Influenza activity - United States, 2014-15 season and composition of the 2015-16 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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