Pandemic influenza A/H1N1 2009 antibodies in the metropolitan area of Buenos Aires in Argentina

Int J Infect Dis. 2014 Feb:19:20-5. doi: 10.1016/j.ijid.2013.09.021. Epub 2013 Nov 6.

Abstract

Objective: To estimate the infection prevalence in Buenos Aires during the outbreak of pandemic influenza A/H1N1 2009 virus (A(H1N1)pdm09).

Methods: A(H1N1)pdm09-specific antibodies were measured by hemagglutination inhibition assay in human serum samples collected 6 months after the outbreak and before the introduction of the A(H1N1)pdm09 vaccine in Argentina. Baseline levels of cross-reactive antibodies to A(H1N1)pdm09 were determined by testing 162 serum samples collected before 2009.

Results: The overall seroprevalence of A(H1N1)pdm09 in 150 children and 427 adults was 28.9% (95% confidence interval (CI) 25-33%), with a 58.0% prevalence in children <19 years of age and an 18.7% prevalence in adults ≥19 years of age (p<0.001). The prevalence was 43.5% in children <5 years old and 60.6% among children aged 5-18 years. The prevalence in adults declined with increasing age: 24.9% in 19-39-year-olds, 9.7% in 40-59-year-olds, and 8.1% in those ≥60 years old. The prevalence of specific A(H1N1)pdm09 antibodies was higher compared with the baseline in children (p=0.014), adolescents (p<0.001), and adults <40 years old (p=0.017). Seroprevalence in health care workers was not different from the rest of the population (13.6% vs. 19.3%, respectively; p=0.421).

Conclusions: The prevalence of specific A(H1N1)pdm09 antibodies was high at 28.9%. The highest prevalence was observed in children, adolescents, and young adults.

Keywords: H1N1 subtype; Influenza A virus; Prevalence; Seroepidemiological study.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antibodies, Neutralizing / blood
  • Antibodies, Viral / blood*
  • Antibody Specificity
  • Argentina / epidemiology
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Female
  • Hospitals
  • Humans
  • Incidence
  • Infant
  • Influenza A Virus, H1N1 Subtype / immunology*
  • Influenza, Human / epidemiology*
  • Influenza, Human / virology
  • Male
  • Middle Aged
  • Pandemics*
  • Seroepidemiologic Studies
  • Surveys and Questionnaires
  • Urban Population
  • Young Adult

Substances

  • Antibodies, Neutralizing
  • Antibodies, Viral