Immunological Responses against Different Lineages of Influenza B Antigen in School Children during Two Consecutive Seasons
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Author(s)
Day-Yu Chao1*, Kuang-Fu Cheng2, Yu-Hsin Liao1, Ming-Tsan Liu3, Ying-Hen Hsieh4,5, Tsai-Chung Li2,4, Trong-Neng Wu4,5, Chiu-Ying Chen5
1Graduate
Institute of Microbiology and Public Health, College of Veterinary
Medicine, National Chung-Hsing University, Taichung, Taiwan.
2CMU Biostatistics Center, China Medical University, Taichung, Taiwan.
3National Influenza Center, Center for Disease Control, Taipei, Taiwan.
4Graduate Institute of Biostatistics, China Medical University, Taichung, Taiwan.
5Department of Public Health, China Medical University, Taichung, Taiwan.
2CMU Biostatistics Center, China Medical University, Taichung, Taiwan.
3National Influenza Center, Center for Disease Control, Taipei, Taiwan.
4Graduate Institute of Biostatistics, China Medical University, Taichung, Taiwan.
5Department of Public Health, China Medical University, Taichung, Taiwan.
While Influenza B viruses currently circulating
worldwide are of two distinct evolutionary hemagglutinin lineages,
current trivalent inactivated influenza virus vaccines (TIV) contain
only a single component. Single doses of TIV containing B antigen of
B/Florida/4/2006 (Yamagata-like) or B/Brisbane/60/2008 (Victoria-like)
were administered during 2008/2009 and 2009/2010 influenza seasons,
respectively. The objective of this study was to evaluate the
immunological response against different lineages of B antigens in
school-aged children. A non-randomized sero-epidemiological study was
conducted and the immunogenicity responses based on sero-protection rate
and geometric mean titre ratio (GMTR) of hemagglutination inhibition
(HI) antibodies were measured before and after immunization as well as
post-influenza season. Our results suggested that school-aged children
under the age of 9 years receiving TIV vaccination induced and retained
higher level of sero-protection rate (66.7% and 69% for the 2008-09 and
2009-10 season, respectively) to the homologous lineage than the
heterologous lineage post-vaccination (19.4% and 27.6% for the 2008-09
and 2009-10 season, respectively). The need for the quadrivalent TIV by
including both lineages of influenza B viruses is recommended in this
study, particularly for children under the age of 9 years.
KEYWORDS
Cite this paper
Chao, D. , Cheng, K. , Liao, Y. , Liu, M. , Hsieh,
Y. , Li, T. , Wu, T. and Chen, C. (2014) Immunological Responses
against Different Lineages of Influenza B Antigen in School Children
during Two Consecutive Seasons. Health, 6, 2837-2847. doi: 10.4236/health.2014.621322.
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