The Omicron wave in Mexico: vaccine protection against progression to severe Covid-19 in SARS-CoV-2-infected workers.

Bibliographic Details
Title: The Omicron wave in Mexico: vaccine protection against progression to severe Covid-19 in SARS-CoV-2-infected workers.
Alternate Title: Omicron en México: protección vacunal contra la progresión a Covid-19 grave en trabajadores infectados por SARS-CoV-2.
Authors: Hernández-Ávila, Mauricio1 mauricio.hernandeza@imss.gob.mx, Ivan Vieyra-Romero, Waldo1, Gutiérrez-Díaz, Héctor1, Zepeda-Tello, Rodrigo2, Alpuche-Aranda, Celia3, Eugenio Hernández-Ávila, Juan3, Barros-Sierra, David1, Tamayo-Ortiz, Marcela2, Duque-Molina, Celida1, Barrientos-Gutiérrez, Tonatiuh3, Carnalla-Cortés, Martha3, Dyer-Leal, Dwight4, López-Ridaura, Ruy4, López Gatell-Ramírez, Hugo4
Source: Salud Pública de México. ene-feb2024, Vol. 66 Issue 1, p85-94. 10p.
Subject Terms: *COVID-19, *Disability insurance claims, *COVID-19 vaccines, SARS-CoV-2 Omicron variant, Poisson regression
Geographic Terms: Mexico, Mexico (Mexico : State)
Company/Entity: AstraZeneca PLC AZN
Abstract (English): Objective. To assess the effectiveness of seven Covid-19 vaccines in preventing disease progression (DP) using data from national private sector workers during the Omicron wave in Mexico from January 2 to March 5, 2022. Materials and methods. This study employed an administrative retrospective cohort design, analyzing DP (hospitalization or death due to respiratory disease) among workers who filed a respiratory short-term disability claim and tested positive for SARS-CoV-2. Risk ratios (RRadj) were estimated using Poisson regression models adjusted for various factors. Results. Vaccinated individuals had a lower risk of hospitalization and death compared with unvaccinated individuals. The overall RRadj for hospitalization and death were 0.36 (95%CI 0.32, 0.41) and 0.24 (0.17, 0.33), respectively. When evaluating workvaccines individually, the RRadj for hospitalization were as follows Pfizer BioNTech 0.27 (95%CI 0.22, 0.33), Moderna 0.29 (95%CI 0.15, 0.57), Sinovac 0.32 (95%CI 0.25, 0.41), AstraZeneca 0.39 (95%CI 0.34, 0.46), Sputnik 0.39 (95%CI 0.28, 0.53), CanSino 0.41 (95%CI 0.24, 0.7), and Janssen 0.53 (95%CI 0.39, 0.72). The RRadj for death were as follows: Pfizer BioNTech 0.12 (95%CI 0.07, 0.19), Sputnik 0.15 (95%CI 0.06, 0.38), Sinovac 0.29 (95%CI 0.16, 0.53), AstraZeneca 0.30 (95%CI 0.20, 0.44), CanSino 0.38 (95%CI 0.1, 1.4), and Janssen 0.50 (95%CI 0.26, 0.97). Conclusion. Covid-19 vaccines significantly reduced the risk of severe disease during the Omicron wave in Mexico. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo. Evaluar la protección de siete vacunas Covid-19 contra la progresión de la enfermedad (PE) utilizando datos de trabajadores del sector privado durante el pico de transmisión Omicron del 2 de enero al 5 de marzo de 2022 en México. Material y métodos. Cohorte administrativa retrospectiva, analizando PE (hospitalización o muerte por enfermedad respiratoria) entre trabajadores que registraron una incapacidad temporal de trabajo por enfermedad respiratoria y fueron positivos a SARS-CoV-2. Se estimaron razones de riesgo (RRadj) mediante modelos de regresión de Poisson ajustados. Resultados. Los individuos vacunados tuvieron menor riesgo de hospitalización y muerte en comparación con los no vacunados. Los RRadj globales de hospitalización y muerte fueron 0.36 (IC95% 0.32,0.41) y 0.24 (0.17,0.33), respectivamente. Por vacuna, RRadj de hospitalización: Pfizer BioNTech 0.27 (IC95% 0.22,0.33), Moderna 0.29 (IC95% 0.15,0.57), Sinovac 0.32 (IC95% 0.25,0.41), AstraZeneca 0.39 (IC95% 0.34,0.46), Sputnik 0.39 (IC95% 0.28,0.53), CanSino 0.41 (IC95% 0.24,0.7), Janssen 0.53 (IC95% 0.39,0.72). RRadj de muerte: Pfizer BioNTech 0.12 (IC95% 0.07,0.19), Sputnik 0.15 (IC95% 0.06,0.38), Sinovac 0.29 (IC95% 0.16,0.53), AstraZeneca 0.30 (IC95% 0.20,0.44), CanSino 0.38 (IC95% 0.1,1.4), Janssen 0.50 (IC95% 0.26,0.97). Conclusión. Las vacunas Covid-19 redujeron significativamente el riesgo de enfermedad grave durante el pico de transmisión Omicron en México. [ABSTRACT FROM AUTHOR]
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Database: Business Source Complete
More Details
ISSN:00363634
DOI:10.21149/15125
Published in:Salud Pública de México
Language:English