Seroprevalence study in Vojvodina (Serbia) following 2009 pandemic influenza A(H1N1)V.

Abstract:

INTRODUCTION:The seroprevalence study was performed in Vojvodina during May and June 2010 in order to asses the effects of the 2009 pandemic influenza A(H1N1)v epidemic on herd immunity. It was a part of the Serbian Ministry of Health funded nationwide study. OBJECTIVE:Prevalence of antibodies against 2009 pandemic influenza A(H1N1)v was determined in a 1% sample of the population monitored for influenza-like illness and acute respiratory infections in Vojvodina through sentinel surveillance system. METHODS:The study sample involved a total of 1004 inhabitants of Vojvodina. The control group consisted of randomly selected and age-adjusted 1054 sera collected in the pre-pandemic period. Sera were tested by the reaction of hemagglutination inhibition using influenza A/California/7/2009 (H1N1) antigen in dilution from 1:8 to 1:256. Antibody titers > or = 1:32 and > or = 1:8 were considered protective and diagnostic, respectively. RESULTS:The differences between control and study sera in all age groups were significant for both diagnostic > or = 1/8 and protective titres > or = 1/32 of hemagglutination inhibition antibodies (chi square test, p < 0.001). The highest percentage of seropositive subjects was registered in the age group 15-19 years followed by children aged 5-14 years. Both diagnostic and protective titres were about twice higher in the vaccinated as compared to the non-vaccinated group. There were no statistically significant differences in seroprevalence between seven districts of Vojvodina. CONCLUSION:The 2009 pandemic influenza A(H1N1)v epidemic significantly influenced the herd immunity in our population regardless of low immunization coverage with highest immunity levels in adolescents aged 15-19 years and with similar herd immunity levels in all the regions in the province six months after the outbreak.

journal_name

Srp Arh Celok Lek

authors

Petrović V,Reguljev Z,Nedeljković J,Ristić M

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

751-5

issue

11-12

eissn

0370-8179

issn

2406-0895

journal_volume

140

pub_type

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