Table 1. Participant profile, by influenza A(H1N1)pdm09 case and vaccination status, Canadian Sentinel Practitioner Surveillance Network, 4 November 2018–12 January 2019 (n = 1,442).
Characteristic | Overall | Distribution by case status (column %) | Vaccination coverage (row %)b | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
A(H1N1)pdm09 cases | Negative controls | p valuea | A(H1N1)pdm09 cases | p valuec | Negative controls | p valuec | |||||||
n | % | n | % | n | % | n | % | n | % | ||||
n (row %) | 1,442 | 100 | 585 | 41 | 857 | 59 | NA | 45 | 8 | NA | 234 | 27 | NA |
Age group (years) | |||||||||||||
1–8 | 282 | 20 | 163 | 28 | 119 | 14 | < 0.001 | 3 | 2 | < 0.001 | 21 | 18 | < 0.001 |
9–19 | 134 | 9 | 54 | 9 | 80 | 9 | 2 | 4 | 9 | 11 | |||
20–49 | 632 | 44 | 253 | 43 | 379 | 44 | 19 | 8 | 78 | 21 | |||
50–64 | 256 | 18 | 90 | 15 | 166 | 19 | 12 | 13 | 55 | 33 | |||
≥ 65 | 138 | 10 | 25 | 4 | 113 | 13 | 9 | 36 | 71 | 63 | |||
Median age (range) | 35 (1–97) | 31 (1–82) | 38 (1–97) | < 0.001 | 48 (2–82) | < 0.001 | 51.5 (1–97) | < 0.001 | |||||
Sex | |||||||||||||
Female | 869 | 60 | 328 | 56 | 541 | 63 | 0.005 | 29 | 9 | 0.25 | 170 | 31 | < 0.001 |
Male | 564 | 39 | 255 | 44 | 309 | 36 | 16 | 6 | 61 | 20 | |||
Unknown | 9 | 1 | 2 | 0 | 7 | 1 | NA | 0 | 0 | NA | 3 | 43 | NA |
Comorbidityd | |||||||||||||
No | 1,099 | 76 | 474 | 81 | 625 | 73 | < 0.001 | 30 | 6 | 0.01 | 141 | 23 | < 0.001 |
Yes | 264 | 18 | 76 | 13 | 188 | 22 | 11 | 14 | 85 | 45 | |||
Unknown | 79 | 5 | 35 | 6 | 44 | 5 | NA | 4 | 11 | NA | 8 | 18 | NA |
Province | |||||||||||||
Alberta | 432 | 30 | 219 | 37 | 213 | 25 | < 0.001 | 16 | 7 | 0.02 | 65 | 31 | 0.08 |
British Columbia | 267 | 19 | 87 | 15 | 180 | 21 | 10 | 11 | 55 | 31 | |||
Ontario | 546 | 38 | 179 | 31 | 367 | 43 | 18 | 10 | 97 | 26 | |||
Quebec | 197 | 14 | 100 | 17 | 97 | 11 | 1 | 1 | 17 | 18 | |||
Specimen collection interval from ILI onset (days)e | |||||||||||||
≤ 4 | 1,066 | 74 | 476 | 81 | 590 | 69 | < 0.001 | 38 | 8 | 0.58 | 150 | 25 | 0.07 |
5–7 | 376 | 26 | 109 | 19 | 267 | 31 | 7 | 6 | 84 | 31 | |||
Median interval (range) | 3 (0–7) | 3 (0–7) | 3 (0–7) | < 0.001 | 3 (0–7) | 0.61 | 4 (0–7) | 0.04 | |||||
Month of specimen collection | |||||||||||||
November | 409 | 28 | 158 | 27 | 251 | 29 | 0.006 | 7 | 4 | 0.14 | 51 | 20 | 0.01 |
December | 736 | 51 | 326 | 56 | 410 | 48 | 27 | 8 | 121 | 30 | |||
January | 297 | 21 | 101 | 17 | 196 | 23 | 11 | 11 | 62 | 32 | |||
Vaccination status | |||||||||||||
Vaccination without regard to timingf | 334/ 1,497 |
22 | 62/ 602 |
10 | 272/ 895 |
30 | < 0.001 | NA | NA | NA | NA | NA | NA |
≥ 2 weeks before ILI onset | 279 | 19 | 45 | 8 | 234 | 27 | < 0.001 | NA | NA | NA | NA | NA | NA |
ILI: influenza-like illness; NA: not applicable.
Unless otherwise specified, values displayed in the columns represent the number of specimens per category and percentages are relative to the total. Where the denominator for the percentages differs from the total, fractions supporting the calculation of percentages are shown.
a p values for comparison between cases and controls were derived by chi-squared test, Fisher’s exact test or Wilcoxon rank-sum test.
b Vaccination status based on patients’ self-report; defined as receipt of 2018/19 seasonal influenza vaccine at least 2 weeks before symptom onset. Patients vaccinated less than 2 weeks before onset of symptoms or with unknown vaccination status or timing were excluded.
c p values for comparison of the proportion vaccinated were derived by chi-squared test, Fisher’s exact test or Wilcoxon rank-sum test.
d Includes chronic comorbidities that place individuals at higher risk of serious complications from influenza as defined by Canada’s National Advisory Committee on Immunization, including: heart, pulmonary (including asthma), renal, metabolic (such as diabetes), blood, cancer or immunocompromising conditions, conditions that compromise management of respiratory secretions and increase risk of aspiration, or morbid obesity (body mass index ≥ 40).
e Missing specimen collection dates were imputed as the date the specimen was received and processed at the laboratory minus 2 days, the average time between specimen collection date and laboratory received date among specimens with complete information for both values.
f Participants who received seasonal 2018/19 influenza vaccine less than 2 weeks before ILI onset or for whom vaccination timing was unknown were excluded from the primary analysis. They are included here for assessing vaccination regardless of timing for comparison to other estimates of vaccination coverage.