Low effectiveness of seasonal influenza vaccine in preventing laboratory-confirmed influenza in primary care in the United Kingdom: 2014/15 mid–season results

Author:

Pebody R G1,Warburton F1,Ellis J2,Andrews N1,Thompson C2,von Wissmann B3,Green H K1,Cottrell S4,Johnston J5,de Lusignan S6,Moore C7,Gunson R8,Robertson C910,McMenamin J3,Zambon M2

Affiliation:

1. Public Health England Centre of Infectious Disease Surveillance and Control, London, United Kingdom

2. Public Health England Operations Directorate, Microbiology Services, Colindale, London, United Kingdom

3. Health Protection Scotland, Glasgow, United Kingdom

4. Public Health Wales, Cardiff, United Kingdom

5. Public Health Agency Northern Ireland, Belfast, United Kingdom

6. Royal College of General Practitioners Research and Surveillance Centre, United Kingdom

7. Public Health Wales Molecular Diagnostics Unit, Cardiff, United Kingdom

8. West of Scotland Specialist Virology Centre, Glasgow, United Kingdom

9. University of Strathclyde, Glasgow, United Kingdom

10. International Prevention Research Institute, Lyon, France

Abstract

In 2014/15 the United Kingdom experienced circulation of influenza A(H3N2) with impact in the elderly. Mid-season vaccine effectiveness (VE) shows an adjusted VE of 3.4% (95% CI: ?44.8 to 35.5) against primary care consultation with laboratory-confirmed influenza and ?2.3% (95% CI: ?56.2 to 33.0) for A(H3N2). The low VE reflects mismatch between circulating viruses and the 2014/15 northern hemisphere A(H3N2) vaccine strain. Early use of antivirals for prophylaxis and treatment of vulnerable populations remains important.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference18 articles.

1. Department of Health. Public Health England. The national flu immunisation programme 2014/15. London: Public Health England. 28 Apr 2014. Available from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/316007/FluImmunisationLetter2014_accessible.pdf

2. Public Health England (PHE). PHE Weekly National Influenza Report – week 4 report. London: PHE. 22 Jan 2015. Available from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/397454/Weekly_report_current_week_4x.pdf

3. Estimating influenza vaccine effectiveness using routinely collected laboratory data

4. Effectiveness of trivalent seasonal influenza vaccine in preventing laboratory-confirmed influenza in primary care in the United Kingdom: 2012/13 end of season results

5. Ellis J, Iturriza M, Allen R, Bermingham A, Brown K, Gray J, et al. Evaluation of four real-time PCR assays for detection of influenza A(H1N1)v viruses. Euro Surveill. 2009;14(22):19230. PMID:19497254

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