Evidence map›Paper›PMID 26611769›Full record

ArticleInfluenza and other respiratory viruses2016

Increased risk of A(H1N1)pdm09 influenza infection in UK pig industry workers compared to a general population cohort.

Ellen Fragaszy, David A Ishola, Ian H Brown, Joanne Enstone, Jonathan S Nguyen-Van-Tam, Robin Simons, Alexander W Tucker, Barbara Wieland, Susanna M Williamson, Andrew C Hayward and 3 more

Abstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. An Update in Knowledge of Pigs as the Source of Zoonotic Pathogens.Animals : an open access journal from MDPI · 2023
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Are People Living Near Modern Swine Production Facilities at Increased Risk of Influenza Virus Infection?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Ellen FragaszyDepartment of Infectious Disease Informatics, Farr Institute of Health Informatics Research, University College London, London, UK.
David A IsholaDepartment of Infectious Disease Informatics, Farr Institute of Health Informatics Research, University College London, London, UK.
Ian H BrownAnimal and Plant Health Agency (formerly Animal Health and Veterinary Laboratories Agency), Weybridge, UK.
Joanne EnstoneHealth Protection and Influenza Research Group, Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK.
Jonathan S Nguyen-Van-TamHealth Protection and Influenza Research Group, Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK.
Robin SimonsAnimal and Plant Health Agency (formerly Animal Health and Veterinary Laboratories Agency), Weybridge, UK.
Alexander W TuckerDisease Dynamics Unit, Department of Veterinary Medicine, University of Cambridge, Cambridge, UK.
Barbara WielandRoyal Veterinary College, North Mymms, UK.
Susanna M WilliamsonAnimal and Plant Health Agency (formerly Animal Health and Veterinary Laboratories Agency), Weybridge, UK.
Andrew C HaywardDepartment of Infectious Disease Informatics, Farr Institute of Health Informatics Research, University College London, London, UK.
Flu Watch Group
James L N WoodDisease Dynamics Unit, Department of Veterinary Medicine, University of Cambridge, Cambridge, UK.
Combating Swine Influenza (COSI) Consortium

Funding

Biotechnology and Biological Sciences Research Council BB/H014306/1Department of Health PDF-2012-05-305Medical Research Council G0600511Medical Research Council G0800767Medical Research Council MC_G0902096Medical Research Council MC_U122785833Medical Research Council MR/K006584/1Wellcome Trust
6 · The paper itself

Abstract

backgroundPigs are mixing vessels for influenza viral reassortment, but the extent of influenza transmission between swine and humans is not well understood.

objectivesTo assess whether occupational exposure to pigs is a risk factor for human infection with human and swine-adapted influenza viruses.

methodsUK pig industry workers were frequency-matched on age, region, sampling month, and gender with a community-based comparison group from the Flu Watch study. HI assays quantified antibodies for swine and human A(H1) and A(H3) influenza viruses (titres ≥ 40 considered seropositive and indicative of infection). Virus-specific associations between seropositivity and occupational pig exposure were examined using multivariable regression models adjusted for vaccination. Pigs on the same farms were also tested for seropositivity.

resultsForty-two percent of pigs were seropositive to A(H1N1)pdm09. Pig industry workers showed evidence of increased odds of A(H1N1)pdm09 seropositivity compared to the comparison group, albeit with wide confidence intervals (CIs), adjusted odds ratio after accounting for possible cross-reactivity with other swine A(H1) viruses (aOR) 25·3, 95% CI (1·4-536·3), P = 0·028.

conclusionThe results indicate that A(H1N1)pdm09 virus was common in UK pigs during the pandemic and subsequent period of human A(H1N1)pdm09 circulation, and occupational exposure to pigs was a risk factor for human infection. Influenza immunisation of pig industry workers may reduce transmission and the potential for virus reassortment.

Indexed as

Animal HusbandryAdultAgedAnimalsCohort StudiesFemaleHumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanMaleMiddle AgedOccupational ExposureOrthomyxoviridae InfectionsSwineSwine DiseasesUnited KingdomHumansinfluenzaoccupational exposureserologyswinezoonoses

Identifiers

PMID26611769
PMCPMC4910179

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.