Publications by authors named "C R Paden"

Importance: During the 2023-2024 respiratory syncytial virus (RSV) season in the United States, 2 new RSV prevention products were recommended to protect infants in their first RSV season: nirsevimab and Pfizer's maternal RSV vaccine. Postlicensure studies are needed to assess prevention product impact and effectiveness.

Objective: To compare the epidemiology and disease burden of medically attended RSV-associated acute respiratory illness (ARI) among children younger than 5 years during the 2023-2024 RSV season with 3 prepandemic RSV seasons (2017-2020), estimate nirsevimab effectiveness against medically attended RSV-associated ARI, and compare nirsevimab binding site mutations among circulating RSV in infants with and without nirsevimab receipt.

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Article Synopsis
  • The CDC is monitoring the evolution of SARS-CoV-2, particularly the Omicron variant and its offspring, using national genomic surveillance data from May 2023 to September 2024.
  • During this period, descendants of the Omicron variants, especially XBB and JN.1, emerged and became prevalent, with several lineages showing immune escape traits.
  • The rise of the JN.1 variant led to a significant increase in COVID-19 cases during winter 2024, underscoring the need for ongoing genomic monitoring to inform vaccine development and public health strategies.*
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  • The study assessed the effectiveness of the updated 2023-2024 COVID-19 vaccine against hospitalization for two variant lineages, XBB and JN, in hospitalized patients across 26 hospitals in the U.S. between October 2023 and March 2024.
  • The results indicated a vaccine effectiveness (VE) of 54.2% against XBB and 32.7% against JN, suggesting that the JN lineage may have some level of immune escape.
  • However, the severity of cases with the JN lineage was not significantly worse compared to those with the XBB lineage, indicating similar risks of severe outcomes like ICU admission and death.
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Article Synopsis
  • * The CDC's National SARS-CoV-2 Strain Surveillance (NS3) program analyzed SARS-CoV-2 samples to understand the evolution of these variants and their spike mutations from May 2021 to February 2023.
  • * The study found that some subvariants have significantly evaded neutralizing antibodies from post-vaccination sera, indicating a need for ongoing research to evaluate the effectiveness of current vaccines and inform future updates.
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