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Influenza activity - United States, 2014-15 season and composition of the 2015-16 influenza vaccine
Abstract:
During the 2014-15 influenza season in the United States, influenza activity increased through late November and December before peaking in late December. Influenza A (H3N2) viruses predominated, and the prevalence of influenza B viruses increased late in the season. This influenza season, similar to previous influenza A (H3N2)-predominant seasons, was moderately severe with overall high levels of outpatient illness and influenza-associated hospitalization, especially for adults aged ≥65 years. The majority of circulating influenza A (H3N2) viruses were different from the influenza A (H3N2) component of the 2014-15 Northern Hemisphere seasonal vaccines, and the predominance of these drifted viruses resulted in reduced vaccine effectiveness. This report summarizes influenza activity in the United States during the 2014-15 influenza season (September 28, 2014-May 23, 2015) and reports the recommendations for the components of the 2015-16 Northern Hemisphere influenza vaccine.
Insights
The 2014-15 U.S. influenza season was moderately severe, dominated by drifted Influenza A (H3N2) viruses. This mismatch with the seasonal vaccine led to reduced vaccine effectiveness, particularly for older adults.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Influenza activity in the United States during the 2014-15 season saw a peak in late December.
- Influenza A (H3N2) viruses were the predominant strain, with a late-season increase in Influenza B.
- This season was characterized as moderately severe, with high rates of outpatient illness and hospitalization, especially among individuals aged 65 and older.
Purpose of the Study:
- To summarize influenza activity in the U.S. during the 2014-15 season.
- To report on the effectiveness of the seasonal influenza vaccine.
- To provide recommendations for the 2015-16 Northern Hemisphere influenza vaccine components.
Main Methods:
- Surveillance data collection for influenza activity across the United States.
- Viral characterization of circulating influenza strains.
- Assessment of vaccine effectiveness against circulating strains.
Main Results:
- Influenza A (H3N2) viruses predominated, showing genetic drift from vaccine strains.
- Reduced vaccine effectiveness was observed due to the mismatch between circulating and vaccine viruses.
- Influenza-associated hospitalizations were high, particularly in the elderly population.
Conclusions:
- The predominance of drifted Influenza A (H3N2) viruses significantly impacted vaccine effectiveness during the 2014-15 season.
- Influenza surveillance and vaccine strain selection remain critical for mitigating seasonal influenza impact.
- Recommendations for the 2015-16 vaccine aimed to improve protection against anticipated circulating strains.
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