Determining Existing Human Population Immunity as Part of Assessing Influenza Pandemic Risk

Zoonotic influenza infections continue to threaten human health. Ongoing surveillance and risk assessment of animal viruses are needed for pandemic preparedness, and population immunity is an important component of risk assessment. We determined age-stratified hemagglutinin inhibition seroprevalenc...

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Main Authors: Jonathan Tin Lai Cheung, Tim K. Tsang, Hui-ling Yen, Ranawaka A.P.M. Perera, Chris Ka Pun Mok, Yong Ping Lin, Benjamin J. Cowling, Malik Peiris
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2022-05-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/28/5/21-1965_article
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author Jonathan Tin Lai Cheung
Tim K. Tsang
Hui-ling Yen
Ranawaka A.P.M. Perera
Chris Ka Pun Mok
Yong Ping Lin
Benjamin J. Cowling
Malik Peiris
author_facet Jonathan Tin Lai Cheung
Tim K. Tsang
Hui-ling Yen
Ranawaka A.P.M. Perera
Chris Ka Pun Mok
Yong Ping Lin
Benjamin J. Cowling
Malik Peiris
author_sort Jonathan Tin Lai Cheung
collection DOAJ
description Zoonotic influenza infections continue to threaten human health. Ongoing surveillance and risk assessment of animal viruses are needed for pandemic preparedness, and population immunity is an important component of risk assessment. We determined age-stratified hemagglutinin inhibition seroprevalence against 5 swine influenza viruses circulating in Hong Kong and Guangzhou in China. Using hemagglutinin inhibition seroprevalence and titers, we modeled the effect of population immunity on the basic reproduction number (R0) if each virus were to become transmissible among humans. Among 353 individual serum samples, we reported low seroprevalence for triple-reassortant H1N2 and Eurasian avian-like H1N1 influenza viruses, which would reduce R0 by only 18%–20%. The smallest R0 needed to cause a pandemic was 1.22–1.24, meaning existing population immunity would be insufficient to block the spread of these H1N1 or H1N2 variants. For human-origin H3N2, existing population immunity could suppress R0 by 47%, thus reducing pandemic risk.
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spelling doaj.art-2da4d57d4fa34678b0ca07a2bde4ba482022-12-22T02:40:34ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592022-05-0128597798510.3201/eid2805.211965Determining Existing Human Population Immunity as Part of Assessing Influenza Pandemic RiskJonathan Tin Lai CheungTim K. TsangHui-ling YenRanawaka A.P.M. PereraChris Ka Pun MokYong Ping LinBenjamin J. CowlingMalik Peiris Zoonotic influenza infections continue to threaten human health. Ongoing surveillance and risk assessment of animal viruses are needed for pandemic preparedness, and population immunity is an important component of risk assessment. We determined age-stratified hemagglutinin inhibition seroprevalence against 5 swine influenza viruses circulating in Hong Kong and Guangzhou in China. Using hemagglutinin inhibition seroprevalence and titers, we modeled the effect of population immunity on the basic reproduction number (R0) if each virus were to become transmissible among humans. Among 353 individual serum samples, we reported low seroprevalence for triple-reassortant H1N2 and Eurasian avian-like H1N1 influenza viruses, which would reduce R0 by only 18%–20%. The smallest R0 needed to cause a pandemic was 1.22–1.24, meaning existing population immunity would be insufficient to block the spread of these H1N1 or H1N2 variants. For human-origin H3N2, existing population immunity could suppress R0 by 47%, thus reducing pandemic risk. https://wwwnc.cdc.gov/eid/article/28/5/21-1965_articleinfluenzaswine flupandemicsrisk assessmentseroprevalencehemagglutinin
spellingShingle Jonathan Tin Lai Cheung
Tim K. Tsang
Hui-ling Yen
Ranawaka A.P.M. Perera
Chris Ka Pun Mok
Yong Ping Lin
Benjamin J. Cowling
Malik Peiris
Determining Existing Human Population Immunity as Part of Assessing Influenza Pandemic Risk
Emerging Infectious Diseases
influenza
swine flu
pandemics
risk assessment
seroprevalence
hemagglutinin
title Determining Existing Human Population Immunity as Part of Assessing Influenza Pandemic Risk
title_full Determining Existing Human Population Immunity as Part of Assessing Influenza Pandemic Risk
title_fullStr Determining Existing Human Population Immunity as Part of Assessing Influenza Pandemic Risk
title_full_unstemmed Determining Existing Human Population Immunity as Part of Assessing Influenza Pandemic Risk
title_short Determining Existing Human Population Immunity as Part of Assessing Influenza Pandemic Risk
title_sort determining existing human population immunity as part of assessing influenza pandemic risk
topic influenza
swine flu
pandemics
risk assessment
seroprevalence
hemagglutinin
url https://wwwnc.cdc.gov/eid/article/28/5/21-1965_article
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