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Effectiveness of varicella vaccine in individuals aged 2–17 years: a case-control study based on linked surveillance system data
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Tian′e LIU1, Qinghua CHEN1, Xiaohua QI2, Kai GAO2, Chunmei YE1, Jie SHEN1, Chang ZHU1, Pai YANG1
Chinese Journal of Public Health | 2026, 42(8) : 914 - 918
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Chinese Journal of Public Health | 2026, 42(8): 914-918
• Special Report—Evaluating the Protective Effect of Childhood Vaccination •
Effectiveness of varicella vaccine in individuals aged 2–17 years: a case-control study based on linked surveillance system data
Full
Tian′e LIU1, Qinghua CHEN1, Xiaohua QI2, Kai GAO2, Chunmei YE1, Jie SHEN1, Chang ZHU1, Pai YANG1
Affiliations
  • 1Department of Immunization Program Management, Linping District Center for Disease Control and Prevention (Linping District Health Inspection Institute), Hangzhou 311100, China
  • 2Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Published: 2026-08-10 doi: 10.11847/zgggws1149585
Outline
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Objective

To evaluate the vaccine effectiveness (VE) of varicella vaccine (VarV) in individuals aged 2–17 years in a real-world setting.

Methods

On the basis of linked surveillance system data in 2024, a 1:3 individually matched case-control study design was adopted. Chi-square tests were conducted to compare distribution differences between groups. A conditional logistic regression model was employed to calculate the VE of VarV.

Results

This study included 928 subjects (232 cases and 696 controls). There were differences (all P<0.001) between the case and control groups in terms of immunization history, number of doses, age at initial vaccination, and time since vaccination. The overall VE of VarV against varicella was 71.55% (95%CI: 60.26%–79.63%). The VE of one dose (VarV1) and two doses (VarV2) was 60.95% (95%CI: 41.85%–73.78%) and 76.73% (95%CI: 66.29%–83.93%), respectively. VE for initial vaccination at age of 1, 2, and ≥3 years was 71.13% (95%CI: 59.33%–79.51%), 82.15% (95%CI: 56.01%–92.76%), and 67.27% (95%CI: 37.07%–82.98%), respectively. The VE within ≤5 years, 6–10 years, and ≥11 years after the last dose was 80.93% (95%CI: 71.42%–87.28%), 66.20% (95%CI: 48.78%–77.69%), and 46.49% (95%CI: 12.57%–67.25%), respectively.

Conclusions

VarV demonstrates significant effectiveness in real-world settings, with two-dose vaccination providing superior protection. However, its VE notably wanes with time since vaccination.

varicella vaccine  /  system data linkage  /  case-control study  /  vaccine effectiveness  /  individuals aged 2–17 years
刘天娥, 陈青华, 戚小华, 高垲, 叶春梅, 沈洁, 朱畅, 杨湃. 2~17岁人群水痘疫苗接种保护效果评价:基于系统数据链接的病例对照研究. 中国公共卫生, 2026 , 42 (8) : 914 -918 . DOI: 10.11847/zgggws1149585
Tian′e LIU, Qinghua CHEN, Xiaohua QI, Kai GAO, Chunmei YE, Jie SHEN, Chang ZHU, Pai YANG. Effectiveness of varicella vaccine in individuals aged 2–17 years: a case-control study based on linked surveillance system data[J]. Chinese Journal of Public Health, 2026 , 42 (8) : 914 -918 . DOI: 10.11847/zgggws1149585
Year 2026 volume 42 Issue 8
58
21
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Article Info
doi: 10.11847/zgggws1149585
  • Receive Date:2025-12-16
  • Online Date:2026-10-23
  • Published:2026-08-10
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History
  • Received:2025-12-16
  • Revised:2026-03-16
  • Accepted:2026-04-25
Affiliations
    1Department of Immunization Program Management, Linping District Center for Disease Control and Prevention (Linping District Health Inspection Institute), Hangzhou 311100, China
    2Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China

Corresponding:

CHEN Qinghua, E-mail:
QI Xiaohua, E-mail:
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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