Cross sectional survey of influenza antibodies before and during the 2009 pandemic in Shenzhen, China

PLoS One. 2013;8(1):e53847. doi: 10.1371/journal.pone.0053847. Epub 2013 Jan 29.

Abstract

Much information is available for the 2009 H1N1 influenza immunity response, but little is known about the antibody change in seasonal influenza before and during the novel influenza A pandemic. In this study, we conducted a cross-sectional serological survey of 4 types of major seasonal influenza in March and September 2009 on a full range of age groups, to investigate seasonal influenza immunity response before and during the outbreak of the sH1N1 influenza in Shenzhen - the largest migration city in China. We found that the 0-5 age group had an increased antibody level for all types of seasonal influenza during the pandemic compared to the pre-outbreak level, in contrast with almost all other age groups, in which the antibody level decreased. Also, distinct from the antibodies of A/H3N2, B/Yamagata and B/Victoria that decreased significantly during the 2009 H1N1 pandemic, the antibody of A/H1N1 showed no statistical difference from the pre-outbreak level. The results suggest that the antibodies against the 2009 sH1N1 cross-reacted with seasonal H1N1. Moreover, the 0-5 age group was under attack by both seasonal and 2009 H1N1 influenza during the pandemic, hence vaccination merely against a new strain of flu might not be enough to protect the youngest group.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antibodies, Viral / immunology
  • Antibodies, Viral / isolation & purification*
  • Child
  • Child, Preschool
  • China
  • Cross Reactions / immunology
  • Cross-Sectional Studies
  • Disease Outbreaks
  • Female
  • Hemagglutination Inhibition Tests
  • Humans
  • Infant
  • Infant, Newborn
  • Influenza A Virus, H1N1 Subtype / immunology*
  • Influenza A Virus, H1N1 Subtype / pathogenicity
  • Influenza A Virus, H3N2 Subtype / immunology
  • Influenza A Virus, H3N2 Subtype / pathogenicity
  • Influenza, Human / immunology*
  • Influenza, Human / pathology
  • Influenza, Human / virology
  • Male
  • Middle Aged
  • Pandemics

Substances

  • Antibodies, Viral

Grants and funding

This work was supported by the Chinese University of Hong Kong [Direct Grant 2041755] and The Food and Health Bureau, the government of Hong Kong Special Administrative Region, China [Commissioned Grant of Research Fund for Control of Infectious Diseases (CU-10-01-01)]. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.