A recent study concluded the high proportion of children too young to be vaccinated among unvaccinated Invasive meningococcal disease (IMD) cases suggests that starting the vaccination earlier may prevent more of these cases.
The JAMA Network published an Original Investigation on a screening cohort study and matched case-control study on August 18, 2023, which found high effectiveness of a 4-component recombinant protein–based (4CMenB) vaccination and more significant reduction in incidence rate ratios (IRR) for early-start vaccination schedules in preventing invasive serogroup B meningococcal disease.
This case-control study represents the most comprehensive multiregional evaluation of the effectiveness of 4CMenB vaccination in the pediatric population of Italy.
Vaccine effectiveness (VE) data obtained from a large group of serogroup B IMD cases with the simultaneous application of 2 independent computational methods (screening and case-control) are unique to the literature.
And VE was firmly greater than 90% in children old enough to receive the first vaccine dose.
Regional differences in the vaccination schedule allowed population-based comparison of outcomes and confirmed the greater efficacy associated with early-start strategies. At the same time, a lack of protection in the very early months of life was apparent even when starting immunization at age two months, prompting the identification of extended prevention strategies.
Current, population-based evidence about VE and reduction in IRRs associated with 4CMenB has been reported in studies conducted in the UK, Australia, Canada, Portugal, and Italy, with heterogeneous methods and across different healthcare settings and age groups.
The estimates of VE for 4CMenB ranged from 59% to 100% in fully vaccinated cohorts.














