British Journal of Infection Control

 

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British Journal of Infection Control, Vol. 5, No. 6, 29-30 (2004)
DOI: 10.1177/14690446040050060601

Outbreaks of influenza: a virus in vaccinated elderly residents

OM Etuwewe

Public Health Medicine, Birmingham and Solihull Health Protection Unit, Health Protection Agency, Bartholomew House, 142 Hagley Road, Birmingham B16 9PA

H. May

Public Health Medicine, Birmingham and Solihull Health Protection Unit, Health Protection Agency, Bartholomew House, 142 Hagley Road, Birmingham B16 9PA

S. Bakhshi

A. Wood

Community Infection control team, University Hospital, Birmingham

K. Hughes

Annual influenza immunisation is the recommended practice for people such as the elderly, for whom influenza poses a substantial risk of serious illness and death. Influenza vaccines are effective in preventing, or ameliorating influenza, reducing complications and mortality (Department of Health, 2001, 2002). In long-stay residential accommodation, influenza immunisation should prevent rapid spread of infection causing outbreaks (Communicable Disease Centre, 2003).

This paper reports on two outbreaks of influenza that occurred in vaccinated elderly in residential institutions. In both outbreaks the isolated virus strain was included in the composition of the influenza vaccine for that winter season. Suboptimal protection against influenza may be provided in the vaccinated elderly, due to declining competency of the ageing immune system. Furthermore, the occurrence in the late winter of these outbreaks may demonstrate waning immunity following immunisation early in the season.

Key Words: Influenza • immunisation • outbreak


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