Effectiveness of 1 Dose of Influenza A (H1N1) 2009 Monovalent Vaccines in Preventing Reverse-Transcription Polymerase Chain Reaction-Confirmed H1N1 Infection Among School-Aged Children in Maine

Background. In late October 2009, school-located pandemic vaccination was initiated in Maine before or concurrent with 2009 pandemic influenza A (H1N1) virus (pH1N1) peak activity. Methods. A case-control evaluation of 2009 H1N1 vaccine effectiveness was conducted in schools in Cumberland County, Ma...

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Veröffentlicht in:The Journal of infectious diseases 2012-10, Vol.206 (7), p.1059-1068
Hauptverfasser: Uzicanin, Amra, Thompson, Mark, Smith, Peter, Chaves, Sandra S., Foster, Lydia, Dube, Nancy, Graitcer, Samuel, Jackson, Rebel, Ferdinands, Jill, Gargiullo, Paul, Mills, Dora, Monto, Arnold S., Shay, David K.
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container_issue 7
container_start_page 1059
container_title The Journal of infectious diseases
container_volume 206
creator Uzicanin, Amra
Thompson, Mark
Smith, Peter
Chaves, Sandra S.
Foster, Lydia
Dube, Nancy
Graitcer, Samuel
Jackson, Rebel
Ferdinands, Jill
Gargiullo, Paul
Mills, Dora
Monto, Arnold S.
Shay, David K.
description Background. In late October 2009, school-located pandemic vaccination was initiated in Maine before or concurrent with 2009 pandemic influenza A (H1N1) virus (pH1N1) peak activity. Methods. A case-control evaluation of 2009 H1N1 vaccine effectiveness was conducted in schools in Cumberland County, Maine. A case was a child who had an acute respiratory illness during 2 November-18 December 2009, and who tested positive for pH1N1 by real-time reverse-transcription polymerase chain reaction (rRT-PCR). For each case, ≥4 event time-matched controls were sampled among classmates present in school during the study period who did not have an influenza-like illness. Vaccine effectiveness was calculated as (1 - adjusted odds ratio [aOR]) × 100%; aOR was estimated by using weighted logistic regression. Results. After adjusting for a diagnosis of asthma, 1 dose of 2009 H1N1 vaccine provided 69% protection (95% confidence interval (CI), 13-89) against rRT-PCR-confirmed H1N1 infection. Vaccine effectiveness estimates for live attenuated and inactivated vaccine were 81% (95% CI, -37 to 97), and 58% (95% CI: -39 to 87), respectively. Conclusions. One dose of monovalent pandemic vaccine provided substantial protection against pH1N1 infection among school-aged children.
doi_str_mv 10.1093/infdis/jis441
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In late October 2009, school-located pandemic vaccination was initiated in Maine before or concurrent with 2009 pandemic influenza A (H1N1) virus (pH1N1) peak activity. Methods. A case-control evaluation of 2009 H1N1 vaccine effectiveness was conducted in schools in Cumberland County, Maine. A case was a child who had an acute respiratory illness during 2 November-18 December 2009, and who tested positive for pH1N1 by real-time reverse-transcription polymerase chain reaction (rRT-PCR). For each case, ≥4 event time-matched controls were sampled among classmates present in school during the study period who did not have an influenza-like illness. Vaccine effectiveness was calculated as (1 - adjusted odds ratio [aOR]) × 100%; aOR was estimated by using weighted logistic regression. Results. After adjusting for a diagnosis of asthma, 1 dose of 2009 H1N1 vaccine provided 69% protection (95% confidence interval (CI), 13-89) against rRT-PCR-confirmed H1N1 infection. Vaccine effectiveness estimates for live attenuated and inactivated vaccine were 81% (95% CI, -37 to 97), and 58% (95% CI: -39 to 87), respectively. Conclusions. One dose of monovalent pandemic vaccine provided substantial protection against pH1N1 infection among school-aged children.</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1093/infdis/jis441</identifier><identifier>PMID: 22850120</identifier><identifier>CODEN: JIDIAQ</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adolescent ; Applied microbiology ; Asthma ; Biological and medical sciences ; Case-Control Studies ; Child ; Child, Preschool ; Diseases ; Dosage ; Female ; Fundamental and applied biological sciences. 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In late October 2009, school-located pandemic vaccination was initiated in Maine before or concurrent with 2009 pandemic influenza A (H1N1) virus (pH1N1) peak activity. Methods. A case-control evaluation of 2009 H1N1 vaccine effectiveness was conducted in schools in Cumberland County, Maine. A case was a child who had an acute respiratory illness during 2 November-18 December 2009, and who tested positive for pH1N1 by real-time reverse-transcription polymerase chain reaction (rRT-PCR). For each case, ≥4 event time-matched controls were sampled among classmates present in school during the study period who did not have an influenza-like illness. Vaccine effectiveness was calculated as (1 - adjusted odds ratio [aOR]) × 100%; aOR was estimated by using weighted logistic regression. Results. After adjusting for a diagnosis of asthma, 1 dose of 2009 H1N1 vaccine provided 69% protection (95% confidence interval (CI), 13-89) against rRT-PCR-confirmed H1N1 infection. 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Vaccine effectiveness estimates for live attenuated and inactivated vaccine were 81% (95% CI, -37 to 97), and 58% (95% CI: -39 to 87), respectively. Conclusions. One dose of monovalent pandemic vaccine provided substantial protection against pH1N1 infection among school-aged children.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>22850120</pmid><doi>10.1093/infdis/jis441</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection
subjects Adolescent
Applied microbiology
Asthma
Biological and medical sciences
Case-Control Studies
Child
Child, Preschool
Diseases
Dosage
Female
Fundamental and applied biological sciences. Psychology
H1N1 subtype influenza A virus
Humans
Infections
Infectious diseases
Influenza A virus
Influenza A Virus, H1N1 Subtype - genetics
Influenza A Virus, H1N1 Subtype - immunology
Influenza Vaccines - administration & dosage
Influenza, Human - epidemiology
Influenza, Human - immunology
Influenza, Human - prevention & control
Logistic Models
Maine - epidemiology
Male
Medical sciences
Microbiology
Miscellaneous
Pandemics
Pandemics - prevention & control
Registered nurses
Reverse Transcriptase Polymerase Chain Reaction
RNA, Viral - genetics
School age children
Treatment Outcome
Vaccination
Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies (general aspects)
Vaccines, Attenuated - administration & dosage
Virology
VIRUSES
title Effectiveness of 1 Dose of Influenza A (H1N1) 2009 Monovalent Vaccines in Preventing Reverse-Transcription Polymerase Chain Reaction-Confirmed H1N1 Infection Among School-Aged Children in Maine
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