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This highly exposed group of frontline HCWs was no more likely to contract pandemic (H1N1) 2009 influenza infection than nonclinical staff, which suggests that personal protective measures were adequate in preventing transmission.
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Level of concern about contracting pandemic H1N1 was also significantly associated with intention to receive 2009 10 seasonal vaccine (PR = 1.24; 95% CI: 1.02, 1.52).
In a literature review by Viboud et al, four studies of the 2008 2009 seasonal vaccines found no protection against 2009 pandemic A(H1N1) influenza; two other found a significant protection; two other found that 2008 2009 seasonal vaccination increased the risk of contracting pandemic 2009 A(H1N1) influenza [30].
Contracting pandemic (H1N1) 2009 postflight from a source in the community was unlikely.
The increased risk of contracting pandemic (H1N1) 2009 by sitting in those seats was 1.4%95%5% confidence interval [CI] –0.5% to 3.4%).
We examined the risk of contracting pandemic (H1N1) 2009 infection postflight to all susceptible passengers seated in the economy section of the aircraft.
We sought to determine whether frontline HCWs were at greater risk for contracting pandemic (H1N1) 2009 influenza than the control group.
Overall, 157 individuals contracted pandemic influenza eight or more days after vaccination (8.4/100,000 vaccinated), of these 58 had onset 15 days or more after vaccination (3.0/100,000 vaccinated).
In conclusion, we found that HCWs did not have a substantially increased risk of contracting pandemic (H1N1) 2009 in a health care setting with high availability of PPE.
Seven (3.0%) patients (1 in June and 6 in July) contracted pandemic (H1N1) 2009 while in Shanghai and showed a clear epidemiologic link to a person with imported pandemic (H1N1) 2009.
Approximately 43% of the index case-patients were women; the median age was 20 years, and 38% likely contracted pandemic (H1N1) 2009 virus locally because they had not traveled recently.
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