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Published in: International Journal of Public Health 3/2012

01-06-2012 | Original Article

Pandemic and seasonal vaccine coverage and effectiveness during the 2009–2010 pandemic influenza in an Italian adult population

Authors: Simona Costanzo, Francesco Gianfagna, Mariarosaria Persichillo, Francesca D Lucia, Angelita Verna, Modjenar Djidingar, Sara Magnacca, Francesca Bracone, Marco Olivieri, Maria Benedetta Donati, Giovanni de Gaetano, Licia Iacoviello

Published in: International Journal of Public Health | Issue 3/2012

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Abstract

Objectives

To evaluate the response to pandemic vaccination and seasonal and pandemic vaccine effectiveness (VE) in an Italian adult population, during the 2009–2010 influenza season.

Methods

Data were recorded by interviewing 19,275 subjects (≥35 years), randomly recruited from the general population of the Moli-sani project. Events [influenza-like illness (ILI), hospitalization and death], which had occurred between 1 November 2009 and 31 January 2010 were considered. VE was analyzed by multivariable Poisson regression analysis.

Results

Pandemic vaccine coverage was very low (2.4%) in subjects at high-flu risk, aged 35–65 years (N = 8,048); there was no significant preventive effect of vaccine against ILI.
Seasonal vaccine coverage was 26.6% in the whole population (63% in elderly and 21.9% in middle-aged subjects at high-flu risk). There was a higher risk to develop ILI in middle-age [VE: −17% (95% CI: −35,−1)] or at high flu-risk [VE: −17% (95% CI: −39, 2)] vaccinated groups.

Conclusions

Coverage of pandemic vaccine was very low in a Southern Italy population, with no protective effect against ILI.
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Literature
go back to reference Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ et al (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc (32 Suppl):S498–S504 Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ et al (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc (32 Suppl):S498–S504
go back to reference American Diabetes Association (ADA) (2011) Diagnosis and classification of diabetes mellitus. Diabetes Care 34(Suppl 1):S62–S69CrossRef American Diabetes Association (ADA) (2011) Diagnosis and classification of diabetes mellitus. Diabetes Care 34(Suppl 1):S62–S69CrossRef
go back to reference Centers for Disease Control and Prevention (CDC) (2009a) Serum cross-reactive antibody response to a novel influenza A (H1N1) virus after vaccination with seasonal influenza vaccine. MMWR Morb Mortal Wkly Rep 58(19):521–524 Centers for Disease Control and Prevention (CDC) (2009a) Serum cross-reactive antibody response to a novel influenza A (H1N1) virus after vaccination with seasonal influenza vaccine. MMWR Morb Mortal Wkly Rep 58(19):521–524
go back to reference Centers for Disease Control and Prevention (CDC) (2009b) Swine influenza A (H1N1) infection in two children—Southern California, March–April 2009. MMWR Morb Mortal Wkly Rep 58(15):400–402 Centers for Disease Control and Prevention (CDC) (2009b) Swine influenza A (H1N1) infection in two children—Southern California, March–April 2009. MMWR Morb Mortal Wkly Rep 58(15):400–402
go back to reference Centers for Disease Control and Prevention (CDC) (2009c) Use of Influenza A (H1N1) 2009 Monovalent Vaccine. Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009. MMWR Morb Mortal Wkly Rep 58 (RR-10):1–7 Centers for Disease Control and Prevention (CDC) (2009c) Use of Influenza A (H1N1) 2009 Monovalent Vaccine. Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009. MMWR Morb Mortal Wkly Rep 58 (RR-10):1–7
go back to reference Centritto F, Iacoviello L, di Giuseppe R, De Curtis A, Costanzo S, Zito F et al (2009) Moli-sani Investigators. Dietary patterns, cardiovascular risk factors and C-reactive protein in a healthy Italian population. Nutr Metab Cardiovasc Dis 19(10):697–706PubMedCrossRef Centritto F, Iacoviello L, di Giuseppe R, De Curtis A, Costanzo S, Zito F et al (2009) Moli-sani Investigators. Dietary patterns, cardiovascular risk factors and C-reactive protein in a healthy Italian population. Nutr Metab Cardiovasc Dis 19(10):697–706PubMedCrossRef
go back to reference Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr et al (2003) Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension 42:1206–1252PubMedCrossRef Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr et al (2003) Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension 42:1206–1252PubMedCrossRef
go back to reference Costanzo S, Di Castelnuovo A, Zito F, Krogh V, Siani A, Arnout J, European Collaborative Group of the IMMIDIET project et al (2008) Prevalence, awareness, treatment and control of hypertension in healthy unrelated male-female pairs of European regions: the dietary habit profile in European communities with different risk of myocardial infarction–the impact of migration as a model ofgene-environment interaction project. J Hypertens 26(12):2303–2311PubMedCrossRef Costanzo S, Di Castelnuovo A, Zito F, Krogh V, Siani A, Arnout J, European Collaborative Group of the IMMIDIET project et al (2008) Prevalence, awareness, treatment and control of hypertension in healthy unrelated male-female pairs of European regions: the dietary habit profile in European communities with different risk of myocardial infarction–the impact of migration as a model ofgene-environment interaction project. J Hypertens 26(12):2303–2311PubMedCrossRef
go back to reference Di Castelnuovo A, Costanzo S, Persichillo M, Olivieri M, D Curtis A, Zito F et al (2011) Distribution of short and lifetime risks for cardiovascular disease in Italians. Eur J Cardiovasc Prev Rehabil [Epub ahead of print] Di Castelnuovo A, Costanzo S, Persichillo M, Olivieri M, D Curtis A, Zito F et al (2011) Distribution of short and lifetime risks for cardiovascular disease in Italians. Eur J Cardiovasc Prev Rehabil [Epub ahead of print]
go back to reference Expert Panel on Detection Evaluation and Treatment of High Blood Cholesterol In Adults (ATP-III) (2001) Executive summary of the third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). JAMA 285:2486–2497CrossRef Expert Panel on Detection Evaluation and Treatment of High Blood Cholesterol In Adults (ATP-III) (2001) Executive summary of the third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). JAMA 285:2486–2497CrossRef
go back to reference Ferrante G, Baldissera S, Moghadam PF, Carrozzi G, Trinito MO, Salmaso S (2011) Surveillance of perceptions, knowledge, attitudes and behaviors of the Italian adult population (18–69 years) during the 2009–2010 A/H1N1 influenza pandemic. Eur J Epidemiol 26(3):211–219PubMedCrossRef Ferrante G, Baldissera S, Moghadam PF, Carrozzi G, Trinito MO, Salmaso S (2011) Surveillance of perceptions, knowledge, attitudes and behaviors of the Italian adult population (18–69 years) during the 2009–2010 A/H1N1 influenza pandemic. Eur J Epidemiol 26(3):211–219PubMedCrossRef
go back to reference Hardelid P, Fleming DM, McMenamin J, Andrews N, Robertson C, Sebastian Pillai P (2011) Effectiveness of pandemic and seasonal influenza vaccine in preventing pandemic influenza A(H1N1)2009 infection in England and Scotland 2009–2010. Euro Surveill 16(2) Hardelid P, Fleming DM, McMenamin J, Andrews N, Robertson C, Sebastian Pillai P (2011) Effectiveness of pandemic and seasonal influenza vaccine in preventing pandemic influenza A(H1N1)2009 infection in England and Scotland 2009–2010. Euro Surveill 16(2)
go back to reference Iacoviello L, Bonanni A, Costanzo S, De Curtis A, Di Castelnuovo A, Olivieri M et al (2007) on behalf of the Moli-sani Project Investigators. The Moli-Sani Project, a randomized, prospective cohort study in the Molise region in Italy; design, rationale and objectives. Ital J Public Health 4:110–8 Iacoviello L, Bonanni A, Costanzo S, De Curtis A, Di Castelnuovo A, Olivieri M et al (2007) on behalf of the Moli-sani Project Investigators. The Moli-Sani Project, a randomized, prospective cohort study in the Molise region in Italy; design, rationale and objectives. Ital J Public Health 4:110–8
go back to reference Jefferson T, Rivetti D, Rivetti A, Rudin M, Di Pietrantonj C, Demicheli V (2005) Efficacy and effectiveness of influenza vaccines in elderly people: a systematic review. Lancet 366(9492):1165–1174PubMedCrossRef Jefferson T, Rivetti D, Rivetti A, Rudin M, Di Pietrantonj C, Demicheli V (2005) Efficacy and effectiveness of influenza vaccines in elderly people: a systematic review. Lancet 366(9492):1165–1174PubMedCrossRef
go back to reference Jefferson T, Di Pietrantonj C, Al-Ansary LA, Ferroni E, Thorning S, Thomas RE (2010) Vaccines for preventing influenza in the elderly. Cochrane Database Syst Rev 2:CD004876 Jefferson T, Di Pietrantonj C, Al-Ansary LA, Ferroni E, Thorning S, Thomas RE (2010) Vaccines for preventing influenza in the elderly. Cochrane Database Syst Rev 2:CD004876
go back to reference Jiménez-García R, Rodríguez-Rieiro C, Hernández-Barrera V, Lopez de Andres A, Rivero Cuadrado A, Rodriguez Laso A et al (2011) Effectiveness of age-based strategies to increase influenza vaccination coverage among high risk subjects in Madrid (Spain). Vaccine 29(16):2840–2845PubMedCrossRef Jiménez-García R, Rodríguez-Rieiro C, Hernández-Barrera V, Lopez de Andres A, Rivero Cuadrado A, Rodriguez Laso A et al (2011) Effectiveness of age-based strategies to increase influenza vaccination coverage among high risk subjects in Madrid (Spain). Vaccine 29(16):2840–2845PubMedCrossRef
go back to reference Lambert S (2010) As mass media evolves into “masses of media”, what are the implications for our health? MJA 192(7):423PubMed Lambert S (2010) As mass media evolves into “masses of media”, what are the implications for our health? MJA 192(7):423PubMed
go back to reference Lee A, Chuh AA (2010) Facing the threat of influenza pandemic—roles of and implications to general practitioners. BMC Public Health 10:661PubMedCrossRef Lee A, Chuh AA (2010) Facing the threat of influenza pandemic—roles of and implications to general practitioners. BMC Public Health 10:661PubMedCrossRef
go back to reference Mancia G, De Backer G, Dominiczak A, Cifkova R, Fagard R, Germano G et al (2007) Guidelines for the management of arterial hypertension: the task force for the management of arterial hypertension of the european society of hypertension (ESH) and of the european society of cardiology (ESC). J Hypertens 25:1105–1187PubMedCrossRef Mancia G, De Backer G, Dominiczak A, Cifkova R, Fagard R, Germano G et al (2007) Guidelines for the management of arterial hypertension: the task force for the management of arterial hypertension of the european society of hypertension (ESH) and of the european society of cardiology (ESC). J Hypertens 25:1105–1187PubMedCrossRef
go back to reference Ministero del lavoro, della salute e delle politiche sociali. (MLSPS) (2009) Misure urgenti in materia di profilassi vaccinale dell’influenza pandemica A(H1N1). (09A11292). Gazzetta Ufficiale della Repubblica Italiana Serie Generale n. 223 del 25-09-2009 Ministero del lavoro, della salute e delle politiche sociali. (MLSPS) (2009) Misure urgenti in materia di profilassi vaccinale dell’influenza pandemica A(H1N1). (09A11292). Gazzetta Ufficiale della Repubblica Italiana Serie Generale n. 223 del 25-09-2009
go back to reference Mori M, Oura A, Ohnishi H, Washio M (2008) Confounding in evaluating the effectiveness of influenza vaccine. Vaccine 26(50):6459–6461PubMedCrossRef Mori M, Oura A, Ohnishi H, Washio M (2008) Confounding in evaluating the effectiveness of influenza vaccine. Vaccine 26(50):6459–6461PubMedCrossRef
go back to reference Pelat C, Falchi A, Carrat F, Mosnier A, Bonmarin I, Turbelin C et al (2011) Field effectiveness of pandemic and 2009–2010 seasonal vaccines against 2009–2010 A(H1N1) Influenza: estimations from surveillance data in France. PLoS ONE 6(5):e19621. doi:10.1371/journal.pone.0019621 PubMedCrossRef Pelat C, Falchi A, Carrat F, Mosnier A, Bonmarin I, Turbelin C et al (2011) Field effectiveness of pandemic and 2009–2010 seasonal vaccines against 2009–2010 A(H1N1) Influenza: estimations from surveillance data in France. PLoS ONE 6(5):e19621. doi:10.​1371/​journal.​pone.​0019621 PubMedCrossRef
go back to reference Pérez-Rubio A, Eiros J, Castrodeza J (2010) Evaluation of the influenza a H1N1 vaccination in Castilla and Leon regions, Spain. Med Clin 135(12):543–545CrossRef Pérez-Rubio A, Eiros J, Castrodeza J (2010) Evaluation of the influenza a H1N1 vaccination in Castilla and Leon regions, Spain. Med Clin 135(12):543–545CrossRef
go back to reference Poland GA (2011) Pandemic 2009–2010 influenza vaccine: six lessons learned and the way forward (Allegro not Adagio). Vaccine 29(4):613–614PubMedCrossRef Poland GA (2011) Pandemic 2009–2010 influenza vaccine: six lessons learned and the way forward (Allegro not Adagio). Vaccine 29(4):613–614PubMedCrossRef
go back to reference Puig-Barberà J, Arnedo-Pena A, Pardo-Serrano F, Tirado-Balaguer MD, Pérez-Vilar S, Silvestre–Silvestre E et al (2010) Effectiveness of seasonal 2008–2009, 2009–2010 and pandemic vaccines, to prevent influenza hospitalizations during the autumn 2009 influenza pandemic wave in Castellón, Spain. A test-negative, hospital-based, case-control study. Vaccine 28(47):7460–7467PubMedCrossRef Puig-Barberà J, Arnedo-Pena A, Pardo-Serrano F, Tirado-Balaguer MD, Pérez-Vilar S, Silvestre–Silvestre E et al (2010) Effectiveness of seasonal 2008–2009, 2009–2010 and pandemic vaccines, to prevent influenza hospitalizations during the autumn 2009 influenza pandemic wave in Castellón, Spain. A test-negative, hospital-based, case-control study. Vaccine 28(47):7460–7467PubMedCrossRef
go back to reference Rachiotis G, Mouchtouri V, Kremastinou J, Gourgoulianis K, Hadjichristodoulou C (2010) Low acceptance of vaccination against the 2009 pandemic influenza A(H1N1) among healthcare workers in Greece. Euro Surveill 15(6), pii = 19486 Rachiotis G, Mouchtouri V, Kremastinou J, Gourgoulianis K, Hadjichristodoulou C (2010) Low acceptance of vaccination against the 2009 pandemic influenza A(H1N1) among healthcare workers in Greece. Euro Surveill 15(6), pii = 19486
go back to reference Rizzo C, Rota MC, Bella A, Giannitelli S, De Santis S, Nacca G, et al (2010a) Response to the 2009 influenza A(H1N1) pandemic in Italy. Euro Surveill 9:15(49) Rizzo C, Rota MC, Bella A, Giannitelli S, De Santis S, Nacca G, et al (2010a) Response to the 2009 influenza A(H1N1) pandemic in Italy. Euro Surveill 9:15(49)
go back to reference Rothman KJ (2002) Epidemiology. An introduction. Oxford University Press, New York Rothman KJ (2002) Epidemiology. An introduction. Oxford University Press, New York
go back to reference Simonsen L, Taylor RJ, Viboud C, Miller MA, Jackson LA (2007) Mortality benefits of influenza vaccination in elderly people: an ongoing controversy. Lancet Infect Dis 7(10):658–666PubMedCrossRef Simonsen L, Taylor RJ, Viboud C, Miller MA, Jackson LA (2007) Mortality benefits of influenza vaccination in elderly people: an ongoing controversy. Lancet Infect Dis 7(10):658–666PubMedCrossRef
go back to reference Valenciano M, Kissling E, Cohen JM, Oroszi B, Barret AS, Rizzo C et al (2011) Estimates of pandemic influenza vaccine effectiveness in Europe, 2009–2010: results of Influenza Monitoring Vaccine Effectiveness in Europe (I-MOVE) multicentre case-control study. PLoS Med 8(1):e1000388. doi:10.1371/journal.pmed.1000388 PubMedCrossRef Valenciano M, Kissling E, Cohen JM, Oroszi B, Barret AS, Rizzo C et al (2011) Estimates of pandemic influenza vaccine effectiveness in Europe, 2009–2010: results of Influenza Monitoring Vaccine Effectiveness in Europe (I-MOVE) multicentre case-control study. PLoS Med 8(1):e1000388. doi:10.​1371/​journal.​pmed.​1000388 PubMedCrossRef
go back to reference Vaux S, Van Cauteren D, Guthmann JP, Le Strat Y, Vaillant V, de Valk H et al (2011) Influenza vaccination coverage against seasonal and pandemic influenza and their determinants in France: a cross-sectional survey. BMC Public Health 11:30PubMedCrossRef Vaux S, Van Cauteren D, Guthmann JP, Le Strat Y, Vaillant V, de Valk H et al (2011) Influenza vaccination coverage against seasonal and pandemic influenza and their determinants in France: a cross-sectional survey. BMC Public Health 11:30PubMedCrossRef
go back to reference Vírseda S, Restrepo MA, Arranz E, Magán-Tapia P, Fernández-Ruiz M, de la Cámara AG (2010) Seasonal and Pandemic A (H1N1) 2009 influenza vaccination coverage and attitudes among health-care workers in a Spanish University Hospital. Vaccine 28(30):4751–4757PubMedCrossRef Vírseda S, Restrepo MA, Arranz E, Magán-Tapia P, Fernández-Ruiz M, de la Cámara AG (2010) Seasonal and Pandemic A (H1N1) 2009 influenza vaccination coverage and attitudes among health-care workers in a Spanish University Hospital. Vaccine 28(30):4751–4757PubMedCrossRef
go back to reference Walter D, Böhmer MM, Heiden MA, Reiter S, Krause G, Wichmann O (2011) Monitoring pandemic influenza A(H1N1) vaccination coverage in Germany 2009/10 - Results from thirteen consecutive cross-sectional surveys. Vaccine 29(23):4008–4012PubMedCrossRef Walter D, Böhmer MM, Heiden MA, Reiter S, Krause G, Wichmann O (2011) Monitoring pandemic influenza A(H1N1) vaccination coverage in Germany 2009/10 - Results from thirteen consecutive cross-sectional surveys. Vaccine 29(23):4008–4012PubMedCrossRef
go back to reference Ware JE Jr (2000) SF-36 health survey update. Spine 25:3130e9 Ware JE Jr (2000) SF-36 health survey update. Spine 25:3130e9
go back to reference Wichmann O, Stocker P, Poggensee G, Altmann D, Walter D, Hellenbrand W et al (2010) Pandemic influenza A(H1N1) 2009 breakthrough infections and estimates of vaccine effectiveness in Germany 2009–2010. Euro Surveill 6:15(18) Wichmann O, Stocker P, Poggensee G, Altmann D, Walter D, Hellenbrand W et al (2010) Pandemic influenza A(H1N1) 2009 breakthrough infections and estimates of vaccine effectiveness in Germany 2009–2010. Euro Surveill 6:15(18)
Metadata
Title
Pandemic and seasonal vaccine coverage and effectiveness during the 2009–2010 pandemic influenza in an Italian adult population
Authors
Simona Costanzo
Francesco Gianfagna
Mariarosaria Persichillo
Francesca D Lucia
Angelita Verna
Modjenar Djidingar
Sara Magnacca
Francesca Bracone
Marco Olivieri
Maria Benedetta Donati
Giovanni de Gaetano
Licia Iacoviello
Publication date
01-06-2012
Publisher
SP Birkhäuser Verlag Basel
Published in
International Journal of Public Health / Issue 3/2012
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-012-0346-0

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