Influenza vaccine effectiveness estimates for Western Australia during a period of vaccine and virus strain stability, 2010 to 2012

During 2010–2012 the strain composition of the influenza vaccine in the Southern Hemisphere did not change, but the circulating virus type/subtype did. We pooled data for these years from the Western Australian sentinel medical practice surveillance system for influenza to estimate vaccine effective...

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Main Authors: Levy, A., Sullivan, S., Tempone, S., Wong, K., Regan, Annette, Dowse, G., Effler, P., Smith, D.
Format: Journal Article
Published: Elsevier 2014
Online Access:http://hdl.handle.net/20.500.11937/44818
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author Levy, A.
Sullivan, S.
Tempone, S.
Wong, K.
Regan, Annette
Dowse, G.
Effler, P.
Smith, D.
author_facet Levy, A.
Sullivan, S.
Tempone, S.
Wong, K.
Regan, Annette
Dowse, G.
Effler, P.
Smith, D.
author_sort Levy, A.
building Curtin Institutional Repository
collection Online Access
description During 2010–2012 the strain composition of the influenza vaccine in the Southern Hemisphere did not change, but the circulating virus type/subtype did. We pooled data for these years from the Western Australian sentinel medical practice surveillance system for influenza to estimate vaccine effectiveness (VE) by influenza virus type and subtype. A case test-negative design was used with VE estimated as (1-odds ratio) × 100%. There were 2182 patients included in the analysis across the 3 years studied. The predominant subtype was A/H1pdm09 in 2010 and 2011, and A/H3 in 2012. The overall adjusted VE estimate against all influenza for 2010–2012 was 51% (95% CI: 36, 63). Estimates were highest against A/H1pdm09 at 74% (95% CI: 47, 87), followed by 56% (95% CI: 33, 71) for influenza B and lowest against A/H3 at 39% (95% CI: 13, 57). When analyses were restricted to compare influenza-positive patients with patients who tested positive for a non-influenza virus, overall adjusted VE was 59% (95% CI: 39, 72). These results suggest moderate protection against influenza by vaccination in Western Australia over the period 2010–2012, and are consistent with findings from other settings.
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spelling curtin-20.500.11937-448182017-09-13T16:00:28Z Influenza vaccine effectiveness estimates for Western Australia during a period of vaccine and virus strain stability, 2010 to 2012 Levy, A. Sullivan, S. Tempone, S. Wong, K. Regan, Annette Dowse, G. Effler, P. Smith, D. During 2010–2012 the strain composition of the influenza vaccine in the Southern Hemisphere did not change, but the circulating virus type/subtype did. We pooled data for these years from the Western Australian sentinel medical practice surveillance system for influenza to estimate vaccine effectiveness (VE) by influenza virus type and subtype. A case test-negative design was used with VE estimated as (1-odds ratio) × 100%. There were 2182 patients included in the analysis across the 3 years studied. The predominant subtype was A/H1pdm09 in 2010 and 2011, and A/H3 in 2012. The overall adjusted VE estimate against all influenza for 2010–2012 was 51% (95% CI: 36, 63). Estimates were highest against A/H1pdm09 at 74% (95% CI: 47, 87), followed by 56% (95% CI: 33, 71) for influenza B and lowest against A/H3 at 39% (95% CI: 13, 57). When analyses were restricted to compare influenza-positive patients with patients who tested positive for a non-influenza virus, overall adjusted VE was 59% (95% CI: 39, 72). These results suggest moderate protection against influenza by vaccination in Western Australia over the period 2010–2012, and are consistent with findings from other settings. 2014 Journal Article http://hdl.handle.net/20.500.11937/44818 10.1016/j.vaccine.2014.08.066 Elsevier restricted
spellingShingle Levy, A.
Sullivan, S.
Tempone, S.
Wong, K.
Regan, Annette
Dowse, G.
Effler, P.
Smith, D.
Influenza vaccine effectiveness estimates for Western Australia during a period of vaccine and virus strain stability, 2010 to 2012
title Influenza vaccine effectiveness estimates for Western Australia during a period of vaccine and virus strain stability, 2010 to 2012
title_full Influenza vaccine effectiveness estimates for Western Australia during a period of vaccine and virus strain stability, 2010 to 2012
title_fullStr Influenza vaccine effectiveness estimates for Western Australia during a period of vaccine and virus strain stability, 2010 to 2012
title_full_unstemmed Influenza vaccine effectiveness estimates for Western Australia during a period of vaccine and virus strain stability, 2010 to 2012
title_short Influenza vaccine effectiveness estimates for Western Australia during a period of vaccine and virus strain stability, 2010 to 2012
title_sort influenza vaccine effectiveness estimates for western australia during a period of vaccine and virus strain stability, 2010 to 2012
url http://hdl.handle.net/20.500.11937/44818