Evidence map›Paper›PMID 31387673›Full record

Observational studyEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2019

End of season influenza vaccine effectiveness in adults and children in the United Kingdom in 2017/18.

Richard Pebody, Abdelmajid Djennad, Joanna Ellis, Nick Andrews, Diogo F P Marques, Simon Cottrell, Arlene J Reynolds, Rory Gunson, Monica Galiano, Katja Hoschler and 14 more

Abstract readObservational Study
In one paragraph

Observational study in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Article
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  5. Article
  6. Article
  7. Review
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  11. Live Attenuated Cold-Adapted Influenza Vaccines.Cold Spring Harbor perspectives in medicine · 2021
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. 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

24 authors.

Richard PebodyPublic Health England, United Kingdom.
Abdelmajid DjennadPublic Health England, United Kingdom.
Joanna EllisPublic Health England, United Kingdom.
Nick AndrewsPublic Health England, United Kingdom.
Diogo F P MarquesHealth Protection Scotland, Glasgow, United Kingdom.
Simon CottrellPublic Health Wales, Cardiff, United Kingdom.
Arlene J ReynoldsHealth Protection Scotland, Glasgow, United Kingdom.
Rory GunsonWest of Scotland Specialist Virology Centre, Glasgow, United Kingdom.
Monica GalianoPublic Health England, United Kingdom.
Katja HoschlerPublic Health England, United Kingdom.
Angie LackenbyPublic Health England, United Kingdom.
Chris RobertsonUniversity of Strathclyde, Glasgow, United Kingdom.
Mark O'DohertyPublic Health Agency Northern Ireland, Belfast, United Kingdom.
Mary SinnathambyPublic Health England, United Kingdom.
Nikolaos PanagiotopoulosPublic Health England, United Kingdom.
Ivelina YonovaUniversity of Surrey, Guildford, United Kingdom.
Rebecca WebbUniversity of Surrey, Guildford, United Kingdom.
Catherine MoorePublic Health Wales, Cardiff, United Kingdom.
Matthew DonatiPublic Health England, United Kingdom.
Muhammad SartajPublic Health Agency Northern Ireland, Belfast, United Kingdom.
Samantha J ShepherdWest of Scotland Specialist Virology Centre, Glasgow, United Kingdom.
Jim McMenaminHealth Protection Scotland, Glasgow, United Kingdom.
Simon de LusignanUniversity of Surrey, Guildford, United Kingdom.
Maria ZambonPublic Health England, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundIn the United Kingdom (UK), in recent influenza seasons, children are offered a quadrivalent live attenuated influenza vaccine (LAIV4), and eligible adults mainly trivalent inactivated vaccine (TIV).AimTo estimate the UK end-of-season 2017/18 adjusted vaccine effectiveness (aVE) and the seroprevalence in England of antibodies against influenza viruses cultured in eggs or tissue.MethodsThis observational study employed the test-negative case-control approach to estimate aVE in primary care. The population-based seroprevalence survey used residual age-stratified samples.ResultsInfluenza viruses A(H3N2) (particularly subgroup 3C.2a2) and B (mainly B/Yamagata/16/88-lineage, similar to the quadrivalent vaccine B-virus component but mismatched to TIV) dominated. All-age aVE was 15% (95% confidence interval (CI): -6.3 to 32) against all influenza; -16.4% (95% CI: -59.3 to 14.9) against A(H3N2); 24.7% (95% CI: 1.1 to 42.7) against B and 66.3% (95% CI: 33.4 to 82.9) against A(H1N1)pdm09. For 2-17 year olds, LAIV4 aVE was 26.9% (95% CI: -32.6 to 59.7) against all influenza; -75.5% (95% CI: -289.6 to 21) against A(H3N2); 60.8% (95% CI: 8.2 to 83.3) against B and 90.3% (95% CI: 16.4 to 98.9) against A(H1N1)pdm09. For ≥ 18 year olds, TIV aVE against influenza B was 1.9% (95% CI: -63.6 to 41.2). The 2017 seroprevalence of antibody recognising tissue-grown A(H3N2) virus was significantly lower than that recognising egg-grown virus in all groups except 15-24 year olds.ConclusionsOverall aVE was low driven by no effectiveness against A(H3N2) possibly related to vaccine virus egg-adaption and a new A(H3N2) subgroup emergence. The TIV was not effective against influenza B. LAIV4 against influenza B and A(H1N1)pdm09 was effective.

Indexed as

AdolescentAdultAgedCase-Control StudiesChildChild, PreschoolDisease OutbreaksFemaleHumansInfantInfant, NewbornInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypeInfluenza B virusInfluenza, HumanMaleVaccines, AttenuatedVaccines, Inactivatedinfluenza vaccine effectiveness

Identifiers

PMID31387673
PMCPMC6685099

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.