Home » Health » Immunogenicity and safety of the domestic and imported live-attenuated varicella vaccine in healthy Chinese populations: a systematic review and meta-analysis | BMC Infectious Diseases

Immunogenicity and safety of the domestic and imported live-attenuated varicella vaccine in healthy Chinese populations: a systematic review and meta-analysis | BMC Infectious Diseases

Chickenpox Vaccine Shows Strong Global Impact

Vaccination programs demonstrate significant reductions in varicella-related hospitalizations and deaths.

Varicella, commonly known as chickenpox, remains a global health concern, though the implementation of widespread vaccination programs has dramatically decreased the severity and incidence of the disease in many regions.

Varicella Vaccine: A Path to Prevention

Vaccines against varicella-zoster virus (VZV) have greatly changed the landscape of this common childhood illness. A comprehensive overview by **Andrei G.** and **R. Snoeck** highlights recent progress in managing VZV infections, emphasizing the critical role of vaccines in prevention and control.

Understanding Varicella Outbreaks in China

Studies focusing on varicella epidemiology in China between 2005 and 2021 reveal fluctuating trends influenced by vaccination strategies. Research from **H. Sui** et al. (2005-2015), **P. Dong** et al. (2016-2019), and **M. Wang** et al. (2007-2021) provides insights into the epidemiological features of varicella during this period, marking significant public health emergency events.

The Economic Impact of Varicella

Besides the health implications, chickenpox also poses a substantial economic burden. A systematic review by **I. Williame**, **M. George**, **H.A. Shah**, et al. (2023) examines the healthcare resource utilization and costs associated with varicella and its complications. Effective vaccination programs can alleviate this economic strain by reducing the number of cases and associated healthcare needs.

Varicella Vaccination in the United States

In the United States, the introduction of varicella vaccination programs has led to a marked decline in severe disease outcomes. Studies by **A.S. Lopez**, **J. Zhang**, **C. Brown**, et al. (2000–2006) and **M. Marin**, **A.S. Lopez**, **M. Melgar**, et al. (1990–2019) highlight the effectiveness of one-dose vaccination strategies in reducing varicella-related hospitalizations and deaths.

Global Vaccine Effectiveness

A global meta-analysis conducted by **M. Marin**, **M. Marti**, **A. Kambhampati**, et al. confirms the widespread efficacy of varicella vaccines. Such findings support the implementation of vaccination programs worldwide.

Innovations in Vaccine Development

Ongoing research continues to refine varicella vaccines. A recent study by **L. Huang**, **Z. Chen**, **Y. Song**, et al. (2024) assessed the immunogenicity and safety of a live-attenuated varicella vaccine in individuals aged 13 years and older. This study contributes to the ongoing efforts to optimize vaccine formulations and schedules.

Live-Attenuated Varicella Vaccines

Numerous studies have examined the safety and immunogenicity of live attenuated varicella vaccines, particularly those produced in China. These vaccines have been extensively evaluated for their efficacy in protecting children and adults against varicella.

Specifically, research has focused on:

  • Gelatin-free formulations (**Y. Bai** et al., 2011; **Y. Tang** et al., 2012)
  • Two-dose schedules (**Q. Zhang** et al., 2017; **Z. Huang** et al., 2018)
  • Comparative studies of domestic versus imported vaccines (**G. Bian** et al., 2012; **X. Shi**, 2019)
  • The impact of booster immunizations (**Y. Li**, 2019; **S. Luo** et al., 2019)

Vaccination: A Safe and Effective Strategy

Overall, these studies indicate that varicella vaccination is a safe and effective method for preventing chickenpox and its associated complications. As of 2023, about 90% of children in the U.S. have received the varicella vaccine, greatly contributing to the decline in cases (CDC).

The Future of Varicella Prevention

Continued research and monitoring are essential to optimizing varicella vaccination strategies and ensuring long-term protection against this common yet potentially severe disease.

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