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. 2022 Dec 14;10(12):2140.
doi: 10.3390/vaccines10122140.

High Influenza Vaccine Effectiveness and Absence of Increased Influenza-like-Illness Epidemic Activity in the 2021-2022 Influenza Season in Catalonia (Spain) Based on Surveillance Data Collected by Sentinel Pharmacies

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High Influenza Vaccine Effectiveness and Absence of Increased Influenza-like-Illness Epidemic Activity in the 2021-2022 Influenza Season in Catalonia (Spain) Based on Surveillance Data Collected by Sentinel Pharmacies

Pedro Plans Rubió et al. Vaccines (Basel). .

Abstract

Influenza surveillance and influenza vaccination are the key activities for preventing and controlling influenza epidemics. The study assessed the influenza surveillance and influenza vaccination data obtained from sentinel pharmacies of Catalonia, Spain, in the 2021-2022 influenza season. The sentinel pharmacies were selected from all community pharmacies to report all influenza-like illness (ILI) cases detected during the 2021-2022 influenza season and collect influenza surveillance and influenza vaccination data. The ILI cases were identified based on European Centre for Disease Control (ECDC) criteria. The moving epidemic method (MEM) was used to assess the ILI epidemic activity. The screening method was used to assess influenza vaccination effectiveness in patients aged 65-or-more years old. The sentinel pharmacies reported 212 ILI cases with a negative COVID-19 test and a total number of 412 ILI cases. An absence of increased ILI epidemic activity was observed in the 2021-2022 influenza season based on two criteria: (1) Number of ILI cases reported per week in the 2021-2022 influenza season significantly lower than the MEM-based epidemic threshold. (2) Mean number of ILI cases reported per week in the 2021-2022 influenza season significantly lower than during the ILI/influenza epidemic periods detected from 2017 to 2020 using the same methodology. Influenza vaccination was effective in preventing ILI among patients aged 65-or-more-years old. The absence of the influenza epidemic during the 2021-2022 influenza season could be explained by influenza vaccination and COVID-19 prevention measures (wearing face masks, social distancing). The sentinel pharmacies provided influenza surveillance data not provided by traditional influenza surveillance systems.

Keywords: community pharmacies; influenza epidemic; influenza surveillance; influenza vaccination; influenza-like illness; sentinel pharmacies.

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Conflict of interest statement

Anna M. Jambrina, Pilar Rius, Gloria Carmona, Manel Rabanal and Montse Gironès declare no conflict of interest. Pedro Plans-Rubió declares that has received two lecture fees from Seqirus.

Figures

Figure 1
Figure 1
Number of influenza-like illness (ILI) cases reported per week in the 2021–2022 influenza season and mean number of ILI cases reported per week in 2017–2020. The epidemic threshold for the 2021–2022 influenza season was determined using the moving epidemic method (MEM) and influenza surveillance data obtained from sentinel pharmacies for the 2017–2018, 2018–2019 and 2019–2020 influenza seasons [8].

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