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Pandemic influenza A (H1N1) virus in households with young children
Ville Peltola1, Tamara Teros-Jaakkola, Maris Rulli
1Department of Pediatrics, Turku University Hospital, Turku, Finland. ville.peltola@utu.fi
Insights
Pandemic 2009 influenza A (H1N1) spread readily within households containing young children. Parent-collected nasal swabs proved effective for tracking influenza transmission, supporting vaccination for all family contacts.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Influenza viruses pose significant risks to infants and young children.
- Limited understanding of pandemic 2009 influenza A (H1N1) transmission dynamics in households with young children.
Purpose of the Study:
- To investigate the transmission patterns of pandemic 2009 influenza A (H1N1) within households.
- To assess the feasibility of parent-collected nasal swabs for influenza surveillance.
Main Methods:
- Studied 6 households with children under 1.5 years old diagnosed with 2009 influenza A (H1N1).
- Utilized daily symptom diaries and serial, parent-collected nasal swab samples.
- Employed reverse transcription polymerase chain reaction (RT-PCR) for influenza A detection.
Main Results:
- Symptomatic influenza confirmed in 73% of household contacts.
- Influenza virus median copy number was significantly higher in children than adults.
- Identified various initial sources of influenza A (H1N1) within households.
Conclusions:
- Parental nasal swab sampling is a feasible method for studying household influenza transmission.
- Results support the recommendation of influenza vaccination for all household contacts of young children.
Background:
Influenza viruses may cause a severe infection in infants and young children. The transmission patterns of pandemic 2009 influenza A (H1N1) within households with young children are poorly characterized.
Methods:
Household members of six children younger than 1·5 years with documented 2009 influenza A (H1N1) infection were studied by daily symptom diaries and serial parent-collected nasal swab samples for detection of influenza A by reverse transcription polymerase chain reaction (RT-PCR) assay.
Results:
Laboratory-confirmed, symptomatic influenza was documented in 11 of 15 household contacts of young children with pandemic influenza (73%; 95% CI, 48-99). In five contact cases symptoms started earlier, in three cases on the same day, and in three cases after the onset of symptoms in the youngest child. The first case with influenza A (H1N1) within the household was an elder sibling in two households, father in two households, the youngest child in one household, and the youngest child at the same time with a sibling in one household. The median copy number of influenza virus was higher in children than in adults (4·2 × 10(7) versus 4·9 × 10(4), P = 0·02).
Conclusions:
This study demonstrates the feasibility of nasal swab sampling by parents in investigation of household transmission of influenza. The results support influenza vaccination of all household contacts of young children.
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