COVID-19 hospitalizations, vaccine uptake, vaccination guidelines, and vaccine availability in six middle-income countries and areas in Europe, May 2022--April 2024

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We evaluated COVID-19 epidemiology and vaccine uptake among 7,734 adults with severe acute respiratory infection in six middle-income countries and areas (CAs) in Europe during 2022–2024. A higher proportion of COVID-19 cases required mechanical ventilation (30[8.2%] vs. 23 [2.8%], p <0.001) and intensive care (70 [8.4%] vs. 48 [13.1%], p =0.016) during May 2023– April 2024 compared to May 2022–April 2023; however, COVID-19 vaccination in the last 12 months decreased from 25% in 2022–2023 to 3% in 2023–2024. Most CAs had not updated vaccine policies to recommend annual vaccination, and only two had vaccines available.
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COVID-19 hospitalizations, vaccine uptake, vaccination guidelines, and vaccine availability in six middle-income countries and areas in Europe, May 2022--April 2024 | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 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Data may be preliminary. 15 January 2025 V1 Latest version Share on COVID-19 hospitalizations, vaccine uptake, vaccination guidelines, and vaccine availability in six middle-income countries and areas in Europe, May 2022--April 2024 Authors : Erin Rachel Whitehouse 0000-0002-5158-0282 [email protected] , Paul Elish 0000-0002-1155-950X , Elona Kureta , Dragan Kochinski , Dragana Plavsa , Giorgi Chakhunashvili , Besfort Kryeziu 0000-0002-9529-0770 , … Show All … , Sayragul Abdyldaeva , Miguel Angel Sanchez Ruiz , Sandra COHUET , James Humphreys , Kujtim Mersini , Oksana Artemchuk , Maja Stosic , Olgha Tarkhan-Mouravi , Ariana Kalaveshi , Dinagul Otorbaeva , Kristina Stavridis , Silvia Bino , Marc-Alain Widdowson , Eva Leidman , Iris Finci , and Mark Katz 0000-0002-5532-7276 Show Fewer Authors Info & Affiliations https://doi.org/10.22541/au.173697392.20994178/v1 Published Influenza and Other Respiratory Viruses Version of record Peer review timeline 595 views 263 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract We evaluated COVID-19 epidemiology and vaccine uptake among 7,734 adults with severe acute respiratory infection in six middle-income countries and areas (CAs) in Europe during 2022–2024. A higher proportion of COVID-19 cases required mechanical ventilation (30[8.2%] vs. 23 [2.8%], p <0.001) and intensive care (70 [8.4%] vs. 48 [13.1%], p =0.016) during May 2023– April 2024 compared to May 2022–April 2023; however, COVID-19 vaccination in the last 12 months decreased from 25% in 2022–2023 to 3% in 2023–2024. Most CAs had not updated vaccine policies to recommend annual vaccination, and only two had vaccines available. Supplementary Material File (eurosave manuscript dec 19 2024 - manuscript.docx) Download 99.62 KB Information & Authors Information Version history V1 Version 1 15 January 2025 Peer review timeline Published Influenza and Other Respiratory Viruses Version of Record 18 Jun 2025 Published Copyright This work is licensed under a Non Exclusive No Reuse License. Collection Influenza and other respiratory viruses Keywords covid-19 epidemiology covid-19 vaccines covid-19 virus disease Authors Affiliations Erin Rachel Whitehouse 0000-0002-5158-0282 [email protected] Centers for Disease Control and Prevention View all articles by this author Paul Elish 0000-0002-1155-950X Centers for Disease Control and Prevention View all articles by this author Elona Kureta Institute of Public Health View all articles by this author Dragan Kochinski Republic of Macedonia Ministry of Health View all articles by this author Dragana Plavsa National Institute of Public Health View all articles by this author Giorgi Chakhunashvili National Center for Disease Control and Public Health View all articles by this author Besfort Kryeziu 0000-0002-9529-0770 National Institute of Public Health View all articles by this author Sayragul Abdyldaeva Department for Disease Prevention and State Sanitary and Epidemiological Surveillance View all articles by this author Miguel Angel Sanchez Ruiz Epiconcept SAS View all articles by this author Sandra COHUET Epiconcept SAS View all articles by this author James Humphreys Epiconcept SAS View all articles by this author Kujtim Mersini Agricultural University of Tirana View all articles by this author Oksana Artemchuk World Health Organization Regional Office for Europe View all articles by this author Maja Stosic National Institute of Public Health View all articles by this author Olgha Tarkhan-Mouravi National Center for Disease Control and Public Health View all articles by this author Ariana Kalaveshi National Institute of Public Health View all articles by this author Dinagul Otorbaeva Department for Disease Prevention and State Sanitary and Epidemiological Surveillance View all articles by this author Kristina Stavridis Republic of Macedonia Ministry of Health View all articles by this author Silvia Bino Institute of Public Health View all articles by this author Marc-Alain Widdowson World Health Organization Regional Office for Europe View all articles by this author Eva Leidman Centers for Disease Control and Prevention View all articles by this author Iris Finci World Health Organization Regional Office for Europe View all articles by this author Mark Katz 0000-0002-5532-7276 World Health Organization Regional Office for Europe View all articles by this author Metrics & Citations Metrics Article Usage 595 views 263 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Erin Rachel Whitehouse, Paul Elish, Elona Kureta, et al. COVID-19 hospitalizations, vaccine uptake, vaccination guidelines, and vaccine availability in six middle-income countries and areas in Europe, May 2022--April 2024. Authorea . 15 January 2025. DOI: https://doi.org/10.22541/au.173697392.20994178/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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