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  1. Article ; Online: A late sharp increase in influenza detections and low interim vaccine effectiveness against the circulating A(H3N2) strain, Denmark, 2021/22 influenza season up to 25 March 2022.

    Emborg, Hanne-Dorthe / Vestergaard, Lasse S / Botnen, Amanda Bolt / Nielsen, Jens / Krause, Tyra G / Trebbien, Ramona

    Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin

    2022  Volume 27, Issue 15

    Abstract: We estimated interim influenza A vaccine effectiveness (VE) following a late sharp rise in cases during an influenza A(H3N2)-dominated 2021/22 season, after lifting COVID-19 restrictions. In children aged 2-6 years offered a live attenuated influenza ... ...

    Abstract We estimated interim influenza A vaccine effectiveness (VE) following a late sharp rise in cases during an influenza A(H3N2)-dominated 2021/22 season, after lifting COVID-19 restrictions. In children aged 2-6 years offered a live attenuated influenza vaccine, adjusted VE was 62.7% (95% CI: 10.9-84.4) in hospitalised and 64.2% (95% CI: 50.5-74.1) in non-hospitalised children. In non-hospitalised patients aged 7-44 years, VE was 24.8% (95% CI: 12.8-35.2); VE was non-significant in remaining age groups and hospital/non-hospital settings.
    MeSH term(s) COVID-19 ; Case-Control Studies ; Child ; Denmark/epidemiology ; Humans ; Influenza A Virus, H3N2 Subtype/genetics ; Influenza B virus ; Influenza Vaccines ; Influenza, Human/epidemiology ; Influenza, Human/prevention & control ; Seasons ; Vaccination ; Vaccine Efficacy
    Chemical Substances Influenza Vaccines
    Language English
    Publishing date 2022-04-15
    Publishing country Sweden
    Document type Journal Article
    ZDB-ID 1338803-4
    ISSN 1560-7917 ; 1025-496X
    ISSN (online) 1560-7917
    ISSN 1025-496X
    DOI 10.2807/1560-7917.ES.2022.27.15.2200278
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: COVID-19 mortality attenuated during widespread Omicron transmission, Denmark, 2020 to 2022.

    Friis, Nikolaj U / Martin-Bertelsen, Tomas / Pedersen, Rasmus K / Nielsen, Jens / Krause, Tyra G / Andreasen, Viggo / Vestergaard, Lasse S

    Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin

    2023  Volume 28, Issue 3

    Abstract: BackgroundIt sparked considerable attention from international media when Denmark lifted restrictions against COVID-19 in February 2022 amidst widespread transmission of the new SARS-CoV-2 Omicron variant and a steep rise in reported COVID-19 mortality ... ...

    Abstract BackgroundIt sparked considerable attention from international media when Denmark lifted restrictions against COVID-19 in February 2022 amidst widespread transmission of the new SARS-CoV-2 Omicron variant and a steep rise in reported COVID-19 mortality based on the 30-day COVID-19 death count.AimOur aim was to investigate how coincidental infections affected COVID-19 mortality estimates following the introduction of the Omicron variant in late 2021.MethodsWe compared the 30-day COVID-19 death count with the observed mortality using three alternative mortality estimation methods; (i) a mathematical model to correct the 30-day COVID-19 death count for coincidental deaths, (ii) the Causes of Death Registry (CDR) and (iii) all-cause excess mortality.ResultsThere was a substantial peak in the 30-day COVID-19 death count following the emergence of the Omicron variant in late 2021. However, there was also a substantial change in the proportion of coincidental deaths, increasing from 10-20% to around 40% of the recorded COVID-19 deaths. The high number of 30-day COVID-19 deaths was not reflected in the number of COVID-19 deaths in the CDR and the all-cause excess mortality surveillance.ConclusionOur analysis showed a distinct change in the mortality pattern following the introduction of Omicron in late 2021 with a markedly higher proportion of people estimated to have died
    MeSH term(s) Humans ; Pandemics ; COVID-19 ; SARS-CoV-2 ; Denmark/epidemiology
    Language English
    Publishing date 2023-01-12
    Publishing country Sweden
    Document type Journal Article
    ZDB-ID 1338803-4
    ISSN 1560-7917 ; 1025-496X
    ISSN (online) 1560-7917
    ISSN 1025-496X
    DOI 10.2807/1560-7917.ES.2023.28.3.2200547
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Authors' response: Excess all-cause mortality during second wave of COVID-19 - the Polish perspective.

    Vestergaard, Lasse S / Nørgaard, Sarah K / Nielsen, Jens / Krause, Tyra G / Mølbak, Kåre

    Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin

    2021  Volume 26, Issue 7

    MeSH term(s) COVID-19 ; Cause of Death ; Humans ; Influenza, Human ; Poland/epidemiology ; SARS-CoV-2
    Language English
    Publishing date 2021-02-18
    Publishing country Sweden
    Document type Letter ; Comment
    ZDB-ID 1338803-4
    ISSN 1560-7917 ; 1025-496X
    ISSN (online) 1560-7917
    ISSN 1025-496X
    DOI 10.2807/1560-7917.ES.2021.26.7.2100191
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Excess all-cause mortality in the USA and Europe during the COVID-19 pandemic, 2020 and 2021.

    Rossen, Lauren M / Nørgaard, Sarah K / Sutton, Paul D / Krause, Tyra G / Ahmad, Farida B / Vestergaard, Lasse S / Mølbak, Kåre / Anderson, Robert N / Nielsen, Jens

    Scientific reports

    2022  Volume 12, Issue 1, Page(s) 18559

    Abstract: Both the USA and Europe experienced substantial excess mortality in 2020 and 2021 related to the COVID-19 pandemic. Methods used to estimate excess mortality vary, making comparisons difficult. This retrospective observational study included data on ... ...

    Abstract Both the USA and Europe experienced substantial excess mortality in 2020 and 2021 related to the COVID-19 pandemic. Methods used to estimate excess mortality vary, making comparisons difficult. This retrospective observational study included data on deaths from all causes occurring in the USA and 25 European countries or subnational areas participating in the network for European monitoring of excess mortality for public health action (EuroMOMO). We applied the EuroMOMO algorithm to estimate excess all-cause mortality in the USA and Europe during the first two years of the COVID-19 pandemic, 2020-2021, and compared excess mortality by age group and time periods reflecting three primary waves. During 2020-2021, the USA experienced 154.5 (95% Uncertainty Interval [UI]: 154.2-154.9) cumulative age-standardized excess all-cause deaths per 100,000 person years, compared with 110.4 (95% UI: 109.9-111.0) for the European countries. Excess all-cause mortality in the USA was higher than in Europe for nearly all age groups, with an additional 44.1 excess deaths per 100,000 person years overall from 2020-2021. If the USA had experienced an excess mortality rate similar to Europe, there would have been approximately 391 thousand (36%) fewer excess deaths in the USA.
    MeSH term(s) Humans ; United States/epidemiology ; COVID-19/epidemiology ; Pandemics ; Europe/epidemiology ; Public Health ; Algorithms ; Mortality
    Language English
    Publishing date 2022-11-03
    Publishing country England
    Document type Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-022-21844-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: All-cause versus cause-specific excess deaths for estimating influenza-associated mortality in Denmark, Spain, and the United States.

    Schmidt, Sebastian S S / Iuliano, Angela Danielle / Vestergaard, Lasse S / Mazagatos-Ateca, Clara / Larrauri, Amparo / Brauner, Jan M / Olsen, Sonja J / Nielsen, Jens / Salomon, Joshua A / Krause, Tyra G

    Influenza and other respiratory viruses

    2022  Volume 16, Issue 4, Page(s) 707–716

    Abstract: Background: Seasonal influenza-associated excess mortality estimates can be timely and provide useful information on the severity of an epidemic. This methodology can be leveraged during an emergency response or pandemic.: Method: For Denmark, Spain, ...

    Abstract Background: Seasonal influenza-associated excess mortality estimates can be timely and provide useful information on the severity of an epidemic. This methodology can be leveraged during an emergency response or pandemic.
    Method: For Denmark, Spain, and the United States, we estimated age-stratified excess mortality for (i) all-cause, (ii) respiratory and circulatory, (iii) circulatory, (iv) respiratory, and (v) pneumonia, and influenza causes of death for the 2015/2016 and 2016/2017 influenza seasons. We quantified differences between the countries and seasonal excess mortality estimates and the death categories. We used a time-series linear regression model accounting for time and seasonal trends using mortality data from 2010 through 2017.
    Results: The respective periods of weekly excess mortality for all-cause and cause-specific deaths were similar in their chronological patterns. Seasonal all-cause excess mortality rates for the 2015/2016 and 2016/2017 influenza seasons were 4.7 (3.3-6.1) and 14.3 (13.0-15.6) per 100,000 population, for the United States; 20.3 (15.8-25.0) and 24.0 (19.3-28.7) per 100,000 population for Denmark; and 22.9 (18.9-26.9) and 52.9 (49.1-56.8) per 100,000 population for Spain. Seasonal respiratory and circulatory excess mortality estimates were two to three times lower than the all-cause estimates.
    Discussion: We observed fewer influenza-associated deaths when we examined cause-specific death categories compared with all-cause deaths and observed the same trends in peaks in deaths with all death causes. Because all-cause deaths are more available, these models can be used to monitor virus activity in near real time. This approach may contribute to the development of timely mortality monitoring systems during public health emergencies.
    MeSH term(s) Denmark/epidemiology ; Humans ; Influenza, Human ; Mortality ; Pandemics ; Seasons ; Spain/epidemiology ; United States/epidemiology
    Language English
    Publishing date 2022-02-23
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2274538-5
    ISSN 1750-2659 ; 1750-2640
    ISSN (online) 1750-2659
    ISSN 1750-2640
    DOI 10.1111/irv.12966
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Virus isolation and neutralisation of SARS-CoV-2 variants BA.2.86 and EG.5.1.

    Lassaunière, Ria / Polacek, Charlotta / Utko, Magdalena / Sørensen, Karina M / Baig, Sharmin / Ellegaard, Kirsten / Escobar-Herrera, Leandro A / Fomsgaard, Anders / Spiess, Katja / Gunalan, Vithiagaran / Bennedbæk, Marc / Fonager, Jannik / Schwartz, Olivier / Planas, Delphine / Simon-Lorière, Etienne / Schneider, Uffe V / Sieber, Raphael N / Stegger, Marc / Nielsen, Lene /
    Hoppe, Morten / Krause, Tyra G / Ullum, Henrik / Jokelainen, Pikka / Rasmussen, Morten

    The Lancet. Infectious diseases

    2023  Volume 23, Issue 12, Page(s) e509–e510

    MeSH term(s) Humans ; SARS-CoV-2/genetics ; COVID-19 ; Antibodies, Viral ; Antibodies, Neutralizing
    Chemical Substances Antibodies, Viral ; Antibodies, Neutralizing
    Language English
    Publishing date 2023-11-07
    Publishing country United States
    Document type Letter
    ZDB-ID 2061641-7
    ISSN 1474-4457 ; 1473-3099
    ISSN (online) 1474-4457
    ISSN 1473-3099
    DOI 10.1016/S1473-3099(23)00682-5
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  7. Article ; Online: Reassortant Influenza A(H1N1)pdm09 Virus in Elderly Woman, Denmark, January 2021.

    Nissen, Jakob N / George, Sophie J / Hjulsager, Charlotte K / Krog, Jesper S / Nielsen, Xiaohui C / Madsen, Tina V / Andersen, Klara M / Krause, Tyra G / Vestergaard, Lasse S / Larsen, Lars E / Trebbien, Ramona

    Emerging infectious diseases

    2021  Volume 27, Issue 12, Page(s) 3202–3205

    Abstract: A case of human infection with influenza A(H1N1)pdm09 virus containing a nonstructural gene highly similar to Eurasian avian-like H1Nx swine influenza virus was detected in Denmark in January 2021. We describe the clinical case and report testing results ...

    Abstract A case of human infection with influenza A(H1N1)pdm09 virus containing a nonstructural gene highly similar to Eurasian avian-like H1Nx swine influenza virus was detected in Denmark in January 2021. We describe the clinical case and report testing results of the genetic and antigenic characterizations of the virus.
    MeSH term(s) Aged ; Animals ; Denmark/epidemiology ; Humans ; Influenza A Virus, H1N1 Subtype/genetics ; Influenza, Human/diagnosis ; Influenza, Human/epidemiology ; Orthomyxoviridae Infections ; Reassortant Viruses/genetics ; Swine ; Swine Diseases
    Language English
    Publishing date 2021-11-22
    Publishing country United States
    Document type Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1380686-5
    ISSN 1080-6059 ; 1080-6040
    ISSN (online) 1080-6059
    ISSN 1080-6040
    DOI 10.3201/eid2712.211361
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  8. Article ; Online: Simultaneous vaccination with MMR and DTaP-IPV-Hib and rate of hospital admissions with any infections: A nationwide register based cohort study.

    Sørup, Signe / Benn, Christine S / Poulsen, Anja / Krause, Tyra G / Aaby, Peter / Ravn, Henrik

    Vaccine

    2016  Volume 34, Issue 50, Page(s) 6172–6180

    Abstract: Background: In Denmark, live measles, mumps, and rubella vaccine (MMR) is associated with a reduced risk of infectious disease admissions, particularly for lower respiratory tract infections. In low-income countries, simultaneous vaccination (i.e. ... ...

    Abstract Background: In Denmark, live measles, mumps, and rubella vaccine (MMR) is associated with a reduced risk of infectious disease admissions, particularly for lower respiratory tract infections. In low-income countries, simultaneous vaccination (i.e. vaccination at the same visit) with live and inactivated vaccines may increase child mortality compared with the live vaccine alone. We examined the hypothesis that simultaneous administration of MMR and the inactivated DTaP-IPV-Hib vaccine compared with MMR alone is associated with higher incidence of infectious disease admissions.
    Methods: Nationwide, retrospective, register based cohort study of 520,859 children born in Denmark 1997-2006, who were followed from 15months to 4years of age. Incidence rate ratios (IRRs) of hospital admissions were estimated by Cox regression and adjusted for background factors including exact age.
    Results: By 2years of age, 4965 children had simultaneous MMR and DTaP-IPV-Hib as their most recent vaccination. Compared with MMR alone, simultaneous administration was associated with a higher rate of lower respiratory tract infections (adjusted incidence rate ratio (IRR), 1.27; 95% confidence interval (CI), 1.13-1.42). There was no effect on other infections. Overall, simultaneous administration was associated with a 7% (95% CI, 0-15%) increase in infectious disease admissions.
    Conclusions: Simultaneous administration of MMR and DTaP-IPV-Hib compared with MMR alone may increase the rate of hospital admissions related to lower respiratory tract infections. These findings require replication in other high-income settings.
    Language English
    Publishing date 2016-12-07
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 605674-x
    ISSN 1873-2518 ; 0264-410X
    ISSN (online) 1873-2518
    ISSN 0264-410X
    DOI 10.1016/j.vaccine.2016.11.005
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  9. Article ; Online: How are children who are delayed in the Childhood Vaccination Programme vaccinated: A nationwide register-based cohort study of Danish children aged 15-24 months and semi-structured interviews with vaccination providers.

    Pedersen, Kenneth B / Holck, Marie E / Jensen, Aksel K G / Suppli, Camilla H / Benn, Christine S / Krause, Tyra G / Sørup, Signe

    Scandinavian journal of public health

    2018  Volume 48, Issue 1, Page(s) 96–105

    Abstract: Aims: ...

    Abstract Aims:
    MeSH term(s) Child, Preschool ; Cohort Studies ; Denmark ; Female ; Health Personnel/psychology ; Humans ; Immunization Programs ; Immunization Schedule ; Infant ; Male ; Practice Guidelines as Topic ; Qualitative Research ; Registries ; Vaccination/statistics & numerical data ; Vaccines/administration & dosage
    Chemical Substances Vaccines
    Language English
    Publishing date 2018-07-19
    Publishing country Sweden
    Document type Journal Article
    ZDB-ID 1475054-5
    ISSN 1651-1905 ; 1403-4948
    ISSN (online) 1651-1905
    ISSN 1403-4948
    DOI 10.1177/1403494818786146
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  10. Article: Oral Polio Vaccination and Hospital Admissions With Non-Polio Infections in Denmark: Nationwide Retrospective Cohort Study.

    Sørup, Signe / Stensballe, Lone G / Krause, Tyra G / Aaby, Peter / Benn, Christine S / Ravn, Henrik

    Open forum infectious diseases

    2015  Volume 3, Issue 1, Page(s) ofv204

    Abstract: Background.  Live vaccines may have nonspecific beneficial effects on morbidity and mortality. This study examines whether children who had the live-attenuated oral polio vaccine (OPV) as the most recent vaccine had a different rate of admissions for ... ...

    Abstract Background.  Live vaccines may have nonspecific beneficial effects on morbidity and mortality. This study examines whether children who had the live-attenuated oral polio vaccine (OPV) as the most recent vaccine had a different rate of admissions for infectious diseases than children with inactivated diphtheria-tetanus-pertussis-polio-Haemophilus influenzae type b vaccine (DTaP-IPV-Hib) or live measles-mumps-rubella vaccine (MMR) as their most recent vaccine. Methods.  A nationwide, register-based, retrospective cohort study of 137 403 Danish children born 1997-1999, who had received 3 doses of DTaP-IPV-Hib, were observed from 24 months (first OPV dose) to 36 months of age. Results.  Oral polio vaccine was associated with a lower rate of admissions with any type of non-polio infection compared with DTaP-IPV-Hib as most recent vaccine (adjusted incidence rate ratio [IRR], 0.85; 95% confidence interval [CI], .77-.95). The association was separately significant for admissions with lower respiratory infections (adjusted IRR, 0.73; 95% CI, .61-.87). The admission rates did not differ for OPV versus MMR. Conclusions.  Like MMR, OPV was associated with fewer admissions for lower respiratory infections than having DTaP-IPV-Hib as the most recent vaccination. Because OPV is now being phased-out globally, further studies of the potential beneficial nonspecific effects of OPV are warranted.
    Language English
    Publishing date 2015-12-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2757767-3
    ISSN 2328-8957
    ISSN 2328-8957
    DOI 10.1093/ofid/ofv204
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