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Infections Caused by Influenza Viruses Among Children in Poland During the 2017/18 Epidemic Season
K Łuniewska1, K Szymański2, E Hallmann-Szelińska2
1Department of Influenza Research, National Influenza Center, National Institute of Public Health- National Institute of Hygiene, Warsaw, Poland. kluniewska@pzh.gov.pl.
Insights
Seasonal influenza vaccination is crucial for children. This study reveals influenza A and B co-dominated the 2017/18 season in Poland, with age influencing virus type and vulnerability.
Area of Science:
- Pediatrics
- Infectious Diseases
- Epidemiology
Background:
- Influenza poses a significant threat to children and adults.
- Seasonal vaccination, recommended from 6 months of age, is the primary prevention method for pediatric influenza.
- Understanding regional and age-specific influenza prevalence is vital for public health strategies.
Purpose of the Study:
- To determine the prevalence and types of influenza viruses in Polish children up to 14 years during the 2017/18 epidemic season.
- To analyze age-stratified infection rates and identify specific influenza virus associations within different pediatric age groups.
- To compare the dominant influenza strains and their prevalence across various pediatric age demographics.
Main Methods:
- Retrospective analysis of influenza infection data in children aged 0-14 years in Poland during the 2017/18 season.
- Stratification of pediatric populations into age groups: 0-4, 5-9, and 10-14 years.
- Identification and characterization of circulating influenza A (A/H1N1/pdm09, A/H3N2) and influenza B virus subtypes.
Main Results:
- Influenza A and B viruses co-dominated the 2017/18 season in Poland.
- Influenza A/H1N1/pdm09 was more prevalent than A/H3N2.
- Youngest children (0-4 years) showed highest vulnerability to influenza (mainly A) and influenza-like illnesses (often RSV); older children (10-14 years) were more affected by influenza B, with no RSV detected.
Conclusions:
- Influenza virus characteristics and prevalence vary significantly by season and age group in pediatric populations.
- Age-specific vulnerability to different influenza subtypes and other respiratory viruses like RSV is evident in children.
- Targeted public health interventions and vaccination strategies should consider age-related patterns of influenza infection in children.
Abstract:
Influenza is an infectious disease that is a threat to both children and adults. The most effective way to prevent infections among children is seasonal vaccination in every epidemic season, which is recommended from the age of 6 months onward. This study is a report of the prevalence of influenza infection in the population of children up to the age of 14 years and of the type of influenza virus involved during the 2017/18 epidemic season in Poland. We found that influenza A and B viruses co-dominated in the season. Among the influenza A viruses, A/H1N1/ pdm09 subtype was a more frequent source of infection than A/H3N2/ subtype. In addition, the prevalence of infection was re-analyzed in children stratified into the age groups of 0-4, 5-9, and 10-14 years old. We found a relation between the age of a child and the type of influenza virus causing infection. The youngest children under 4 years were the most vulnerable to both influenza and influenza-like infections; the former caused mostly by influenza A and the latter by RSV. In contradistinction, influenza B dominated in the oldest children aged 10-14 and RSV infections were not present in this age group. The characteristics of influenza viruses may however vary on the seasonal basis.
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