Evidence map›Paper›PMID 32215564›Full record

ArticleThe Journal of infectious diseases2022

Influenza Vaccine Effectiveness by A(H3N2) Phylogenetic Subcluster and Prior Vaccination History: 2016-2017 and 2017-2018 Epidemics in Canada.

Danuta M Skowronski, Siobhan Leir, Suzana Sabaiduc, Catharine Chambers, Macy Zou, Caren Rose, Romy Olsha, James A Dickinson, Anne-Luise Winter, Agatha Jassem and 9 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% of its field
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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Influenza Vaccine Effectiveness in Australia During 2017-2019.Influenza and other respiratory viruses · 2025
    Article
  9. Article
  10. Interim estimates of vaccine effectiveness against influenza A(H1N1)pdm09 and A(H3N2) during a delayed influenza season, Canada, 2024/25.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Does the Australian influenza season predict the Canadian influenza season? A qualitative comparison of seasons, 2014-2020.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2023
    Article
  19. Article
  20. Low prevalence of seasonal influenza viruses in Hong Kong, 2022.Influenza and other respiratory viruses · 2023
    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

19 authors at 8 institutions in 1 country.

Danuta M SkowronskiBritish Columbia Centre for Disease Control, Vancouver, Canada.
Siobhan LeirBritish Columbia Centre for Disease Control, Vancouver, Canada.
Suzana SabaiducBritish Columbia Centre for Disease Control, Vancouver, Canada.
Catharine ChambersBritish Columbia Centre for Disease Control, Vancouver, Canada.
Macy ZouBritish Columbia Centre for Disease Control, Vancouver, Canada.
Caren RoseBritish Columbia Centre for Disease Control, Vancouver, Canada.
Romy OlshaPublic Health Ontario, Toronto, Canada.
James A DickinsonUniversity of Calgary, Calgary, Canada.
Anne-Luise WinterPublic Health Ontario, Toronto, Canada.
Agatha JassemBritish Columbia Centre for Disease Control, Vancouver, Canada.
Jonathan B GubbayPublic Health Ontario, Toronto, Canada.
Steven J DrewsProvincial Laboratory for Public Health, Edmonton, Alberta.
Hugues CharestInstitut National de Santé Publique du Québec, Québec, Canada.
Tracy ChanBritish Columbia Centre for Disease Control, Vancouver, Canada.
Rebecca HickmanBritish Columbia Centre for Disease Control, Vancouver, Canada.
Nathalie BastienNational Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Canada.
Yan LiNational Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Canada.
Mel KrajdenBritish Columbia Centre for Disease Control, Vancouver, Canada.
Gaston De SerresInstitut National de Santé Publique du Québec, Québec, Canada.
BC Centre for Disease Control · CAInstitut National de Santé Publique du Québec · CAPublic Health Agency of Canada · CAPublic Health Ontario · CAUniversity of British Columbia · CAUniversity of Alberta · CAUniversity of Calgary · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe influenza A(H3N2) vaccine was updated from clade 3C.3a in 2015-2016 to 3C.2a for 2016-2017 and 2017-2018. Circulating 3C.2a viruses showed considerable hemagglutinin glycoprotein diversification and the egg-adapted vaccine also bore mutations.

methodsVaccine effectiveness (VE) in 2016-2017 and 2017-2018 was assessed by test-negative design, explored by A(H3N2) phylogenetic subcluster and prior season's vaccination history.

resultsIn 2016-2017, A(H3N2) VE was 36% (95% confidence interval [CI], 18%-50%), comparable with (43%; 95% CI, 24%-58%) or without (33%; 95% CI, -21% to 62%) prior season's vaccination. In 2017-2018, VE was 14% (95% CI, -8% to 31%), lower with (9%; 95% CI, -18% to 30%) versus without (45%; 95% CI, -7% to 71%) prior season's vaccination. In 2016-2017, VE against predominant clade 3C.2a1 viruses was 33% (95% CI, 11%-50%): 18% (95% CI, -40% to 52%) for 3C.2a1a defined by a pivotal T135K loss of glycosylation; 60% (95% CI, 19%-81%) for 3C.2a1b (without T135K); and 31% (95% CI, 2%-51%) for other 3C.2a1 variants (with/without T135K). VE against 3C.2a2 viruses was 45% (95% CI, 2%-70%) in 2016-2017 but 15% (95% CI, -7% to 33%) in 2017-2018 when 3C.2a2 predominated. VE against 3C.2a1b in 2017-2018 was 37% (95% CI, -57% to 75%), lower at 12% (95% CI, -129% to 67%) for a new 3C.2a1b subcluster (n = 28) also bearing T135K.

conclusionsExploring VE by phylogenetic subcluster and prior vaccination history reveals informative heterogeneity. Pivotal mutations affecting glycosylation sites, and repeat vaccination using unchanged antigen, may reduce VE.

Indexed as

EpidemicsInfluenza, HumanInfluenza VaccinesCanadaHumansInfluenza A Virus, H3N2 SubtypePhylogenySeasonsVaccinationVaccine EfficacyInfluenza VaccinesA(H3N2)genomicsinfluenza vaccineinfluenza virussubtypevaccine effectiveness

Identifiers

PMID32215564
PMCPMC9016427
OpenAlexW3013943866

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.