Invasive Pneumococcal Disease in Children in Tonga.
In Tonga, pneumococcal conjugate vaccine is not a scheduled immunization. We identified all children in Tonga with invasive pneumococcal disease from 2010 to 2013. The average annual invasive pneumococcal disease incidence rate was 113/100,000 (<2 years), 50/100,000 (<5 years) and 25/100,000 (<15 years). The case fatality rate (<5 years) was 25%. The incidence rate and high case fatality rate indicate the need for pneumococcal conjugate vaccine.
From the *Department of Paediatrics, Vaiola Hospital, Tongatapu, Tonga; †Department of Paediatrics, Child & Youth Health, University of Auckland; ‡Department of General Paediatrics and §Department of Infectious Diseases, Starship Children's Hospital, Auckland, New Zealand; and ¶Department of Paediatrics and Newborn Services, Waitakere Hospital, Auckland, New Zealand.
Flora
F
Lutui
Cameron C
CC
Grant
Emma
E
Best
Stephen
S
Howie
George
G
Aho
D000293:Adolescent; D016470:Bacteremia; D002648:Child; D002675:Child, Preschool; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007115:Immunization Schedule; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008586:Meningitis, Pneumococcal; D011008:Pneumococcal Infections / Q000453:epidemiology*; D012189:Retrospective Studies; D013296:Streptococcus pneumoniae; D014058:Tonga / Q000453:epidemiology