Seroconversion following H1N1 influenza vaccination among health care personnel in South Kerala, India

Authors

  • Anuja U. Department of Community Medicine, Government Medical College, Thiruvananthapuram, Kerala, India
  • Rajasi R. S. Department of Community Medicine, Government Medical College, Manjeri, Kerala, India
  • Ratheesh K. H. Department of Community Medicine, Government Medical College, Thiruvananthapuram, Kerala, India
  • VijayaKumar K. Department of Community Medicine, Karakkonam Medical College, Thiruvananthapuram, Kerala, India
  • Amar Fettil Additional Director of Health Service, H1N1 Cell, DHS Office, Thiruvananthapuram, Kerala, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20170267

Keywords:

Health care workers, H1N1 vaccine, Swine influenza, Seroconversion, Vaccination

Abstract

Background: Health care workers were prioritized by World Health Organization (WHO) for H1N1 vaccination during 2009 swine influenza pandemic following which in Kerala, a total of 72,000 people mostly health care personnel were immunized with a single dose of inactivated split influenza monovalent H1N1 vaccine in 2010. The present study was carried out with the objective to find out the proportion of health care workers seroconverted in Kerala following H1N1 vaccination.

Methods:A cross-sectional study conducted in three districts of Kerala. Blood samples collected from 193 health staffs were analysed for H1N1 antibody titre 6 months following single dose of vaccination. Univariate analysis was done using proportions for qualitative variables.

Results: 99.5% of health staffs seroconverted following vaccination and none of them developed disease even after getting exposed to H1N1 cases thereafter.

Conclusions:Single dose of H1N1 vaccine is found to offer sufficient protection and should be recommended for health care workers. So all health care personnel shall consider H1N1 vaccination for their own protection. 

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References

Yu H, Hua H, Zhang Q. Genetic evolution of swine influenza A (H3N2) viruses in China from 1970 to 2006. J Clin Microbiol. 2008;46:1067-75.

Boone SA, Gerba CP. The occurrence of influenza A virus on household and day care center fomites. J Infect. 2005;51:103-9.

Singh B. Combating the H1N1 influenza (swine flu) Epidemic: What should India do? Indian J of Public Health. 2009;53:190-1.

Girish LD, Sujata MB. An insight into the swine-influenza A (H1N1) virus infection in humans, Lung India. 2011;28:34-8.

World Health Organization. Pandemic (H1N1) 2009 - update 60; 2009 Available from:www.who.int/csr/don/2009_08_04/en/index.html.

Puvanalingam A, Rajendiran C, Sivasubramanian K, Ragunanthanan S, Suresh S, Gopalakrishnan S. Case Series Study of the Clinical Profile of H1N1 Swine Flu Influenza. J Assoc Physicians India. 2011;59:14-8.

Sinha NK, Roy, Das B, Basak S. Evolutionary complexities of swine flu H1N1 gene sequences of 2009. Biochem Biophys Res Commun. 2009;390: 349-51.

Ministry of Health and Family Welfare, New Delhi India. Information on Swine Flu. Available from: http://www.mohfw.nic.in/swineflu.html.

Jennings LC, Monto AS, Chan PK, Szucs TD, Nicholson KG . Stockpiling prepandemic influenza vaccines: a new cornerstone of pandemic preparedness plans. Lancet Infect Dis. 2008; 8:650-8.

World Health Organization. WHO global influenza preparedness plan: Pandemic influenza preparedness and response: a WHO guidance document. Geneva 2009. [PubMed].

"Swine flu outbreak: 743 deaths, 12,000 cases set alarm bells ringing". Hindustan Times. 21 February 2015.

Shaju P. Kerala: Swine flu claims 50 lives in 6 months. Indian express, 2015 June 30.

Salaheddin M, Gregory H, Lawrence E, Tim H, Carol K, Patricia C, et al. Effectiveness of the pandemic H1N1 influenza vaccines against laboratory-confirmed H1N1 infections: Population-based case–control study. 2011; 29:7975- 961.

Pandey S, Singh A K, Mahen A. H1N1 vaccination profile of health care workers & medical students. Indian J Med Res. 2013;137:388-90.

Qureshi AM, Nughes NJ, Murphy E, Primrose WR. Factors influencing update of influenza vaccination among hospital-based healthcare workers. Occup Med (London) 2004;54:197-201.

La Torre G, Di Thiene D, Cadeddu C, Ricciardi W, Boccia A. Behaviours regarding preventive measures against pandemic H1N1 influenza among Italian healthcare workers, October 2009. Euro Surveill 2009;14:194-98.

Chor JS, Ngai KL, Goggins WB, Wong MC, Wong SY, Lee, et al. Willingness of Hong Kong healthcare workers to accept pre-pandemic influenza vaccination at different WHO alert levels: two questionnaire surveys. BMJ. 2009;339:3391.

Rachiotis G, Mouchtouri VA, Kremastinou J, Gourgoulianis K, Hadjichristodoulou C. Low acceptance of vaccination against the 2009 pandemic influenza A(H1N1) among healthcare workers in Greece. Euro Surveill. 2010;15:1-7.

Vırseda S, Restrepo MA, Arranz E, Magán-Tapia P, Fernández-Ruiz M, de la Cámara AG, et al. Seasonal and Pandemic A (H1N1) 2009 influenza vaccination coverage and attitudes among health-care workers in a Spanish University Hospital. Vaccine. 2010;28:4751-57.

Barriere J, Vanjak D, Kriegel I. Acceptance of the 2009 A(H1N1) influenza vaccine among hospital workers in two French cancer centers. Vaccine. 2010;28:7030-34.

Clark TW, Pareek M, Hoschler K. Trial of 2009 influenza A (H1N1) monovalent MF59-adjuvanted vaccine. N Engl J Med. 2009;361:2424-35.

Greenberg ME, Lai MH, Hartel GF. Response to a monovalent 2009 influenza A (H1N1) vaccine. N Engl J Med. 2009;361:2405-13.

Ikematsu H, Nagai H, Kawashima M. Immunogenicity and safety of a novel AS03(A)-adjuvanted H1N1 2009 pandemic influenza vaccine in adults in Japan. Hum Vaccine. 2010;6:888-93.

Madhun AS, Akselsen PE, Sjursen H, Pedersen G, Svindland S, Nøstbakken JK, et al. An adjuvanted pandemic influenza H1N1 vaccine provides early and long term protection in health care workers. Vaccine. 2010;29:266-73.

Roman F, Vaman T, Kafeja F, Hanon E, Van Damme P. AS03(A)- Adjuvanted influenza A (H1N1) 2009 vaccine for adults up to 85years of age. Clin Infect Dis. 2010;51:668-77.

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Published

2017-01-25

How to Cite

U., A., R. S., R., K. H., R., K., V., & Fettil, A. (2017). Seroconversion following H1N1 influenza vaccination among health care personnel in South Kerala, India. International Journal Of Community Medicine And Public Health, 4(2), 428–432. https://doi.org/10.18203/2394-6040.ijcmph20170267

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Original Research Articles