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Updated: Jul 4, 2026

Assessing Respiratory Immune Responses to Haemophilus Influenzae
Published on: June 29, 2021
Ongoing control of Haemophilus influenzae type B infections in Canadian children, 2004-2007
David W Scheifele1, Julie A Bettinger, Scott A Halperin
1Division of Pediatric Infectious and Immunologic Diseases, University of British Columbia, Vancouver, British Columbia. dscheifele@cw.bc.ca
Insights
Haemophilus influenzae type b conjugate vaccine effectiveness remains high in Canada. Surveillance shows vaccine failures are rare, even with concurrent vaccinations and longer time since immunization.
Area of Science:
- Pediatric infectious disease
- Vaccinology
- Immunization surveillance
Background:
- The widespread use of a combined diphtheria, tetanus, acellular pertussis, and inactivated poliovirus/Haemophilus influenzae type b conjugate vaccine (DTaP.IPV/Hib) in Canada allows for continuous monitoring.
- Assessing vaccine effectiveness is crucial, especially considering new concurrent vaccinations and the duration of immunity.
Purpose of the Study:
- To evaluate the effectiveness of the DTaP.IPV/Hib vaccine in a Canadian pediatric population.
- To determine if recent changes in vaccination schedules or time since vaccination impact vaccine failures.
Main Methods:
- Surveillance data collected from 12 pediatric centers across Canada between 2004 and 2007.
- Analysis of vaccine failure cases in children who received the DTaP.IPV/Hib vaccine.
Main Results:
- Vaccine failures associated with the DTaP.IPV/Hib vaccine were found to be rare.
- The total number of reported cases approached an irreducible minimum.
- No significant age shift was observed in the cases of vaccine failure.
Conclusions:
- The DTaP.IPV/Hib vaccine demonstrates sustained high effectiveness in preventing Haemophilus influenzae type b infections.
- Current vaccination strategies and schedules appear robust, maintaining low incidence rates.
- Continued surveillance is important to confirm long-term effectiveness and monitor for any emerging trends.
Abstract:
The uniform use in Canada of a single Haemophilus influenzae type b conjugate vaccine in combination with diphtheria, tetanus, acellular pertussis, and inactivated poliovirus vaccines (DTaP.IPV/Hib) facilitates ongoing assessment of vaccine effectiveness, including any effects of recently added concurrent vaccinations and increasing time since vaccination. Surveillance at 12 pediatric centers in 2004-2007 indicates that vaccine failures remain rare and case totals approach an irreducible minimum, with no age shift.
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