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Summary

The total number of IPD cases in 2021 relative to 2019 were comparable through Q3 (365 and 385 annual cases through Q3 2019 and Q3 2021, respectively), though COVID-19 control measures were re-introduced in Q4 2021 and likely affected the number of IPD cases in late 2021. Throughout 2021, the rates of IPD have remained relatively stable for 5-64 year olds. The rate of IPD among those 2-4 years old and 65 or older through Q4 2021 was slightly higher than the rate at the end of 2020. However, for children under 2 the rate of IPD through Q4 2021 was the highest since 2012. The rate of serotype 19A for children under 2 years steadily increased since 2017. The rate of 19A in 2021 among children under 2 years and for children 2-4 years old was the highest since before PCV10 was first introduced in 2011. The rates of serotype 19A for 2021 among 65 or older was the highest since 2015.
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