Literature review of the epidemiology of influenza B disease in 15 countries in the Asia-Pacific region
Journal
Influenza and other Respiratory Viruses
Journal Volume
12
Journal Issue
3
Pages
383-411
Date Issued
2018
Author(s)
Abstract
Influenza control strategies focus on the use of trivalent influenza vaccines containing two influenza A virus subtypes and one of the two circulating influenza type B lineages (Yamagata or Victoria). Mismatches between the vaccine B lineage and the circulating lineage have been regularly documented in many countries, including those in the Asia-Pacific region. We conducted a literature review with the aim of understanding the relative circulation of influenza B viruses in Asia-Pacific countries. PubMed and Western Pacific Region Index Medicus were searched for relevant articles on influenza type B published since 1990 in English language for 15 Asia-Pacific countries. Gray literature was also accessed. From 4834 articles identified, 121 full-text articles were analyzed. Influenza was reported as an important cause of morbidity in the Asia-Pacific region, affecting all age groups. In all 15 countries, influenza B was identified and associated with between 0% and 92% of laboratory-confirmed influenza cases in any one season/year. Influenza type B appeared to cause more illness in children aged between 1 and 10 years than in other age groups. Epidemiological data for the two circulating influenza type B lineages remain limited in several countries in the Asia-Pacific, although the co-circulation of both lineages was seen in countries where strain surveillance data were available. Mismatches between circulating B lineages and vaccine strains were observed in all countries with available data. The data suggest that a shift from trivalent to quadrivalent seasonal influenza vaccines could provide additional benefits by providing broader protection. © 2017 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.
Subjects
Asia-Pacific; epidemiology; influenza B; literature review; seasonality; vaccine mismatch
Other Subjects
influenza vaccine; influenza vaccine; Australia; Cambodia; China; comorbidity; controlled study; groups by age; human; immunity; Indonesia; influenza A; Influenza A virus (H1N1); Influenza A virus (H3N2); influenza B; influenza vaccination; laboratory test; Laos; major clinical study; Malaysia; morbidity; Myanmar; New Zealand; Note; Pacific islands; Philippines; priority journal; seasonal influenza; Singapore; South Korea; Southeast Asian; Taiwan; Viet Nam; virus strain; Asia; child; classification; climate; influenza; Influenza B virus; isolation and purification; preschool child; season; standards; United States; vaccination coverage; Asia; Child; Child, Preschool; Climate; Humans; Influenza B virus; Influenza Vaccines; Influenza, Human; Pacific States; Seasons; Vaccination Coverage
Publisher
Blackwell Publishing Ltd
Type
note