Interim estimates of 2015/16 vaccine effectiveness against influenza A(H1N1)pdm09, Canada, February 2016

被引:39
作者
Chambers, C. [1 ]
Skowronski, D. M. [1 ,2 ]
Sabaiduc, S. [1 ]
Winter, A. L. [3 ]
Dickinson, J. A. [4 ]
De Serres, G. [5 ,6 ,7 ]
Gubbay, J. B. [3 ,8 ]
Drews, S. J. [9 ,10 ]
Martineau, C. [5 ]
Eshaghi, A. [3 ]
Krajden, M. [1 ,2 ]
Bastien, N. [11 ]
Li, Y. [11 ,12 ]
机构
[1] British Columbia Ctr Dis Control, Vancouver, BC, Canada
[2] Univ British Columbia, Vancouver, BC V5Z 1M9, Canada
[3] Publ Hlth Ontario, Toronto, ON, Canada
[4] Univ Calgary, Calgary, AB, Canada
[5] Inst Natl Sante Publ Quebec, Natl Inst Hlth Quebec, Quebec City, PQ, Canada
[6] Univ Laval, Quebec City, PQ, Canada
[7] Univ Hosp Ctr Quebec, Ctr Hosp Univ Quebec, Quebec City, PQ, Canada
[8] Univ Toronto, Toronto, ON, Canada
[9] Alberta Prov Lab, Edmonton, AB, Canada
[10] Univ Alberta, Edmonton, AB, Canada
[11] Publ Hlth Agcy Canada, Natl Microbiol Lab, Winnipeg, MB, Canada
[12] Univ Manitoba, Winnipeg, MB, Canada
关键词
TEST-NEGATIVE DESIGN; SURVEILLANCE; HEMAGGLUTININ;
D O I
10.2807/1560-7917.ES.2016.21.11.30168
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Using a test-negative design, the Canadian Sentinel Practitioner Surveillance Network (SPSN) assessed interim 2015/16 vaccine effectiveness (VE) against influenza A(H1N1) pdm09 viruses. Adjusted VE showed significant protection of 64% (95% confidence interval (CI): 44-77%) overall and 56% (95% CI: 26-73%) for adults between 20 and 64 years-old against medically attended, laboratory-confirmed A(H1N1) pdm09 illness. Among the 67 A(H1N1) pdm09-positive specimens that were successfully sequenced, 62 (> 90%) belonged to the emerging genetic 6B.1 subclade, defined by S162N (potential gain of glycosylation) and I216T mutations in the haemagglutinin protein. Findings from the Canadian SPSN indicate that the 2015/16 northern hemisphere vaccine provided significant protection against A(H1N1) pdm09 illness despite genetic evolution in circulating viruses.
引用
收藏
页码:27 / 34
页数:8
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