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Article Synopsis
  • Botswana introduced the RV1 rotavirus vaccine in July 2012, providing an opportunity to evaluate its effectiveness against rotavirus diarrhea hospitalizations in children under 5.
  • A case-control study compared vaccinated children admitted for diarrhea (case patients) and non-rotavirus diarrhea controls, finding that full vaccination (2 doses) had a 54% effectiveness rate.
  • The effectiveness varied by nutritional status, showing higher efficacy in well-nourished children (75%) compared to those with undernutrition (-28%), suggesting that undernutrition may affect vaccine effectiveness in low-income settings.
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