Disease Jan 2002; 2(1): 25-32.
- Goetghebuer T, et al. Outcome of Meningitis Caused by Streptococcus Pneumoniae and Haemophilus Influenzae Type B in Children in The Gambia.Trop Med Int Health. 2000 Mar;5(3):207-13.
- Prospective Multicentre Hospital Surveillance of Streptococcus Pneumoniae Disease in India. Invasive Bacterial Infection Surveillance (IBIS) Group, International Clinical Epidemiology Network (INCLEN).Lancet. 1999 Apr 10;353(9160):1216-21.
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Serotype Distribution
- Hwa Choi E, et al. Streptococcus Pneumoniae Serotype 19A in Children, South Korea.Emerg Infect Dis. 2008 Feb;14(2):275-81.
- Hausdorff WP. The Roles of Pneumococcal Serotypes 1 and 5 in Paediatric Invasive Disease. Vaccine.2007 Mar 22;25(13):2406-12.
- Phongsamart W, et al. Serotype Distribution and Antimicrobial Susceptibility of S. Pneumoniae Causing Invasive Disease in Thai Children Younger than 5 Years Old, 2000-2005.Vaccine. 2007 Jan 26;25(7):1275-80.
- Leimkugel J, et al. An Outbreak of Serotype 1 Streptococcus Pneumoniae Meningitis in Northern Ghana with Features that are Characteristic of Neisseria Meningitidis Meningitis Epidemics.J Infect Dis. 2005 Jul 15;192(2):192-9.
- Hausdorff WP, et al. Epidemiological Differences among Pneumococcal Serotypes.Lancet Infect Dis. 2005 Feb;5(2):83-93.
- Hausdorff WP. Invasive Pneumococcal Disease in Children: Geographic and Temporal Variations in Incidence and Serotype Distribution.Eur J Pediatr. 2002 Dec;161 Suppl 2:S135-9.
- Hausdorff WP, et al. Multinational Study of Pneumococcal Serotypes Causing Acute Otitis Media in Children.Pediatr Infect Dis J. 2002 Nov;21(11):1008-16.
- Di Fabio JL, et al. Evolution of Streptococcus Pneumoniae Serotypes and Penicillin Susceptibility in Latin America, Sireva-Vigía Group, 1993 to 1999.PAHO Sireva-Vigía Study Group. Pan American Health Organization. Pediatr Infect Dis J. 2001 Oct;20(10):959-67.(Available in Spanish)
- Hausdorf WP, et al. Geographical Differences in Invasive Pneumococcal Disease Rates and Serotype Frequency in Young Children.Lancet. 2001 Mar 24;357(9260):950-2.
- Hausdorff WP et al. Which Pneumococcal Serogroups Cause the Most Invasive Disease: Implications for Conjugate Vaccine Formulation and Use, part I.Clin Infect Dis. 2000 Jan;30(1):100-21.
- Hausdorff WP, et al. The Contribution of Specific Pneumococcal Serogroups to Different Disease Manifestations: Implications for Conjugate Vaccine Formulation and Use, part II.Clin Infect Dis. 2000 Jan;30(1):122-40.
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Pneumococcal Vaccine Efficacy Studies
- O’Brien KL, et al. Randomized, Controlled Trial Efficacy of Pneumococcal Conjugate Vaccine against Otitis Media among Navajo and White Mountain Apache Infants.Pediatr Infect Dis J. 2008 Jan;27(1):71-3.
- Williams C, Masterton R. Pneumococcal Immunisation in the 21st Century.J Infect. 2008 Jan;56(1):13-9.
- Oosterhuis-Kafeja F, Beutels P, Van Damme P. Immunogenicity, Efficacy, Safety and Effectiveness of Pneumococcal Conjugate Vaccines (1998-2006).Vaccine. 2007 Mar 8;25(12):2194-212.
- Hansen J, et al. Effectiveness of Heptavalent Pneumococcal Conjugate Vaccine in Children Younger than 5 Years of Age for Prevention of Pneumonia: Updated Analysis using World Health Organization Standardized Interpretation of Chest Radiographs.Pediatr Infect Dis J. 2006 Sep;25(9):779-81.
- Prymula R, et al. Pneumococcal Capsular Polysaccharides Conjugated to Protein D for Prevention of Acute Otitis Media Caused by both Streptococcus Pneumoniae and Non-Typable Haemophilus Influenzae: a Randomised Double-Blind Efficacy Study.Lancet. 2006 Mar 4;367(9512):740-8.
- Madhi SA, et al. The Impact of a 9-Valent Pneumococcal Conjugate Vaccine on the Public Health Burden of Pneumonia in HIV-Infected and -Uninfected Children.Clin Infect Dis. 2005 May 15;40(10):1511-8.
- Cutts FT, et al. Efficacy of Nine-Valent Pneumococcal Conjugate Vaccine against Pneumonia and Invasive Pneumococcal Disease in The Gambia: Randomised, Double-Blind, Placebo-Controlled Trial.Lancet. 2005 Mar 26-Apr 1;365(9465):1139-46.
- Klugman KP, et al. A Trial of a 9-Valent Pneumococcal Conjugate Vaccine in Children with and Those without HIV Infection.N Engl J Med. 2003 Oct 2;349(14):1341-8.
- O’Brien KL, et al. Efficacy and Safety of Seven-Valent Conjugate Pneumococcal Vaccine in American Indian children: Group Randomised Trial.Lancet. 2003 Aug 2;362(9381):355-61.
- Black S,, Shinefield H. Safety and Efficacy of the Seven-Valent Pneumococcal Conjugate Vaccine: Evidence from Northern California.Eur J Pediatr. 2002 Dec;161 Suppl 2:S127-31.
- Klugman KP. Efficacy of Pneumococcal Conjugate Vaccines and Their Effect on Carriage and Antimicrobial Resistance.Lancet Infect. Dis. Sept 2001; 1:85-91.
- Eskola J, et al. Efficacy of a Pneumococcal Conjugate Vaccine against Acute Otitis Media.N Engl J Med. Feb 2001; 344 (6):403-9.
- Shinefield HR, Black,S. Efficacy of Pneumococcal Conjugate Vaccines in Large Scale Field Trials.Ped. Infect. Dis. J. April 2000; 19(4):394-7.
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Routine PCV: Health Impacts
- CDC. Invasive Pneumococcal Disease in Children 5 Years After Conjugate Vaccine Introduction --- Eight States, 1998—2005.MMWR; February 15, 2008 / 57(06);144-148.
- Black S, et al. Surveillance for Invasive Pneumococcal Disease during 2000-2005 in a Population of Children Who Received 7-valent Pneumococcal Conjugate Vaccine.Pediatr Infect Dis J. 2007 Sep;26(9):771-7.
- Albrich WC, et al. Changing Characteristics of Invasive Pneumococcal Disease in Metropolitan Atlanta, Georgia, after Introduction of a 7-Valent Pneumococcal Conjugate Vaccine.Clin Infect Dis. 2007 Jun 15;44(12):1569-76.
- Grijalva CG, et al. Decline in Pneumonia Admissions after Routine Childhood Immunisation with Pneumococcal Conjugate Vaccine in the USA: a Time-Series Analysis.Lancet. 2007 Apr 7;369(9568):1179-86.
- Hennessy TW, et al. Impact of Heptavalent Pneumococcal Conjugate Vaccine on Invasive Disease, Antimicrobial Resistance and Colonization in Alaska Natives: Progress towards Elimination of a Health Disparity.Vaccine. 2005 Dec 1;23(48-49):5464-73.
- Pai R et al. Postvaccine Genetic Structure of Streptococcus Pneumoniae 19A from Children in the United States.Dec 2005; 192 (11):1988-95.
- Kellner JD,et al. Progress in the Prevention of Pneumococcal Infection.CMAJ. 2005 Nov 8;173(10):1149-51.
- Lexau CA, et al. Changing Epidemiology of Invasive Pneumococcal Disease among Older Adults in the Era of Pediatric Pneumococcal Conjugate Vaccine.JAMA. 2005 Oct 26;294(16):2043-51.
- CDC. Direct and Indirect Effects of Routine Vaccination of Children with 7-Valent Pneumococcal Conjugate Vaccine on Incidence of Invasive Pneumococcal Disease --- United States, 1998—2003.September 16, 2005 / 54(36);893-897.
- Black S et al. Postlicensure Surveillance for Pneumococcal Invasive Disease after use of Heptavalent Pneumococcal Conjugate Vaccine Northern California Kaiser Permanente.Ped. Infect. Dis. J. June 2004; 23(6):485-9.
- Flannery B, et al. Impact of Childhood Vaccination on Racial Disparities in Invasive Streptococcus Pneumoniae Infections.JAMA. 2004 May 12;291(18):2197-203.
- Whitney CG, et al. Decline in Invasive Pneumococcal Disease after the Introduction of Protein-Polysaccharide Conjugate Vaccine.N Engl J Med. 2003 May 1;348(18):1737-46.
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Cost Effectiveness and Economic Impacts of PCV
- Isaacman DJ, et al. The Impact of Indirect (Herd) Protection on the Cost-Effectiveness of Pneumococcal Conjugate Vaccine.Clin Ther. 2008 Feb;30(2):341-57.
- Zhou F, et al. Health Care Utilization for Pneumonia in Young Children after Routine Pneumococcal Conjugate Vaccine use in the United States.Arch Pediatr Adolesc Med. 2007 Dec;161(12):1162-8.
- Hubben GA, et al. Enhanced Decision Support for Policy Makers using a Web Interface to Health-Economic Models--Illustrated with a Cost-Effectiveness Analysis of Nation-Wide Infant Vaccination with the 7-Valent Pneumococcal Conjugate Vaccine in the Netherlands.Vaccine. 2007 May 4;25(18):3669-78.
- Beutels P, Thiry N, Van Damme P. Convincing or Confusing? Economic Evaluations of Childhood Pneumococcal Conjugate Vaccination--a Review (2002-2006).Vaccine. 2007 Feb 9;25(8):1355-67.
- Sinha A, et al. Cost-Effectiveness of Pneumococcal Conjugate Vaccination in the Prevention of Child Mortality: an International Economic Analysis.Lancet. 2007 Feb 3;369(9559):389-96.
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Indirect Effects (Herd Immunity, Replacement Disease)
- Hicks LA et al. Incidence of Pneumococcal Disease due to Non-Pneumococcal Conjugate Vaccine (PCV7) Serotypes in the United States during the Era of Widespread PCV7 Vaccination, 1998-2004.J Infect Dis. 2007 Nov 1;196(9):1346-54.
- Singleton RJ, et al. Invasive Pneumococcal Disease Caused by Nonvaccine Serotypes among Alaska Native Children with High Levels of 7-Valent Pneumococcal Conjugate Vaccine Coverage.JAMA. 2007 Apr 25;297(16):1784-92.(Note: PneumoADIP Comment on this paper is available online: click here.)
- O’Brien KL, Dagan R. The Potential Indirect Effect of Conjugate Pneumococcal Vaccines.Vaccine. May 2003; 3661:1-11.
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Immunogenicity
- Bliss, SJ, et al. The Evidence for Using Conjugate Vaccines to Protect HIV-Infected Children against Pneumococcal Disease.Lancet Infect Dis. 2008 Jan;8(1):67-80.
- O’Brien KL, et al. Effect of Pneumococcal Conjugate Vaccine on Nasopharyngeal Colonization among Immunized and Unimmunized Children in a Community-Randomized Trial.J Infect Dis. 2007 Oct 15;196(8):1211-20.
- Madhi SA, et al. Long-Term Immunogenicity and Efficacy of a 9-Valent Conjugate Pneumococcal Vaccine in Human Immunodeficient Virus Infected and Non-Infected Children in the Absence of a Booster Dose of Vaccine.Vaccine. 2007 Mar 22;25(13):2451-7. Epub 2006 Sep 20.
- Madhi SA, et al. Quantitative and Qualitative Antibody Response to Pneumococcal Conjugate Vaccine among African Human Immunodeficiency Virus-Infected and Uninfected Children.Pediatr Infect Dis J. 2005 May;24(5):410-6.
- Huebner RE, et al. Long-Term Antibody Levels and Booster Responses in South African Children Immunized with Nonavalent Pneumococcal Conjugate Vaccine.Vaccine. 2004; 22:2696-2700.
- Capeding MZ, et al. Safety and Immunogenicity of Three Doses of an Eleven-Valent Diphtheria Toxoid and Tetanus Protein--Conjugated Pneumococcal Vaccine in Filipino Infants.BMC Infect Dis. 2003 Aug 10; 3:17.
- Heubner RE, et al. Immunogenicity after One, Two or Three Doses and Impact on the Antibody Response to Coadministered Antigens of a Nonavalent Pneumococcal Conjugate Vaccine in Infants of Soweto, South Africa.Ped. Infect. Dis. J. Nov 2002; 21(11):1004-7.
- Eskola, J. Immunogenicity of Pneumococcal Conjugate Vaccines.Ped. Infect. Dis. J. April 2000; 19(4):388-93.
- Shinefield HR, et al. Safety and Immunogenicity of Heptavalent Pneumococcal CRM197 Conjugate Vaccine in Infants and Toddlers.Pediatr Infect Dis J. 1999 Sep;18(9):757-63.
