Late‐Season Influenza Vaccine Effectiveness Against Medically Attended Outpatient Illness, United States, December 2022–April 2023

Author:

Chung Jessie R.1ORCID,Shirk Philip1,Gaglani Manjusha23,Mutnal Manohar B.23,Nowalk Mary Patricia4ORCID,Moehling Geffel Krissy4,House Stacey L.5,Curley Tara5,Wernli Karen J.67,Kiniry Erika L.6,Martin Emily T.8ORCID,Vaughn Ivana A.9ORCID,Murugan Vel10ORCID,Lim Efrem S.11,Saade Elie12,Faryar Kiran13,Williams Olivia L.14,Walter Emmanuel B.14,Price Ashley M.1,Barnes John R.1,DaSilva Juliana1,Kondor Rebecca1,Ellington Sascha1,Flannery Brendan1

Affiliation:

1. Influenza Division US Centers for Disease Control and Prevention Atlanta Georgia USA

2. Baylor Scott & White Health Temple Texas USA

3. Department of Pediatrics Baylor College of Medicine Temple Texas USA

4. Department of Family Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA

5. Department of Emergency Medicine Washington University School of Medicine in St. Louis St. Louis Missouri USA

6. Kaiser Permanente Washington Health Research Institute Seattle Washington USA

7. Department of Health Systems Science Kaiser Permanente Bernard J. Tyson School of Medicine Pasadena California USA

8. Department of Epidemiology University of Michigan School of Public Health Ann Arbor Michigan USA

9. Henry Ford Health Detroit Michigan USA

10. Biodesign Center for Personalized Diagnostics Arizona State University Tempe Arizona USA

11. Biodesign Center for Fundamental & Applied Microbiomics Arizona State University Tempe Arizona USA

12. Division of Infectious Diseases and HIV Medicine University Hospitals of Cleveland Cleveland Ohio USA

13. Department of Emergency Medicine University Hospitals of Cleveland Cleveland Ohio USA

14. Duke Human Vaccine Institute Duke University School of Medicine Durham North Carolina USA

Abstract

ABSTRACTBackgroundThe 2022–23 US influenza season peaked early in fall 2022.MethodsLate‐season influenza vaccine effectiveness (VE) against outpatient, laboratory‐confirmed influenza was calculated among participants of the US Influenza VE Network using a test‐negative design.ResultsOf 2561 participants enrolled from December 12, 2022 to April 30, 2023, 91 laboratory‐confirmed influenza cases primarily had A(H1N1)pdm09 (6B.1A.5a.2a.1) or A(H3N2) (3C.2a1b.2a.2b). Overall, VE was 30% (95% confidence interval −9%, 54%); low late‐season activity precluded estimation for most subgroups.Conclusions2022–23 late‐season outpatient influenza VE was not statistically significant. Genomic characterization may improve the identification of influenza viruses that circulate postinfluenza peak.

Funder

Centers for Disease Control and Prevention

National Institutes of Health

Publisher

Wiley

Reference15 articles.

1. US Centers for Disease Control and Prevention “Influenza Activity in the United States During the 2022–23 Season and Composition of the 2023–24 Influenza Vaccine ” (2023) [cited 2023 October 23] https://www.cdc.gov/flu/spotlights/2023‐2024/22‐23‐summary‐technical‐report.htm.

2. National Foundation for Infectious Diseases ”US Health Officials Urge Vaccination to Help Protect Against a Potentially Severe Flu Season ” (2022) https://www.nfid.org/us‐health‐officials‐urge‐vaccination‐to‐help‐protect‐against‐a‐potentially‐severe‐flu‐season/.

3. Prevention and Control of Seasonal Influenza With Vaccines: Recommendations of the Advisory Committee on Immunization Practices ‐ United States, 2022‐23 Influenza Season;Grohskopf L. A.;Morbidity and Mortality Weekly Report,2022

4. High Influenza Incidence and Disease Severity Among Children and Adolescents Aged <18 Years ― United States, 2022–23 Season

5. US Centers for Disease Control and Prevention “US Flu VE Network ” (2023) [cited 2023 Dec 27] https://www.cdc.gov/flu/vaccines‐work/us‐flu‐ve‐network.htm.

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