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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
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  • Erin Rachel Whitehouse,
  • Paul Elish,
  • Elona Kureta,
  • Dragan Kochinski,
  • Dragana Plavsa,
  • Giorgi Chakhunashvili,
  • Besfort Kryeziu,
  • 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,
  • Mark Katz
Erin Rachel Whitehouse
Centers for Disease Control and Prevention

Corresponding Author:okp7@cdc.gov

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Paul Elish
Centers for Disease Control and Prevention
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Elona Kureta
Institute of Public Health
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Dragan Kochinski
Republic of Macedonia Ministry of Health
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Dragana Plavsa
National Institute of Public Health
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Giorgi Chakhunashvili
National Center for Disease Control and Public Health
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Besfort Kryeziu
National Institute of Public Health
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Sayragul Abdyldaeva
Department for Disease Prevention and State Sanitary and Epidemiological Surveillance
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Miguel Angel Sanchez Ruiz
Epiconcept SAS
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Sandra COHUET
Epiconcept SAS
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James Humphreys
Epiconcept SAS
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Kujtim Mersini
Agricultural University of Tirana
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Oksana Artemchuk
World Health Organization Regional Office for Europe
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Maja Stosic
National Institute of Public Health
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Olgha Tarkhan-Mouravi
National Center for Disease Control and Public Health
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Ariana Kalaveshi
National Institute of Public Health
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Dinagul Otorbaeva
Department for Disease Prevention and State Sanitary and Epidemiological Surveillance
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Kristina Stavridis
Republic of Macedonia Ministry of Health
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Silvia Bino
Institute of Public Health
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Marc-Alain Widdowson
World Health Organization Regional Office for Europe
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Eva Leidman
Centers for Disease Control and Prevention
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Iris Finci
World Health Organization Regional Office for Europe
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Mark Katz
World Health Organization Regional Office for Europe
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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.