COVID-19 Vaccine Effectiveness Against Progression to In-Hospital Mortality in Zambia, 2021-2022.

Africa COVID-19 vaccines COVID-19/mortality SARS-CoV-2 Zambia vaccine efficacy

Journal

Open forum infectious diseases
ISSN: 2328-8957
Titre abrégé: Open Forum Infect Dis
Pays: United States
ID NLM: 101637045

Informations de publication

Date de publication:
Sep 2022
Historique:
received: 29 07 2022
accepted: 08 09 2022
entrez: 5 10 2022
pubmed: 6 10 2022
medline: 6 10 2022
Statut: epublish

Résumé

Coronavirus disease 2019 (COVID-19) vaccines are highly effective for reducing severe disease and mortality. However, vaccine effectiveness data are limited from Sub-Saharan Africa. We report COVID-19 vaccine effectiveness against progression to in-hospital mortality in Zambia. We conducted a retrospective cohort study among admitted patients at 8 COVID-19 treatment centers across Zambia during April 2021 through March 2022, when the Delta and Omicron variants were circulating. Patient demographic and clinical information including vaccination status and hospitalization outcome (discharged or died) were collected. Multivariable logistic regression was used to assess the odds of in-hospital mortality by vaccination status, adjusted for age, sex, number of comorbid conditions, disease severity, hospitalization month, and COVID-19 treatment center. Vaccine effectiveness of ≥1 vaccine dose was calculated from the adjusted odds ratio. Among 1653 patients with data on their vaccination status and hospitalization outcome, 365 (22.1%) died. Overall, 236 (14.3%) patients had received ≥1 vaccine dose before hospital admission. Of the patients who had received ≥1 vaccine dose, 22 (9.3%) died compared with 343 (24.2%) among unvaccinated patients ( Among patients admitted to COVID-19 treatment centers in Zambia, COVID-19 vaccination was associated with lower progression to in-hospital mortality. These data are consistent with evidence from other countries demonstrating the benefit of COVID-19 vaccination against severe complications. Vaccination is a critical tool for reducing the consequences of COVID-19 in Zambia.

Sections du résumé

Background UNASSIGNED
Coronavirus disease 2019 (COVID-19) vaccines are highly effective for reducing severe disease and mortality. However, vaccine effectiveness data are limited from Sub-Saharan Africa. We report COVID-19 vaccine effectiveness against progression to in-hospital mortality in Zambia.
Methods UNASSIGNED
We conducted a retrospective cohort study among admitted patients at 8 COVID-19 treatment centers across Zambia during April 2021 through March 2022, when the Delta and Omicron variants were circulating. Patient demographic and clinical information including vaccination status and hospitalization outcome (discharged or died) were collected. Multivariable logistic regression was used to assess the odds of in-hospital mortality by vaccination status, adjusted for age, sex, number of comorbid conditions, disease severity, hospitalization month, and COVID-19 treatment center. Vaccine effectiveness of ≥1 vaccine dose was calculated from the adjusted odds ratio.
Results UNASSIGNED
Among 1653 patients with data on their vaccination status and hospitalization outcome, 365 (22.1%) died. Overall, 236 (14.3%) patients had received ≥1 vaccine dose before hospital admission. Of the patients who had received ≥1 vaccine dose, 22 (9.3%) died compared with 343 (24.2%) among unvaccinated patients (
Conclusions UNASSIGNED
Among patients admitted to COVID-19 treatment centers in Zambia, COVID-19 vaccination was associated with lower progression to in-hospital mortality. These data are consistent with evidence from other countries demonstrating the benefit of COVID-19 vaccination against severe complications. Vaccination is a critical tool for reducing the consequences of COVID-19 in Zambia.

Identifiants

pubmed: 36196297
doi: 10.1093/ofid/ofac469
pii: ofac469
pmc: PMC9522674
doi:

Types de publication

Journal Article

Langues

eng

Pagination

ofac469

Informations de copyright

Published by Oxford University Press on behalf of Infectious Diseases Society of America 2022.

Déclaration de conflit d'intérêts

Potential conflicts of interest. The authors: no reported conflicts of interest. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.

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Auteurs

Duncan Chanda (D)

University Teaching Hospital, Lusaka, Zambia.
Ministry of Health, Lusaka, Zambia.

Jonas Z Hines (JZ)

US Centers for Disease Control and Prevention, Lusaka, Zambia.

Megumi Itoh (M)

US Centers for Disease Control and Prevention, Lusaka, Zambia.

Sombo Fwoloshi (S)

University Teaching Hospital, Lusaka, Zambia.
Ministry of Health, Lusaka, Zambia.
University of Zambia School of Medicine, Lusaka, Zambia.

Peter A Minchella (PA)

US Centers for Disease Control and Prevention, Lusaka, Zambia.

Khozya D Zyambo (KD)

University Teaching Hospital, Lusaka, Zambia.
Ministry of Health, Lusaka, Zambia.

Suilanji Sivile (S)

University Teaching Hospital, Lusaka, Zambia.
Ministry of Health, Lusaka, Zambia.

Davies Kampamba (D)

Ministry of Health, Lusaka, Zambia.

Bob Chirwa (B)

Ministry of Health, Lusaka, Zambia.

Raphael Chanda (R)

University Teaching Hospital, Lusaka, Zambia.

Katongo Mutengo (K)

Livingstone Teaching Hospital, Livingstone, Zambia.

Mazinga F Kayembe (MF)

Kitwe Teaching Hospital, Kitwe, Zambia.

Webster Chewe (W)

University Teaching Hospital, Lusaka, Zambia.

Peter Chipimo (P)

Zambia National Public Health Institute, Lusaka, Zambia.

Aggrey Mweemba (A)

Levy Mwanawasa University Teaching Hospital, Lusaka, Zambia.

Simon Agolory (S)

US Centers for Disease Control and Prevention, Lusaka, Zambia.

Lloyd B Mulenga (LB)

Ministry of Health, Lusaka, Zambia.

Classifications MeSH