2011
DOI: 10.1093/cid/cir787
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Association Between Seasonal Influenza Vaccination in 2008–2009 and Pandemic Influenza A (H1N1) 2009 Infection Among School Students From Kobe, Japan, April–June 2009

Abstract: We assessed the effect of seasonal trivalent inactivated influenza vaccination (TIV) on pandemic influenza 2009 (pH1N1)-related illness from April to June 2009 among 2849 students (aged 12-18 years). TIV was associated with an increase in the frequency of pH1N1-related illness among subjects (adjusted odds ratio, 1.47; 95% confidence interval, 1.14-1.89). TIV during the 2008-2009 season increased the risk of pH1N1-related illness from April to June 2009.

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Cited by 24 publications
(21 citation statements)
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“…However, these confounding would have erroneously reduced VE estimates against influenza A as well, which did not seem to have occurred in our study. During the influenza A (H1N1) 2009 pandemic, several studies demonstrated increased risk of A (H1N1) 2009 illness among recipients of the 2008−09 trivalent vaccine [23][27]. Hypotheses of possible biologic mechanisms included cross-protection block, antibody-dependent enhancement, and temporary immunity [24], [28]–[29].…”
Section: Discussionmentioning
confidence: 99%
“…However, these confounding would have erroneously reduced VE estimates against influenza A as well, which did not seem to have occurred in our study. During the influenza A (H1N1) 2009 pandemic, several studies demonstrated increased risk of A (H1N1) 2009 illness among recipients of the 2008−09 trivalent vaccine [23][27]. Hypotheses of possible biologic mechanisms included cross-protection block, antibody-dependent enhancement, and temporary immunity [24], [28]–[29].…”
Section: Discussionmentioning
confidence: 99%
“…For the non-randomized studies, based on the NOS scoring system, 3 of the cohort studies had moderate risk, whereas one study 22 had high risk of bias. For the case-control studies, 9 had low-risk bias 8,9,10,14,15,24,28,29,31 , while the other 11 had moderate-risk bias [5][6][7]13,15,[25][26][27]30,32 . The details of the quality assessment are shown in the Supplemental Tables 5-8.…”
Section: General Informationmentioning
confidence: 99%
“…S2 and S3). Case-control study A slight risk reduction was observed in 16 casecontrol studies [5][6][7]9,10,[13][14][15]25,27,[29][30][31][32] that reported laboratory-confirmed cases (OR: 0.80; 95% CI: 0.61, 1.05; P D 0.11). However, a significant heterogeneity was also found across these studies (I 2 D 93%; P < 0.00001) (Fig.…”
Section: Cohort Studymentioning
confidence: 99%
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“…The paper was published on 6 April 2010 [18]. In the time since the paper was published, no methodological issue that could satisfactorily explain the findings has been identified and other studies have replicated the findings [19,20].…”
Section: An Account Of the Eventsmentioning
confidence: 99%