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Interim estimates of 2015/16 vaccine effectiveness against influenza A(H1N1)pdm09, Canada, February 2016
- Catharine Chambers1 , Danuta M Skowronski1,2 , Suzana Sabaiduc1 , Anne Luise Winter3 , James A Dickinson4 , Gaston De Serres5,6,7 , Jonathan B Gubbay3,8 , Steven J Drews9,10 , Christine Martineau5 , Alireza Eshaghi3 , Mel Krajden1,2 , Nathalie Bastien11 , Yan Li11,12
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View Affiliations Hide AffiliationsAffiliations: 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, CanadaDanuta M Skowronskidanuta.skowronski bccdc.ca
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Citation style for this article: Chambers Catharine, Skowronski Danuta M, Sabaiduc Suzana, Winter Anne Luise, Dickinson James A, De Serres Gaston, Gubbay Jonathan B, Drews Steven J, Martineau Christine, Eshaghi Alireza, Krajden Mel, Bastien Nathalie, Li Yan. Interim estimates of 2015/16 vaccine effectiveness against influenza A(H1N1)pdm09, Canada, February 2016. Euro Surveill. 2016;21(11):pii=30168. https://doi.org/10.2807/1560-7917.ES.2016.21.11.30168 Received: 25 Feb 2016; Accepted: 17 Mar 2016
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.
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