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

Author:

Chambers Catharine1,Skowronski Danuta M12,Sabaiduc Suzana1,Winter Anne Luise3,Dickinson James A4,De Serres Gaston567,Gubbay Jonathan B38,Drews Steven J910,Martineau Christine5,Eshaghi Alireza3,Krajden Mel12,Bastien Nathalie11,Li Yan1112

Affiliation:

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

2. University of British Columbia, Vancouver, Canada

3. Public Health Ontario, Toronto, Canada

4. University of Calgary, Calgary, Canada

5. Institut National de Santé Publique du Québec (National Institute of Health of Quebec), Québec, Canada

6. Laval University, Quebec, Canada

7. Centre Hospitalier Universitaire de Québec (University Hospital Centre of Quebec), Québec, Canada

8. University of Toronto, Toronto, Canada

9. Alberta Provincial Laboratory, Edmonton, Canada

10. University of Alberta, Edmonton, Canada

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

12. University of Manitoba, Winnipeg, Canada

Abstract

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.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference29 articles.

1. Influenza activity - United States, 2014-15 season and composition of the 2015-16 influenza vaccine.;Appiah;MMWR Morb Mortal Wkly Rep,2015

2. Update: influenza activity – United States, October 4, 2015-February 6, 2016.;Russell;MMWR Morb Mortal Wkly Rep,2016

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