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Congenital and neonatal varicella: impact of the national varicella vaccination programme in Australia
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  • Published on:
    Future implications

    The authors rightly point out in their introduction that there is evidence (reference 12 Gargiullo P et al N Engl J Med 2007; 356:1121-9) of loss of vaccine-induced immunity over time, and that Australia will likely have to adopt a two-dose varicella schedule, which is not the case currently. I wonder if the authors have any opinion on how this will impact future maternity care in 15-20 years time and whether this will see...

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    Conflict of Interest:
    None declared.
  • Published on:
    Congenital and neonatal varicella in the United Kingdom
    • Janet E Berrington, Consultant neonatal paediatrician
    • Other Contributors:
      • Eleri Williams, Nicholas Embleton, Julia Clark

    We note with interest the paper from Khandaker (1) and colleagues on the reduction of congenital and neonatal varicella infections following the introduction of immunisation of 18 month old children in Australia from 2005. Using surveillance methodology similar to that of the British Paediatric Surveillance Unit (BPSU) rates of congenital varicella (per 100,000 live births with 95% CI) have fallen from 0.8 (0.3 to 1.8) t...

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    Conflict of Interest:
    None declared.