RSV Jab Shields Older Adults from Hospitalisation

Medscape

4 days ago

The UK Health Security Agency (UKHSA) has reported that the respiratory syncytial virus (RSV) vaccine is around 82% effective in preventing hospitalisation among adults aged 75-79.
The data come from a study run in partnership with Nottingham University Hospitals and other NHS trusts. UKHSA called the results 'strong protection'.
The study used data from a hospital-based sentinel surveillance system covering 14 hospitals in England. It included adults admitted for acute respiratory infections between 1 October 2024 and 31 March 2025.
Of 1006 adults hospitalised with acute respiratory infections (ARI), 173 (17.2%) had RSV infection.
Vaccine Efficacy by Clinical Subgroup
Data showed vaccine efficacy against hospitalisation of:
82.3% for any RSV-associated ARI
86.7% for severe cases needing oxygen supplementation
88.6% for lower respiratory tract infection, including pneumonia
77.4% for exacerbations of chronic lung disease
78.8% for exacerbations linked to chronic heart disease, lung disease, or frailty
72.8% for adults with immunosuppression
Maternal RSV Vaccination Also Effective
The UKHSA also reviewed data from the maternal RSV vaccination programme, introduced alongside the older adults programme in September 2024.
A separate study, published in The Lancet Child & Adolescent Health , found the maternal RSV vaccine reduced infant hospitalisation risk by 72% when given more than 14 days before birth.
Both programmes use Pfizer's bivalent pre-F vaccine, Abrysvo).
The programme for older adults offers the vaccine to those turning 75, as well as a one-off catch-up campaign for all adults aged 75-79 years. The maternal programme offers the vaccine from 28 weeks of pregnancy.
Uptake Rates Vary Across Groups
By 30 June, uptake among eligible older adults had risen to 62.9%, up from 60.3% in March.
Among 36,657 women who gave birth in March, 54.7% had received the RSV vaccine during pregnancy.
Coverage in the maternal programme varied by ethnic group. Uptake Uptake ranged from 73.3% among women of Chinese ethnicity to 26.4% among Black and Black British Caribbean women.
RSV Seasonality and Surveillance Findings
RSV activity typically starts in October. Bronchiolitis, the main clinical presentation in infants, is primarily caused by RSV.The risk of hospitalisation with RSV infection is highest among babies born in late summer or autumn.
The UKHSA's first annual RSV report reviewed the 2024-2025 season. It found:
RSV activity began around mid-October across all UK nations
It peaked between 18 November and 8 December (weeks 47 to 49)
It declined to baseline levels by late February (weeks 7-8 of 2025)
Primary care surveillance included around 300 GP practices in England, which swab patients presenting with ARI. Peak RSV positivity was:
53.1% in children under 5 during week 46 (11-17 November)
18.5% in adults aged 75 and over during week 49 (2-8 December)
Hospital emergency department data also showed that bronchiolitis in infants under 1 year peaked in late November.
MHRA Warns of Guillain-Barré Syndrome Risk
In July, the Medicines and Healthcare products Regulatory Agency (MHRA) issued a drug safety alert on RSV vaccines. Clinicians are advised to monitor for symptoms of Guillain-Barré syndrome (GBS) following vaccination.
GBS is an acute demyelinating disease affecting the peripheral nervous system. Early symptoms include tingling, numbness, or pins and needles in the feet and hands, followed by muscle weakness and difficulty moving joints. In some cases, it can progress to breathing difficulties, drooping facial muscles, problems with swallowing or speech, and double vision. Although rare, GBS can be fatal.