Table 1. Participant profile, influenza A analyses, Canadian Sentinel Practitioner Surveillance Network, 29 October 2023–13 January 2024 (n = 3,095).
Characteristics | All ARI participants (column %) | Influenza-vaccinateda (row %, unless otherwise specified) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Overall | Influenza A cases | Influenza controls | p valueb | Overall | p valuec | Influenza A casesd | Influenza controlsd | |||||||
n | % | n | % | n | % | n | % | n | % | n | % | |||
N (row %) | 3,095 | 100 | 722 | 23 | 2,373 | 77 | NA | 823 | 27 | NA | 115 | 16 | 708 | 30 |
Age group (years)e | ||||||||||||||
1–8 | 546 | 18 | 150 | 21 | 396 | 17 | < 0.001 | 85 | 16 | < 0.001 | 13 | 9 | 72 | 18 |
9–19 | 317 | 10 | 80 | 11 | 237 | 10 | 48 | 15 | 11 | 14 | 37 | 16 | ||
20–49 | 1,151 | 37 | 293 | 41 | 858 | 36 | 217 | 19 | 36 | 12 | 181 | 21 | ||
50–64 | 568 | 18 | 125 | 17 | 443 | 19 | 166 | 29 | 27 | 22 | 139 | 31 | ||
65–79 | 407 | 13 | 65 | 9 | 342 | 14 | 226 | 56 | 22 | 34 | 204 | 60 | ||
≥ 80 | 106 | 3 | 9 | 1 | 97 | 4 | 81 | 76 | 6 | 67 | 75 | 77 | ||
Median (IQR) | 39 (16–58) | 35 (13–52) | 40 (17–60) | < 0.001 | 57 (34–71) | < 0.001 | 47 (26–64) | 58 (35–71) | ||||||
Sex | ||||||||||||||
Female | 1,868 | 60 | 410 | 57 | 1,458 | 61 | 0.044 | 527 | 28 | 0.007 | 72 | 18 | 455 | 31 |
Male | 1,208 | 39 | 303 | 42 | 905 | 38 | 288 | 24 | 41 | 14 | 247 | 27 | ||
Unknown | 19 | 1 | 9 | 1 | 10 | 0 | NA | 8 | 42 | NA | 2 | 22 | 6 | 60 |
Comorbidityf | ||||||||||||||
No | 2,055 | 66 | 520 | 72 | 1,535 | 65 | < 0.001 | 428 | 21 | < 0.001 | 66 | 13 | 362 | 24 |
Yes | 693 | 22 | 129 | 18 | 564 | 24 | 294 | 42 | 37 | 29 | 257 | 46 | ||
Unknown | 347 | 11 | 73 | 10 | 274 | 12 | NA | 101 | 29 | NA | 12 | 16 | 89 | 32 |
Meets ILI criteria | ||||||||||||||
No | 136 | 4 | 16 | 2 | 120 | 5 | < 0.001 | 29 | 21 | 0.202 | 1 | 6 | 28 | 23 |
Yes | 2,483 | 80 | 636 | 88 | 1,847 | 78 | 652 | 26 | 104 | 16 | 548 | 30 | ||
Unknown | 476 | 15 | 70 | 10 | 406 | 17 | NA | 142 | 30 | NA | 10 | 14 | 132 | 33 |
Province | ||||||||||||||
Alberta | 369 | 12 | 120 | 17 | 249 | 10 | < 0.001 | 98 | 27 | < 0.001 | 23 | 19 | 75 | 30 |
BC | 419 | 14 | 84 | 12 | 335 | 14 | 180 | 43 | 25 | 30 | 155 | 46 | ||
Ontario | 1,502 | 49 | 371 | 51 | 1,131 | 48 | 386 | 26 | 58 | 16 | 328 | 29 | ||
Quebec | 805 | 26 | 147 | 20 | 658 | 28 | 159 | 20 | 9 | 6 | 150 | 23 | ||
Specimen collection interval from onset of ARIg | ||||||||||||||
≤ 4 days | 2,090 | 68 | 548 | 76 | 1,542 | 65 | < 0.001 | 534 | 26 | 0.059 | 94 | 17 | 440 | 29 |
5–7 days | 1,005 | 32 | 174 | 24 | 831 | 35 | 289 | 29 | 21 | 12 | 268 | 32 | ||
Weeks of specimen collection, 2023/24g | ||||||||||||||
44–47 | 816 | 26 | 84 | 12 | 732 | 31 | < 0.001 | 142 | 17 | < 0.001 | 11 | 13 | 131 | 18 |
48–51 | 1,466 | 47 | 405 | 56 | 1,061 | 45 | 409 | 28 | 68 | 17 | 341 | 32 | ||
52–2 | 813 | 26 | 233 | 32 | 580 | 24 | 272 | 33 | 36 | 15 | 236 | 41 | ||
XBB.1.5 vaccination (any, without regard to timing), restricted to BC, Ontario and Quebec only (all column %)h | ||||||||||||||
Totali | 2,726 | 88 | 602 | 83 | 2,124 | 90 | NA | 725 | 88 | NA | 92 | 80 | 633 | 89 |
Yes | 428 | 16 | 61 | 10 | 367 | 17 | < 0.001 | 373 | 51 | < 0.001 | 45 | 49 | 328 | 52 |
No | 2,142 | 79 | 503 | 84 | 1,639 | 77 | 311 | 43 | 39 | 42 | 272 | 43 | ||
Unknown | 156 | 6 | 38 | 6 | 118 | 6 | NA | 41 | 6 | NA | 8 | 9 | 33 | 5 |
ARI: acute respiratory illness; BC: British Columbia; ILI: Influenza like illness; IQR: interquartile range; NA: not applicable; SPSN: Canadian Sentinel Practitioner Surveillance Network.
a Vaccination status based on participant or guardian report. Participants vaccinated < 2 weeks before onset of symptoms or with unknown vaccination status or timing were excluded.
b p values for comparison between cases and controls were derived by two-way chi-squared test or Wilcoxon rank-sum test.
c p values for comparison between vaccinated and not vaccinated were derived by two-way chi-squared test or Wilcoxon rank-sum test. The number not vaccinated can be derived by subtracting the number vaccinated from the total ARI participants, by row.
d Without regard to time before illness onset, 131 of 738 (18%) cases and 814 of 2,479 (33%) controls across the analysis period were vaccinated (p < 0.001).
e Children < 1 year excluded as per usual in prior SPSN analyses based on variability and/or uncertainty in their age-related vaccine eligibility over the course of the epidemic. Other age strata defined as per usual SPSN analyses predicated upon one- and two-dose recommendations for children ≥ 9 and < 9 years, respectively; higher likelihood of chronic comorbidity at ≥ 50 years; and higher age-associated risk among adults ≥ 65 years [31].
f Includes chronic comorbidities that place individuals at higher risk of serious complications from influenza as defined by Canada’s National Advisory Committee on Immunization [31].
g Missing specimen collection dates were imputed as the date the specimen was received and processed at the laboratory minus 2 days.
h XBB.1.5 vaccination status based on provincial immunisation registry data from BC, Ontario and Quebec.
i Total participants from BC, Ontario and Quebec, including those with unknown XBB.1.5 vaccination status used in the derivation of percentages displayed in all succeeding rows.