We compared PCV7/13 impact on pneumococcal-meningitis vs. other IPD in children <5 y.
Meningitis patients were younger and had higher proportion of non-PCV13 serotypes.
Meningitis rates in children <5 y decreased by 27%, while other IPD decreased by 69%.
Rates of both meningitis and other IPD caused by PCV13 serotypes declined by >90%.
Non-PCV13 serotypes increased in meningitis relatively to other IPD.