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Interim 2022/23 influenza vaccine effectiveness: six European studies, October 2022 to January 2023
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View Affiliations Hide AffiliationsEsther Kisslinge.kissling epiconcept.fr
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Members of the European IVE group: Arne Witdouck, Benedicte Delaere, Benédicte Lissoir, Caroline Wylock, Catherine Sion, Cyril Barbezange, Door Jouck, Els Van Nedervelde, Evelyn Petit, François Dufrasne, Isabelle Thomas, Koen Magerman, Lucie Seyler, Marc Bourgeois, Marc Hainaut, Marieke Bleyen, Marijke Reynders, Melissa Vermeulen, Nathalie Bossuyt, Nicolas Dauby, Sarah Denayer, Sebastien Fierens, Siel Daelemans, Thomas Demuyser, Virgini Van Buggenhout, Xavier Holemans, Vesna Višekruna Vučina, Maja Ilić, Goranka Petrović, Ivan Mlinarić, Sanja Kurečić Filipović, Bernard Kaić, Iva Pem Novosel, Ivana Ferenčak, Irena Tabain, Katica Čusek Adamić, Mirjana Lana Kosanović Ličina, Danijela Lakošeljac, Ivana Mihin Huskić, Diana Nonković, Jens Nielsen, Noémie Sève, Ana-Maria Vilcu, Caroline Guerrisi, Thierry Blanchon, Titouan Launay, Alessandra Falchi, Shirley Masse, Sylvie van der Werf, Vincent Enouf, Bruno Lina, Martine Valette, Anthony Nardone, Ruoran Li, Marlena Kaczmarek, Nathalie Nicolay, Sabrina Bacci, Silke Buda, Luise Goerlitz, Kristin Tolksdorf, Ute Preuss, Ralf Duerrwald, Marianne Wedde, Barbara Biere, Janine Reiche, Gergő Túri, Judit Krisztina Horváth, Beatrix Oroszi, Katalin Kristóf, Lisa Domegan, Joan O’Donnell, Róisín Duffy, Adele McKenna, Charlene Bennett, Jeff Connell, Joanne Moran, Michael Joyce, Ligita Jančorienė, Birutė Zablockienė, Ieva Kubiliūtė, Fausta Majauskaitė, Rolandas Zabockis, Goda Šlekytė, Giedrė Cincilevičiūtė, Auksė Mickienė, Monika Kuliešė, Roberta Vaikutytė, Stephen Abela, Aušra Džiugytė, Maria-Louise Borg, John-Paul Cauchi, Tanya Melillo, Adam Meijer, Marit de Lange, Frederika Dijkstra, Mariëtte Hooiveld, Rianne van Gageldonk, Ana Paula Rodrigues, Ausenda Machado, Irina Kislaya, Verónica Gomez, Aryse Melo, Camila Henriques, Inês Costa, Licínia Gomes, Miguel Lança, Nuno Verdasca, Raquel Guiomar, Mihaela Lazar, Maria Elena Mihai, Alina Ivanciuc, Catalina Pascu, Iulia Bistriceanu, Sorin Dinu, Mihaela Oprea, Odette Popovici, Isabela Loghin, Elena Duca, Mihaela Catalina Luca, Carmen Mihaela Dorobat, Corneliu-Petru Popescu, Gratiela Tardei, Alexandru Marin, Alma-Gabriela Tudor, Simin-Aysel Florescu, Emanoil Ceausu, Rodica Popescu, Olivia Timnea, Adrian Jidovu, Virtudes Gallardo García, Irene Pedrosa Corral, Silvia Martínez, Ana Milagro, Ana Fernández Ibañez, Marta Huerta Huerta, Jordi Reina, Jaume Giménez, Nieves López González-Coviella, Eva Rivas Wagner, Luis Viloria, Tomás Vega Alonso, José Eugenio Lozano Alonso, María Socorro Fernández Arribas, Ana Martínez, Luca Basile, Francesc Botella Quijal, Aurora López Maside, Ana Sofía Lameiras Azevedo, Juan Antonio Linares Dopido, Cecilia Gordillo, Olaia Pérez Martínez, Rosa María García Álvarez, Luis García Comas, Mercedes Rumayor, María Isabel Barranco, Judith Huete Obispo, Ana Isabel Rivas Pérez, Violeta Ramos Marín, Daniel Castrillejo Pérez, Sergio Román Soto, Gloria Pérez-Gimeno, Clara Mazagatos, Amparo Larrauri, Iván Martínez-Baz, Itziar Casado, Jesús Castilla, Aitziber Echeverría, Nerea Egüés, Guillermo Ezpeleta, Ana Navascués, Ana Miqueleiz, Carmen Ezpeleta, Neus Latorre-Margalef, Åsa Wiman, Annasara Carnahan, Katie Hassell, Julia Stowe, Hongxin Zhao, Catherine Quinot, Nick Andrews, Nick Richardson, Katja Hoschler, Angie Lackenby, Catherine Thompson, Maria Zambon, Chris Robertson, Josie Evans, Naoma William, Mark HamiltonView Citation Hide Citation
Citation style for this article: . Interim 2022/23 influenza vaccine effectiveness: six European studies, October 2022 to January 2023. Euro Surveill. 2023;28(21):pii=2300116. https://doi.org/10.2807/1560-7917.ES.2023.28.21.2300116 Received: 15 Feb 2023; Accepted: 21 Mar 2023
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Abstract
Between October 2022 and January 2023, influenza A(H1N1)pdm09, A(H3N2) and B/Victoria viruses circulated in Europe with different influenza (sub)types dominating in different areas.
To provide interim 2022/23 influenza vaccine effectiveness (VE) estimates from six European studies, covering 16 countries in primary care, emergency care and hospital inpatient settings.
All studies used the test-negative design, but with differences in other study characteristics, such as data sources, patient selection, case definitions and included age groups. Overall and influenza (sub)type-specific VE was estimated for each study using logistic regression adjusted for potential confounders.
There were 20,477 influenza cases recruited across the six studies, of which 16,589 (81%) were influenza A. Among all ages and settings, VE against influenza A ranged from 27 to 44%. Against A(H1N1)pdm09 (all ages and settings), VE point estimates ranged from 28% to 46%, higher among children (< 18 years) at 49–77%. Against A(H3N2), overall VE ranged from 2% to 44%, also higher among children (62–70%). Against influenza B/Victoria, overall and age-specific VE were ≥ 50% (87–95% among children < 18 years).
Interim results from six European studies during the 2022/23 influenza season indicate a ≥ 27% and ≥ 50% reduction in disease occurrence among all-age influenza vaccine recipients for influenza A and B, respectively, with higher reductions among children. Genetic virus characterisation results and end-of-season VE estimates will contribute to greater understanding of differences in influenza (sub)type-specific results across studies.
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