“…17,20 Conjugate vaccine serotypes (i.e., serotypes included in PCV13) causing IPD among children were highly prevalent (> 60% of serotypes) in 11 reports, 6,11,12,14,16-22 including 6 of 7 European studies, 6,[16][17][18][19][20] while the highest prevalence from North American studies was 46%. 25 In contrast, conjugate vaccine serotypes causing non-IPD conditions among children were more than 50% prevalent in only 5 of 30 studies (Table 1). 31,33,40,41,44 Prevalence of serotypes uniquely covered by PPV23 was reported in a total of 33 papers.…”