Infant vaccinations and risk of childhood acute lymphoblastic leukaemia in the USA

Summary Previous studies have suggested that infant vaccinations may reduce the risk of subsequent childhood leukaemia. Vaccination histories were compared in 439 children (ages 0–14) diagnosed with acute lymphoblastic leukaemia (ALL) in nine Midwestern and Mid-Atlantic states (USA) between 1 Januar...

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Veröffentlicht in:British journal of cancer 1999-09, Vol.81 (1), p.175-178
Hauptverfasser: Groves, F D, Gridley, G, Wacholder, S, Shu, X O, Robison, L L, Neglia, J P, Linet, M S
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container_title British journal of cancer
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creator Groves, F D
Gridley, G
Wacholder, S
Shu, X O
Robison, L L
Neglia, J P
Linet, M S
description Summary Previous studies have suggested that infant vaccinations may reduce the risk of subsequent childhood leukaemia. Vaccination histories were compared in 439 children (ages 0–14) diagnosed with acute lymphoblastic leukaemia (ALL) in nine Midwestern and Mid-Atlantic states (USA) between 1 January 1989 and 30 June 1993 and 439 controls selected by random-digit dialing and individually matched to cases on age, race and telephone exchange. Among matched pairs, similar proportions of cases and controls had received at least one dose of oral poliovirus (98%), diphtheria–tetanus–pertussis (97%), and measles–mumps–rubella (90%) vaccines. Only 47% of cases and 53% of controls had received any Haemophilus influenzae type b (Hib) vaccine (relative risk (RR) = 0.73; 95% confidence interval (CI) 0.50–1.06). Although similar proportions of cases (12%) and controls (11%) received the polysaccharide Hib vaccine (RR = 1.13; 95% CI 0.64–1.98), more controls (41%) than cases (35%) received the conjugate Hib vaccine (RR = 0.57; 95% CI 0.36–0.89). Although we found no relationship between most infant vaccinations and subsequent risk of childhood ALL, our findings suggest that infants receiving the conjugate Hib vaccine may be at reduced risk of subsequent childhood acute lymphoblastic leukemia. Further studies are needed to confirm this association and, if confirmed, to elucidate the underlying mechanism.
doi_str_mv 10.1038/sj.bjc.6690668
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Vaccination histories were compared in 439 children (ages 0–14) diagnosed with acute lymphoblastic leukaemia (ALL) in nine Midwestern and Mid-Atlantic states (USA) between 1 January 1989 and 30 June 1993 and 439 controls selected by random-digit dialing and individually matched to cases on age, race and telephone exchange. Among matched pairs, similar proportions of cases and controls had received at least one dose of oral poliovirus (98%), diphtheria–tetanus–pertussis (97%), and measles–mumps–rubella (90%) vaccines. Only 47% of cases and 53% of controls had received any Haemophilus influenzae type b (Hib) vaccine (relative risk (RR) = 0.73; 95% confidence interval (CI) 0.50–1.06). Although similar proportions of cases (12%) and controls (11%) received the polysaccharide Hib vaccine (RR = 1.13; 95% CI 0.64–1.98), more controls (41%) than cases (35%) received the conjugate Hib vaccine (RR = 0.57; 95% CI 0.36–0.89). Although we found no relationship between most infant vaccinations and subsequent risk of childhood ALL, our findings suggest that infants receiving the conjugate Hib vaccine may be at reduced risk of subsequent childhood acute lymphoblastic leukemia. Further studies are needed to confirm this association and, if confirmed, to elucidate the underlying mechanism.</description><identifier>ISSN: 0007-0920</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/sj.bjc.6690668</identifier><identifier>PMID: 10487630</identifier><identifier>CODEN: BJCAAI</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adolescent ; Bacterial Capsules ; Biological and medical sciences ; Biomedical and Life Sciences ; Biomedicine ; Cancer Research ; Chickenpox Vaccine ; Child ; Child, Preschool ; Diphtheria-Tetanus-Pertussis Vaccine - adverse effects ; Diphtheria-Tetanus-Pertussis Vaccine - therapeutic use ; Drug Resistance ; Epidemiology ; Female ; Haemophilus Vaccines - adverse effects ; Haemophilus Vaccines - therapeutic use ; Hematologic and hematopoietic diseases ; Humans ; Immunization Schedule ; Infant ; Infant, Newborn ; Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis ; Male ; Measles Vaccine - adverse effects ; Measles Vaccine - therapeutic use ; Measles-Mumps-Rubella Vaccine ; Medical sciences ; Molecular Medicine ; Mumps Vaccine - adverse effects ; Mumps Vaccine - therapeutic use ; Oncology ; Polysaccharides, Bacterial - adverse effects ; Polysaccharides, Bacterial - therapeutic use ; Precursor Cell Lymphoblastic Leukemia-Lymphoma - epidemiology ; Precursor Cell Lymphoblastic Leukemia-Lymphoma - etiology ; Precursor Cell Lymphoblastic Leukemia-Lymphoma - prevention &amp; control ; Regular ; regular-article ; Risk Factors ; Rubella Vaccine - adverse effects ; Rubella Vaccine - therapeutic use ; United States - epidemiology ; Vaccines, Combined - adverse effects ; Vaccines, Combined - therapeutic use ; Viral Vaccines - adverse effects ; Viral Vaccines - therapeutic use</subject><ispartof>British journal of cancer, 1999-09, Vol.81 (1), p.175-178</ispartof><rights>The Author(s) 1999</rights><rights>1999 INIST-CNRS</rights><rights>Copyright © 1999 Cancer Research Campaign 1999 Cancer Research Campaign</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-ab9ff3ac3a6c2eef461fbbf552eddf12469b88369dda75417e2ff8b75eb094723</citedby><cites>FETCH-LOGICAL-c455t-ab9ff3ac3a6c2eef461fbbf552eddf12469b88369dda75417e2ff8b75eb094723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2374362/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2374362/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=1906655$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10487630$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Groves, F D</creatorcontrib><creatorcontrib>Gridley, G</creatorcontrib><creatorcontrib>Wacholder, S</creatorcontrib><creatorcontrib>Shu, X O</creatorcontrib><creatorcontrib>Robison, L L</creatorcontrib><creatorcontrib>Neglia, J P</creatorcontrib><creatorcontrib>Linet, M S</creatorcontrib><title>Infant vaccinations and risk of childhood acute lymphoblastic leukaemia in the USA</title><title>British journal of cancer</title><addtitle>Br J Cancer</addtitle><addtitle>Br J Cancer</addtitle><description>Summary Previous studies have suggested that infant vaccinations may reduce the risk of subsequent childhood leukaemia. Vaccination histories were compared in 439 children (ages 0–14) diagnosed with acute lymphoblastic leukaemia (ALL) in nine Midwestern and Mid-Atlantic states (USA) between 1 January 1989 and 30 June 1993 and 439 controls selected by random-digit dialing and individually matched to cases on age, race and telephone exchange. Among matched pairs, similar proportions of cases and controls had received at least one dose of oral poliovirus (98%), diphtheria–tetanus–pertussis (97%), and measles–mumps–rubella (90%) vaccines. Only 47% of cases and 53% of controls had received any Haemophilus influenzae type b (Hib) vaccine (relative risk (RR) = 0.73; 95% confidence interval (CI) 0.50–1.06). Although similar proportions of cases (12%) and controls (11%) received the polysaccharide Hib vaccine (RR = 1.13; 95% CI 0.64–1.98), more controls (41%) than cases (35%) received the conjugate Hib vaccine (RR = 0.57; 95% CI 0.36–0.89). Although we found no relationship between most infant vaccinations and subsequent risk of childhood ALL, our findings suggest that infants receiving the conjugate Hib vaccine may be at reduced risk of subsequent childhood acute lymphoblastic leukemia. Further studies are needed to confirm this association and, if confirmed, to elucidate the underlying mechanism.</description><subject>Adolescent</subject><subject>Bacterial Capsules</subject><subject>Biological and medical sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cancer Research</subject><subject>Chickenpox Vaccine</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diphtheria-Tetanus-Pertussis Vaccine - adverse effects</subject><subject>Diphtheria-Tetanus-Pertussis Vaccine - therapeutic use</subject><subject>Drug Resistance</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Haemophilus Vaccines - adverse effects</subject><subject>Haemophilus Vaccines - therapeutic use</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Humans</subject><subject>Immunization Schedule</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Male</subject><subject>Measles Vaccine - adverse effects</subject><subject>Measles Vaccine - therapeutic use</subject><subject>Measles-Mumps-Rubella Vaccine</subject><subject>Medical sciences</subject><subject>Molecular Medicine</subject><subject>Mumps Vaccine - adverse effects</subject><subject>Mumps Vaccine - therapeutic use</subject><subject>Oncology</subject><subject>Polysaccharides, Bacterial - adverse effects</subject><subject>Polysaccharides, Bacterial - therapeutic use</subject><subject>Precursor Cell Lymphoblastic Leukemia-Lymphoma - epidemiology</subject><subject>Precursor Cell Lymphoblastic Leukemia-Lymphoma - etiology</subject><subject>Precursor Cell Lymphoblastic Leukemia-Lymphoma - prevention &amp; control</subject><subject>Regular</subject><subject>regular-article</subject><subject>Risk Factors</subject><subject>Rubella Vaccine - adverse effects</subject><subject>Rubella Vaccine - therapeutic use</subject><subject>United States - epidemiology</subject><subject>Vaccines, Combined - adverse effects</subject><subject>Vaccines, Combined - therapeutic use</subject><subject>Viral Vaccines - adverse effects</subject><subject>Viral Vaccines - therapeutic use</subject><issn>0007-0920</issn><issn>1532-1827</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp1kc1r3DAQxUVpabZprz0WHUpv3ujDluxLIYSmDQQKSXMWI1mK5cjSVrID-e_jZZc2PfQ0DPObN8N7CH2kZEsJb8_KuNWj2QrRESHaV2hDG84q2jL5Gm0IIbIiHSMn6F0p49p2pJVv0QkldSsFJxt0cxUdxBk_gjE-wuxTLBhij7MvDzg5bAYf-iGlHoNZZovD07Qbkg5QZm9wsMsD2MkD9hHPg8V3t-fv0RsHodgPx3qK7i6__br4UV3__H51cX5dmbpp5gp05xwHw0EYZq2rBXVau6Zhtu8dZbXodNty0fU9yKam0jLnWi0bq0lXS8ZP0deD7m7Rk-2NjXOGoHbZT5CfVAKv_p1EP6j79KgYlzUXe4EvR4Gcfi-2zGryxdgQINq0FCUJ4ZSxegW3B9DkVEq27s8RStQ-BlVGtcagjjGsC59evvYCP_i-Ap-PABQDwWWIxpe_3F6maVbs7ICVdRLvbVZjWnJcXf3f5We1YaMc</recordid><startdate>19990901</startdate><enddate>19990901</enddate><creator>Groves, F D</creator><creator>Gridley, G</creator><creator>Wacholder, S</creator><creator>Shu, X O</creator><creator>Robison, L L</creator><creator>Neglia, J P</creator><creator>Linet, M S</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19990901</creationdate><title>Infant vaccinations and risk of childhood acute lymphoblastic leukaemia in the USA</title><author>Groves, F D ; Gridley, G ; Wacholder, S ; Shu, X O ; Robison, L L ; Neglia, J P ; Linet, M S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-ab9ff3ac3a6c2eef461fbbf552eddf12469b88369dda75417e2ff8b75eb094723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adolescent</topic><topic>Bacterial Capsules</topic><topic>Biological and medical sciences</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cancer Research</topic><topic>Chickenpox Vaccine</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diphtheria-Tetanus-Pertussis Vaccine - adverse effects</topic><topic>Diphtheria-Tetanus-Pertussis Vaccine - therapeutic use</topic><topic>Drug Resistance</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Haemophilus Vaccines - adverse effects</topic><topic>Haemophilus Vaccines - therapeutic use</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Humans</topic><topic>Immunization Schedule</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Male</topic><topic>Measles Vaccine - adverse effects</topic><topic>Measles Vaccine - therapeutic use</topic><topic>Measles-Mumps-Rubella Vaccine</topic><topic>Medical sciences</topic><topic>Molecular Medicine</topic><topic>Mumps Vaccine - adverse effects</topic><topic>Mumps Vaccine - therapeutic use</topic><topic>Oncology</topic><topic>Polysaccharides, Bacterial - adverse effects</topic><topic>Polysaccharides, Bacterial - therapeutic use</topic><topic>Precursor Cell Lymphoblastic Leukemia-Lymphoma - epidemiology</topic><topic>Precursor Cell Lymphoblastic Leukemia-Lymphoma - etiology</topic><topic>Precursor Cell Lymphoblastic Leukemia-Lymphoma - prevention &amp; control</topic><topic>Regular</topic><topic>regular-article</topic><topic>Risk Factors</topic><topic>Rubella Vaccine - adverse effects</topic><topic>Rubella Vaccine - therapeutic use</topic><topic>United States - epidemiology</topic><topic>Vaccines, Combined - adverse effects</topic><topic>Vaccines, Combined - therapeutic use</topic><topic>Viral Vaccines - adverse effects</topic><topic>Viral Vaccines - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Groves, F D</creatorcontrib><creatorcontrib>Gridley, G</creatorcontrib><creatorcontrib>Wacholder, S</creatorcontrib><creatorcontrib>Shu, X O</creatorcontrib><creatorcontrib>Robison, L L</creatorcontrib><creatorcontrib>Neglia, J P</creatorcontrib><creatorcontrib>Linet, M S</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Groves, F D</au><au>Gridley, G</au><au>Wacholder, S</au><au>Shu, X O</au><au>Robison, L L</au><au>Neglia, J P</au><au>Linet, M S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Infant vaccinations and risk of childhood acute lymphoblastic leukaemia in the USA</atitle><jtitle>British journal of cancer</jtitle><stitle>Br J Cancer</stitle><addtitle>Br J Cancer</addtitle><date>1999-09-01</date><risdate>1999</risdate><volume>81</volume><issue>1</issue><spage>175</spage><epage>178</epage><pages>175-178</pages><issn>0007-0920</issn><eissn>1532-1827</eissn><coden>BJCAAI</coden><abstract>Summary Previous studies have suggested that infant vaccinations may reduce the risk of subsequent childhood leukaemia. Vaccination histories were compared in 439 children (ages 0–14) diagnosed with acute lymphoblastic leukaemia (ALL) in nine Midwestern and Mid-Atlantic states (USA) between 1 January 1989 and 30 June 1993 and 439 controls selected by random-digit dialing and individually matched to cases on age, race and telephone exchange. Among matched pairs, similar proportions of cases and controls had received at least one dose of oral poliovirus (98%), diphtheria–tetanus–pertussis (97%), and measles–mumps–rubella (90%) vaccines. Only 47% of cases and 53% of controls had received any Haemophilus influenzae type b (Hib) vaccine (relative risk (RR) = 0.73; 95% confidence interval (CI) 0.50–1.06). Although similar proportions of cases (12%) and controls (11%) received the polysaccharide Hib vaccine (RR = 1.13; 95% CI 0.64–1.98), more controls (41%) than cases (35%) received the conjugate Hib vaccine (RR = 0.57; 95% CI 0.36–0.89). Although we found no relationship between most infant vaccinations and subsequent risk of childhood ALL, our findings suggest that infants receiving the conjugate Hib vaccine may be at reduced risk of subsequent childhood acute lymphoblastic leukemia. Further studies are needed to confirm this association and, if confirmed, to elucidate the underlying mechanism.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>10487630</pmid><doi>10.1038/sj.bjc.6690668</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Bacterial Capsules
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Cancer Research
Chickenpox Vaccine
Child
Child, Preschool
Diphtheria-Tetanus-Pertussis Vaccine - adverse effects
Diphtheria-Tetanus-Pertussis Vaccine - therapeutic use
Drug Resistance
Epidemiology
Female
Haemophilus Vaccines - adverse effects
Haemophilus Vaccines - therapeutic use
Hematologic and hematopoietic diseases
Humans
Immunization Schedule
Infant
Infant, Newborn
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Male
Measles Vaccine - adverse effects
Measles Vaccine - therapeutic use
Measles-Mumps-Rubella Vaccine
Medical sciences
Molecular Medicine
Mumps Vaccine - adverse effects
Mumps Vaccine - therapeutic use
Oncology
Polysaccharides, Bacterial - adverse effects
Polysaccharides, Bacterial - therapeutic use
Precursor Cell Lymphoblastic Leukemia-Lymphoma - epidemiology
Precursor Cell Lymphoblastic Leukemia-Lymphoma - etiology
Precursor Cell Lymphoblastic Leukemia-Lymphoma - prevention & control
Regular
regular-article
Risk Factors
Rubella Vaccine - adverse effects
Rubella Vaccine - therapeutic use
United States - epidemiology
Vaccines, Combined - adverse effects
Vaccines, Combined - therapeutic use
Viral Vaccines - adverse effects
Viral Vaccines - therapeutic use
title Infant vaccinations and risk of childhood acute lymphoblastic leukaemia in the USA
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