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Assessing the Intense Influenza Apdm09 Epidemic and Vaccine Effectiveness in the Post-COVID Season in the Russian Federation

The COVID-19 pandemic had a profound impact on influenza activity worldwide. However, as the pandemic progressed, influenza activity resumed. Here, we describe the influenza epidemic of high intensity of the 2022–2023 season. The epidemic had an early start and peaked in week 51.2022. The extremely...

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Published in:Viruses 2023-08, Vol.15 (8)
Main Authors: Sominina, Anna, Danilenko, Daria, Komissarov, Andrey B, Pisareva, Maria, Fadeev, Artem, Konovalova, Nadezhda, Eropkin, Mikhail, Petrova, Polina, Zheltukhina, Alyona, Musaeva, Tamila, Eder, Veronika, Ivanova, Anna, Komissarova, Kseniya, Stolyarov, Kirill, Karpova, Ludmila, Smorodintseva, Elizaveta, Dorosh, Anna, Krivitskaya, Vera, Kuznetzova, Elena, Majorova, Victoria, Petrova, Ekaterina, Boyarintseva, Anastassia, Ksenafontov, Andrey, Shtro, Anna, Nikolaeva, Julia, Bakaev, Mikhail, Burtseva, Elena, Lioznov, Dmitry
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container_title Viruses
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creator Sominina, Anna
Danilenko, Daria
Komissarov, Andrey B
Pisareva, Maria
Fadeev, Artem
Konovalova, Nadezhda
Eropkin, Mikhail
Petrova, Polina
Zheltukhina, Alyona
Musaeva, Tamila
Eder, Veronika
Ivanova, Anna
Komissarova, Kseniya
Stolyarov, Kirill
Karpova, Ludmila
Smorodintseva, Elizaveta
Dorosh, Anna
Krivitskaya, Vera
Kuznetzova, Elena
Majorova, Victoria
Petrova, Ekaterina
Boyarintseva, Anastassia
Ksenafontov, Andrey
Shtro, Anna
Nikolaeva, Julia
Bakaev, Mikhail
Burtseva, Elena
Lioznov, Dmitry
description The COVID-19 pandemic had a profound impact on influenza activity worldwide. However, as the pandemic progressed, influenza activity resumed. Here, we describe the influenza epidemic of high intensity of the 2022–2023 season. The epidemic had an early start and peaked in week 51.2022. The extremely high intensity of the epidemic may have been due to a significant decrease in herd immunity. The results of PCR-testing of 220,067 clinical samples revealed that the influenza A(H1N1)pdm09 virus dominated, causing 56.4% of positive cases, while A(H3N2) influenza subtype accounted for only 0.6%, and influenza B of Victoria lineage—for 34.3%. The influenza vaccine was found to be highly effective, with an estimated effectiveness of 92.7% in preventing admission with laboratory-confirmed influenza severe acute respiratory illness (SARI) cases and 54.7% in preventing influenza-like illness/acute respiratory illness (ILI/ARI) cases due to antigenic matching of circulated viruses with influenza vaccine strains for the season. Full genome next-generation sequencing of 1723 influenza A(H1N1)pdm09 viruses showed that all of them fell within clade 6B.1A.5.a2; nine of them possessed H275Y substitution in the NA gene, a genetic marker of oseltamivir resistance. Influenza A(H3N2) viruses belonged to subclade 3C.2a1b.2a.2 with the genetic group 2b being dominant. All 433 influenza B viruses belonged to subclade V1A.3a.2 encoding HA1 substitutions A127T, P144L, and K203R, which could be further divided into two subgroups. None of the influenza A(H3N2) and B viruses sequenced had markers of resistance to NA inhibitors. Thus, despite the continuing circulation of Omicron descendant lineages, influenza activity has resumed in full force, raising concerns about the intensity of fore coming seasonal epidemics.
doi_str_mv 10.3390/v15081780
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1999-4915
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subjects Causes of
Epidemics
Influenza
Influenza vaccines
Patient outcomes
Prevention
Russia
Statistics
title Assessing the Intense Influenza Apdm09 Epidemic and Vaccine Effectiveness in the Post-COVID Season in the Russian Federation
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