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Virological data integration on influenza vaccine effectiveness, Portugal 2015/16

dc.contributor.authorRodrigues, Ana Paula
dc.contributor.authorPechirra, Pedro
dc.contributor.authorGuiomar, Raquel
dc.contributor.authorConde, Patrícia
dc.contributor.authorGomez, Verónica
dc.contributor.authorNunes, Baltazar
dc.contributor.authorMachado, Ausenda
dc.date.accessioned2017-02-17T14:54:24Z
dc.date.available2017-02-17T14:54:24Z
dc.date.issued2016-11-12
dc.description.abstractRegarding the wide genetic and antigenic variability of influenza viruses, overall or subtype influenza vaccine effectiveness (IVE) estimates may not be sufficient to assess vaccine protection against circulating strains. This is particularly important when low VE against a specific clade is suspicious or a new drifted virus is emerging. Viral genetic characterization is routinely performed in influenza surveillance but viruses are selected according patient age, severity and vaccine status. For instance, last season genetic characterized cases were more vaccinated than those not selected. A protocol for virological data integration on IVE studies within I-MOVE network was performed. It intended to solve the following issues: 1. Selection of the clade of interest to provide IVE; 2. Determination of the number of cases needed for genetic characterization; 3. Selection of cases for genetic characterization independently of patient features. During the 2015/16 season, a closely contact between epidemiological and laboratorial teams allows to perform a random selection of influenza cases for genetic characterization independently of cases features. Influenza A(H1N1)pdm09 was the selected subtype given its predominance and the emergence of new subclades (6B.1 and 6B.2). 52.2% of A(H1)pdm09 cases were successfully characterized. No differences regarding age, sex and vaccine status were found between selected and unselected cases for genetic characterization. The large sample size needed to estimate IVE against a specific clade requires an important effort on genetic characterization behind virological surveillance. However, random selection of cases for genetic characterization along season seems to be feasible without interfering with virological surveillance and obtains a representative sample of cases of the clade of interest. Virological data from randomly selected cases will permit to estimate IVE against a specific clade during influenza season. An extra effort on influenza genetic characterization is needed to achieve the needed sample size.pt_PT
dc.description.sponsorshipThis project was financed by the European Center for Disease Prevention and Control for data and actvi;es related to the individuals with less then 65 years. Data and activities related to the individuals 65 years and more were funded by European Union’s Horizon 2020 research and innova;on programme under grant agreement No 634446.pt_PT
dc.description.versionN/Apt_PT
dc.identifier.urihttp://hdl.handle.net/10400.18/4269
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherInstituto Nacional de Saúde Doutor Ricardo Jorge, IPpt_PT
dc.relationInitiative for the MObility and deVElopment of researchers’careers
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectEstados de Saúdept_PT
dc.subjectGripept_PT
dc.subjectEuroEVApt_PT
dc.subjectInfecções Respiratóriaspt_PT
dc.subjectInfluenzapt_PT
dc.subjectVaccine Effectivenesspt_PT
dc.subject2015-2016pt_PT
dc.subjectPortugalpt_PT
dc.titleVirological data integration on influenza vaccine effectiveness, Portugal 2015/16pt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.awardTitleInitiative for the MObility and deVElopment of researchers’careers
oaire.awardURIinfo:eu-repo/grantAgreement/EC/FP7/267232/EU
oaire.citation.conferencePlaceViena, Áustriapt_PT
oaire.citation.title9th European Public Health Conference, 9-12 November 2016pt_PT
oaire.fundingStreamFP7
project.funder.identifierhttp://doi.org/10.13039/501100008530
project.funder.nameEuropean Commission
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
relation.isProjectOfPublicationeb7f5a38-f4e2-4b0d-831e-b5dc916b55fe
relation.isProjectOfPublication.latestForDiscoveryeb7f5a38-f4e2-4b0d-831e-b5dc916b55fe

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