Vaccine effectiveness estimates from an early-season influenza A(H3N2) epidemic, including unique genetic diversity with reassortment, Canada, 2022/23

Author:

Skowronski Danuta M12,Chuang Erica SY2,Sabaiduc Suzana2,Kaweski Samantha E2,Kim Shinhye2,Dickinson James A3,Olsha Romy4,Gubbay Jonathan B54,Zelyas Nathan6,Charest Hugues7,Bastien Nathalie8,Jassem Agatha N12,De Serres Gaston9107

Affiliation:

1. University of British Columbia, Vancouver, Canada

2. British Columbia Centre for Disease Control, Vancouver, Canada

3. University of Calgary, Calgary, Canada

4. Public Health Ontario, Toronto, Canada

5. University of Toronto, Toronto, Canada

6. Public Health Laboratory, Alberta Precision Laboratories, Edmonton, Canada

7. Institut National de Santé Publique du Québec, Québec, Canada

8. National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Canada

9. Centre Hospitalier Universitaire de Québec, Québec, Canada

10. Laval University, Quebec, Canada

Abstract

The Canadian Sentinel Practitioner Surveillance Network estimated vaccine effectiveness (VE) during the unusually early 2022/23 influenza A(H3N2) epidemic. Like vaccine, circulating viruses were clade 3C.2a1b.2a.2, but with genetic diversity affecting haemagglutinin positions 135 and 156, and reassortment such that H156 viruses acquired neuraminidase from clade 3C.2a1b.1a. Vaccine provided substantial protection with A(H3N2) VE of 54% (95% CI: 38 to 66) overall. VE was similar against H156 and vaccine-like S156 viruses, but with potential variation based on diversity at position 135.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference33 articles.

1. Influenza vaccine effectiveness against A(H3N2) during the delayed 2021/22 epidemic in Canada.;Kim;Euro Surveill,2022

2. National influenza annual report, Canada, 2021-2022: A brief, late influenza epidemic.;Buckrell;Can Commun Dis Rep,2022

3. Public Health Agency of Canada (PHAC). FluWatch report: January 8 to January 14, 2023 (week 2). Ottawa: PHAC

4. 2023. [Accessed: 31 Jan 2023). Available from: https://www.canada.ca/en/public-health/services/diseases/flu-influenza/influenza-surveillance/weekly-reports-2022-2023-season.html

5. National influenza mid-season report, 2022-2023: A rapid and early epidemic onset.;Ben Moussa;Can Commun Dis Rep,2023

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