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Southern Hemisphere Influenza and Vaccine Effectiveness Research and Surveillance
Authors:Qiu Sue Huang  Nikki Turner  Michael G. Baker  Deborah A. Williamson  Conroy Wong  Richard Webby  Marc‐Alain Widdowson  the SHIVERS investigation team
Affiliation:1. Institute of Environmental Science and Research, Wellington, New Zealand;2. University of Auckland, Auckland, New Zealand;3. University of Otago, Wellington, New Zealand;4. Auckland District Health Board, Auckland, New Zealand;5. Counties Manakau District Health Board, Auckland, New Zealand;6. WHO Collaborating Centre, St Jude Children's Research Hospital, Memphis, TN, USA;7. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
Abstract:The 2009 influenza A(H1N1)pdm09 pandemic highlighted the need for improved scientific knowledge to support better pandemic preparedness and seasonal influenza control. The Southern Hemisphere Influenza and Vaccine Effectiveness Research and Surveillance (SHIVERS) project, a 5‐year (2012–2016) multiagency and multidisciplinary collaboration, aimed to measure disease burden, epidemiology, aetiology, risk factors, immunology, effectiveness of vaccination and other prevention strategies for influenza and other respiratory infectious diseases of public health importance. Two active, prospective, population‐based surveillance systems were established for monitoring influenza and other respiratory pathogens among those hospitalized patients with acute respiratory illness and those enrolled patients seeking consultations at sentinel general practices. In 2015, a sero‐epidemiological study will use a sample of patients from the same practices. These data will provide a full picture of the disease burden and risk factors from asymptomatic infections to severe hospitalized disease and deaths and related economic burden. The results during the first 2 years (2012–2013) provided scientific evidence to (a) support a change to NZ's vaccination policy for young children due to high influenza hospitalizations in these children; (b) contribute to the revision of the World Health Organization's case definition for severe acute respiratory illness for global influenza surveillance; and (c) contribute in part to vaccine strain selection using vaccine effectiveness assessment in the prevention of influenza‐related consultations and hospitalizations. In summary, SHIVERS provides valuable international platforms for supporting seasonal influenza control and pandemic preparedness, and responding to other emerging/endemic respiratory‐related infections.
Keywords:disease burden  epidemiology  immunology  influenza  risk factors  vaccine effectiveness
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