Averted burden of influenza, expressed as % discount in circumstances from a nonvaccination state of affairs by stage of transmission and stage of vaccine effectiveness. Credit score: JAMA Community Open (2025). DOI: 10.1001/jamanetworkopen.2025.21324
College of Pittsburgh Faculty of Public Well being scientists report that seasonal influenza vaccination prevented 32.9% to 41.5% of infections in a simulated inhabitants, extending safety even to some unvaccinated residents.
Influenza seasons differ broadly, with U.S. symptomatic circumstances estimated at 9 million to greater than 40 million between 2010 and 2024. Vaccination is the most secure and best method to forestall the illness, although not everybody can or might be vaccinated in a given inhabitants.
Unvaccinated people obtain oblique advantages from residing in a extremely vaccinated inhabitants as there may be much less danger of buying a pathogen from a herd of unsuitable hosts. Herd immunity is especially vital for many who can’t be vaccinated, comparable to infants below 6 months or these with particular medical circumstances or vaccine allergy symptoms.
Within the research, “Estimated Burden of Influenza and Direct and Indirect Benefits of Influenza Vaccination,” revealed in JAMA Community Open, researchers carried out an agent-based mannequin to estimate the influenza case burden, each direct and oblique, averted by vaccination.
A digital cohort of 1,218,695 computer-simulated people referred to as “agents” was statistically matched to the 2010 Allegheny County, Pennsylvania, census demographics. Researchers used a simulation platform referred to as the Framework for Reconstructing Epidemiologic Dynamics (FRED). Brokers in FRED fashions have demographic attributes, family places, and simulated faculties and workplaces.
Simulations ran from August 15, 2022, to Might 31, 2023. Brokers had been vaccinated starting in September at age-specific uptake charges that yielded 51% general, with state of affairs analyses spanning 22% to 71%. Modelers diversified vaccine effectiveness from 40% to 60% in most runs, with choose runs extending 30% to 70%.
To symbolize how simply the virus may unfold, they used a measure referred to as the efficient reproductive quantity (Rt). Rt worth describes the typical variety of new infections attributable to one contaminated particular person at a given time within the outbreak with the next Rt which means quicker unfold. The group examined situations starting from modest transmission, with Rt of 1.33, to excessive ranges above 5.0, extra per identified pandemic circumstances.
Outcomes confirmed imply influenza burden averted of 32.9% within the excessive seasonal transmission state of affairs (Rt = 1.88) and 41.5% within the low transmission state of affairs (Rt = 1.43) when vaccine effectiveness was set at 40%. With increased effectiveness and low transmission, reductions reached 70.3%.
Direct profit to vaccinated brokers exceeded oblique profit in each seasonal state of affairs. The attack-rate ratio of unvaccinated to vaccinated ranged from 1.43 to 1.73. In simulations the place Rt rose above 3.92, oblique profit basically disappeared whereas vaccinated brokers nonetheless skilled 52.6% to 61.0% fewer infections.
The authors conclude that influenza vaccination delivers substantial group safety throughout typical seasons. Solely vaccinated people stay shielded when transmission climbs to pandemic ranges.
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edited by Lisa Lock, and fact-checked and reviewed by Andrew Zinin—this text is the results of cautious human work. We depend on readers such as you to maintain unbiased science journalism alive.
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Extra info:
Mary G. Krauland et al, Estimated Burden of Influenza and Direct and Oblique Advantages of Influenza Vaccination, JAMA Community Open (2025). DOI: 10.1001/jamanetworkopen.2025.21324
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