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上海地区人群甲型H1N1流感抗体水平监测分析

  • 高颖阳 陈蓓 居丽雯 杨忠东 吕锡宏 申惠国 姜庆五
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  • 200032 上海,复旦大学公共卫生学院流行病学教研室,复旦大学公共卫生安全教育部重点实验室(高颖阳、居丽雯、吕锡宏、姜庆五);200052 上海生物制品研究所生产部(陈蓓),第六研究室(杨忠东);上海市闵行区疾病预防控制中心防疫科(申惠国)

网络出版日期: 2025-08-16

Surveillance of levels of antibody to swine-origin influenza A(H1N1) virus in Shanghai population

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  • Public Health Safety, Ministry of Education, Fudan University, Shanghai 200032, China; #Division of Production Management, Shanghai Institute of Biological Products, Shanghai 200052, China

Online published: 2025-08-16

摘要

目的  了解上海地区不同年龄组人群甲型H1N1流感血清抗体水平,对人群中甲型H1N1与2008―2009年季节性流感疫苗株A/Brisbane/59/2007(H1N1)的血清抗体水平进行分析比较。方法  应用常规微量血凝抑制试验(micro-hemagglutination inhibition test, HI)对上海地区不同年龄组(0~5月龄、6月龄~4岁、5~24岁、25~59岁和≥60岁)人群进行甲型H1N1流感抗体检测。各年龄组抗体阳性率的比较采用Pearson χ2 检验和Fisher确切概率法进行分析。结果  上海地区人群甲型H1N1流感血清抗体总阳性率为9.2%(37/404)。不同年龄组中以老年人组(≥60岁)的血清抗体阳性率最高,为25.0%(21/84);其次是成年人组(25~59岁),血清抗体阳性率为10.0%(8/80);其他年龄组血清抗体阳性率较低。Pearson χ2 检验结果显示不同年龄组之间抗体阳性率差异有统计学意义。在2008―2009年季节性流感疫苗株A/Brisbane/59/2007(H1N1)抗体阳性的329份血清中有31份甲型H1N1流感抗体阳性,季节性疫苗株抗体阴性的75份血清中有6份甲型H1N1流感抗体阳性。经Pearson χ2 检验分析,这两层人群甲型H1N1流感抗体阳性率差异没有统计学意义。  结论  上海地区人群血清中甲型H1N1流感抗体水平普遍偏低,其中老年人组抗体水平最高,人群对甲型H1N1流感病毒普遍高度易感;季节性疫苗株A/Brisbane/59/2007(H1N1) HI抗体阳性人群血清不能对甲型H1N1流感病毒产生交叉保护抑制。

本文引用格式

高颖阳 陈蓓 居丽雯 杨忠东 吕锡宏 申惠国 姜庆五 . 上海地区人群甲型H1N1流感抗体水平监测分析[J]. 国际生物制品学杂志, 2010 , 33(3) : 120 -123 . DOI: 10.3760/cma.j.issn.1673-4211.2010.03.002

Abstract

Objective  To understand levels of antibody to swine-origin influenza A(H1N1) virus (A/H1N1) among different age groups in Shanghai, and to compare the levels between antibodies to A/H1N1 and to 2008-2009 seasonal influenza vaccine virus A/Brisbane/59/2007(H1N1).  Methods  The anti-A/H1N1 antibody levels were determined among 5 age groups (0-5 months, 6 months-4 years, 5-24 years, 25-59 years, and ≥60 years) with routine micro-hemagglutination inhibition test. The positive rates of the antibodies among different age groups were compared by Pearson’s χ2 test and Fisher’s exact probability test.  Results  The positive rate of antibody to A/H1N1 in the whole population in Shanghai was 9.2%(37/404). The highest rate was 25.0%(21/84) in the age group of ≥60 years, the next was 10.0%(8/80) in the age group of 25-59 years, the positive rates in other groups were lower. The result of Pearson’s χ2 test showed that there were statistically significant differences in the positive rates of the antibodies among different age groups. Of 329 sera positive for antibody to 2008-2009 seasonal influenza vaccine virus A/Brisbane/59/ 2007(H1N1), 31 had anti-A/H1N1 antibodies, and of 75 sera negative for antibody to A/Brisbane/59/ 2007(H1N1), 6 had anti-A/H1N1 antibodies. The result of Pearson’s χ2 test showed that there were no significant differences in positive rates of antibody to A/H1N1 between the two types of population.  Conclusions  The anti-A/H1N1 levels in Shanghai population are low, and people are generally susceptible to A/H1N1. The sera positive for antibody to A/Brisbane/59/2007(H1N1) can not provide cross-protection against A/H1N1.
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