-
Interim estimates of vaccine effectiveness against influenza A(H1N1)pdm09 and A(H3N2) during a delayed influenza season, Canada, 2024/25
- Lea Separovic1 , Yuping Zhan1 , Samantha E Kaweski1 , Suzana Sabaiduc1 , Sara Carazo2 , Romy Olsha3 , Richard G Mather3,4 , James A Dickinson5 , Maan Hasso3 , Isabelle Meunier2 , Agatha N Jassem1 , Nathan Zelyas6 , Ruimin Gao7 , Nathalie Bastien7 , Danuta M Skowronski1,8
-
View Affiliations Hide AffiliationsAffiliations: 1 British Columbia Centre for Disease Control, Vancouver, Canada 2 Institut National de Santé Publique du Québec, Québec, Canada 3 Public Health Ontario, Toronto, Canada 4 Queen’s University, Kingston, Canada 5 University of Calgary, Calgary, Canada 6 Public Health Laboratory, Alberta Precision Laboratories, Edmonton, Canada 7 National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Canada 8 University of British Columbia, Vancouver, CanadaDanuta M SkowronskiDanuta.skowronski bccdc.ca
-
View Citation Hide Citation
Citation style for this article: Separovic Lea, Zhan Yuping, Kaweski Samantha E, Sabaiduc Suzana, Carazo Sara, Olsha Romy, Mather Richard G, Dickinson James A, Hasso Maan, Meunier Isabelle, Jassem Agatha N, Zelyas Nathan, Gao Ruimin, Bastien Nathalie, Skowronski Danuta M. Interim estimates of vaccine effectiveness against influenza A(H1N1)pdm09 and A(H3N2) during a delayed influenza season, Canada, 2024/25. Euro Surveill. 2025;30(4):pii=2500059. https://doi.org/10.2807/1560-7917.ES.2025.30.4.2500059 Received: 20 Jan 2025; Accepted: 29 Jan 2025
Abstract
The Canadian Sentinel Practitioner Surveillance Network (SPSN) reports interim 2024/25 vaccine effectiveness (VE) against acute respiratory illness due to laboratory-confirmed influenza during a delayed season of predominant A(H1N1)pdm09 and lower A(H3N2) co-circulation. Through mid-January, the risk of outpatient illness due to influenza A is reduced by about half among vaccinated vs unvaccinated individuals. Adjusted VE is 53% (95% CI: 36–65) against A(H1N1)pdm09, comprised of clades 5a.2a and 5a.2a.1, and 54% (95% CI: 29–70) against A(H3N2), virtually all clade 2a.3a.1.
Article metrics loading...
Full text loading...
References
-
Public Health Agency of Canada (PHAC). Canadian respiratory virus surveillance report. Ottawa: PHAC; 2025. Available from: https://health-infobase.canada.ca/respiratory-virus-surveillance/influenza.html
-
Doll MK, Pettigrew SM, Ma J, Verma A. Effects of confounding bias in coronavirus disease 2019 (COVID-19) and influenza vaccine effectiveness test-negative designs due to correlated influenza and COVID-19 vaccination behaviors. Clin Infect Dis. 2022;75(1):e564-71. https://doi.org/10.1093/cid/ciac234 PMID: 35325923
-
Firth D. Bias reduction of maximum likelihood estimates. Biometrika. 1993;80(1):27-38. https://doi.org/10.1093/biomet/80.1.27
-
World Health Organization (WHO). Recommended composition of influenza virus vaccines for use in the 2024-25 northern hemisphere influenza season. Geneva: WHO; 2024. Available from: https://www.who.int/publications/m/item/recommended-composition-of-influenza-virus-vaccines-for-use-in-the-2024-2025-northern-hemisphere-influenza-season
-
Zhou B, Donnelly ME, Scholes DT, St George K, Hatta M, Kawaoka Y, et al. Single-reaction genomic amplification accelerates sequencing and vaccine production for classical and Swine origin human influenza a viruses. J Virol. 2009;83(19):10309-13. https://doi.org/10.1128/JVI.01109-09 PMID: 19605485
-
Aksamentov I, Roemer C, Hodcroft E, Neher R. Nextclade: clade assignment, mutation calling and quality control for viral genomes. J Open Source Softw. 2021;6(67):3773. https://doi.org/10.21105/joss.03773
-
Shu Y, McCauley J. GISAID: Global initiative on sharing all influenza data - from vision to reality. Euro Surveill. 2017;22(13):30494. https://doi.org/10.2807/1560-7917.ES.2017.22.13.30494 PMID: 28382917
-
Skowronski DM, Zhan Y, Kaweski SE, Sabaiduc S, Khalid A, Olsha R, et al. 2023/24 mid-season influenza and Omicron XBB.1.5 vaccine effectiveness estimates from the Canadian Sentinel Practitioner Surveillance Network (SPSN). Euro Surveill. 2024;29(7):1-12. https://doi.org/10.2807/1560-7917.ES.2024.29.7.2400076 PMID: 38362622
-
Skowronski DM, Zou M, Sabaiduc S, Murti M, Olsha R, Dickinson JA, et al. Interim estimates of 2019/20 vaccine effectiveness during early-season co-circulation of influenza A and B viruses, Canada, February 2020. Euro Surveill. 2020;25(7):2000103. https://doi.org/10.2807/1560-7917.ES.2020.25.7.2000103 PMID: 32098644
-
Chambers C, Skowronski DM, Sabaiduc S, Winter AL, Dickinson JA, De Serres G, et al. Interim estimates of 2015/16 vaccine effectiveness against influenza A(H1N1)pdm09, Canada, February 2016. Euro Surveill. 2016;21(11):30168. https://doi.org/10.2807/1560-7917.ES.2016.21.11.30168 PMID: 27020673
-
Public Health Agency of Canada (PHAC). Seasonal influenza vaccination coverage in Canada, 2023-2024. Ottawa: PHAC. [Accessed: 13 Jan 2025]. Available from: https://www.canada.ca/en/public-health/services/immunization-vaccines/vaccination-coverage/seasonal-influenza-survey-results-2023-2024/full-report.html#fn
-
Canadian Sentinel Practitioner Surveillance Network (SPSN). Canadian Sentinel Practitioner Surveillance Network (SPSN) influenza vaccine effectiveness estimates, 2004-05 to 2023-24 seasons. Vancouver: SPSN; 2025. Available from: http://www.bccdc.ca/resource-gallery/Documents/Statistics%20and%20Research/Publications/Epid/Influenza%20and%20Respiratory/SPSN_VE_Table_Chart_Jan21_2025.pdf
-
Centers for Disease Control (CDC). Weekly US influenza surveillance report: key updates for week 2, ending January 11, 2025. Atlanta: CDC; 2025. Available from: https://www.cdc.gov/fluview/surveillance/2025-week-02.html
-
World Health Organization Regional Office for Europe (WHO/Europe) and European Centre for Disease Prevention and Control (ECDC). European Respiratory Virus Surveillance Summary (ERVISS). Copenhagen and Stockholm: WHO/Europe and ECDC. [Accessed: 24 Jan 2025]. Available from: https://erviss.org
-
Maurel M, Howard J, Kissling E, Pozo F, Pérez-Gimeno G, Buda S, et al. Interim 2023/24 influenza A vaccine effectiveness: VEBIS European primary care and hospital multicentre studies, September 2023 to January 2024. Euro Surveill. 2024;29(8):1-8. https://doi.org/10.2807/1560-7917.ES.2024.29.8.2400089 PMID: 38390651
-
Chung JR, Price AM, Zimmerman RK, Moehling Geffel K, House SL, Curley T, et al. Influenza vaccine effectiveness against medically attended outpatient illness, United States, 2023-24 season. Clin Infect Dis. 2025;ciae658. https://doi.org/10.1093/cid/ciae658 PMID: 39761230
-
Belongia EA, Skowronski DM, McLean HQ, Chambers C, Sundaram ME, De Serres G. Repeated annual influenza vaccination and vaccine effectiveness: review of evidence. Expert Rev Vaccines. 2017;16(7):1-14. https://doi.org/10.1080/14760584.2017.1334554 PMID: 28562111
-
Skowronski DM, Chambers C, Sabaiduc S, De Serres G, Winter AL, Dickinson JA, et al. Beyond antigenic match: possible agent-host and immuno-epidemiological influences on influenza vaccine effectiveness during the 2015-2016 season in Canada. J Infect Dis. 2017;216(12):1487-500. https://doi.org/10.1093/infdis/jix526 PMID: 29029166
-
European Centre for Disease Prevention and Control (ECDC). Seasonal influenza, 2023−2024. Stockholm: ECDC; 2025. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/seasonal-influenza-annual-epidemiological-report-2023-2024.pdf
-
Belongia EA, Simpson MD, King JP, Sundaram ME, Kelley NS, Osterholm MT, et al. Variable influenza vaccine effectiveness by subtype: a systematic review and meta-analysis of test-negative design studies. Lancet Infect Dis. 2016;16(8):942-51. https://doi.org/10.1016/S1473-3099(16)00129-8 PMID: 27061888
-
Hadfield J, Megill C, Bell SM, Huddleston J, Potter B, Callender C, et al. Nextstrain: real-time tracking of pathogen evolution. Bioinformatics. 2018;34(23):4121-3. https://doi.org/10.1093/bioinformatics/bty407 PMID: 29790939
-
Koel BF, Burke DF, Bestebroer TM, van der Vliet S, Zondag GCM, Vervaet G, et al. Substitutions near the receptor binding site determine major antigenic change during influenza virus evolution. Science. 2013;342(6161):976-9. https://doi.org/10.1126/science.1244730 PMID: 24264991
-
European Centre for Disease Prevention and Control (ECDC). Influenza virus characterization - Summary Europe, September 2024. Stockholm: ECDC; 2024. Available from: https://www.ecdc.europa.eu/en/publications-data/influenza-virus-characterization-summary-europe-september-2024
-
Skowronski DM, Leir S, Sabaiduc S, Chambers C, Zou M, Rose C, et al. Influenza vaccine effectiveness by A(H3N2) phylogenetic subcluster and prior vaccination history: 2016-2017 and 2017-2018 epidemics in Canada. J Infect Dis. 2022;225(8):1387-98. https://doi.org/10.1093/infdis/jiaa138 PMID: 32215564
-
National Advisory Committee on Immunization (NACI). National Advisory Committee on Immunization (NACI) Statement on Seasonal Influenza Vaccine for 2024-2025. Ottawa: Public Health Agency of Canada; 2024. Available from: https://www.canada.ca/content/dam/phac-aspc/documents/services/publications/vaccines-immunization/national-advisory-committee-immunization-statement-seasonal-influenza-vaccine-2024-2025/naci-statement-2024-07-25.pdf
Data & Media loading...
Supplementary data
-
-
Supplement
-