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Hum Vaccin Immunother . The association of previous influenza vaccination and coronavirus disease-2019

tetano

Editor, Senior Moderator
Hum Vaccin Immunother


. 2020 Dec 30;1-7.
doi: 10.1080/21645515.2020.1852010. Online ahead of print.
The association of previous influenza vaccination and coronavirus disease-2019


Ilan Green[SUP] 1 [/SUP], Shai Ashkenazi[SUP] 2 [/SUP], Eugene Merzon[SUP] 1 3 [/SUP], Shlomo Vinker[SUP] 1 3 [/SUP], Avivit Golan-Cohen[SUP] 1 3 [/SUP]



Affiliations

Abstract

Studies have shown similarities in the structure of influenza and coronaviruses, in their binding receptors and in patterns of immune responses; and that influenza vaccine can induce cross-immunity. We examined the association of previous influenza vaccination and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, resulting in coronavirus disease-2019 (COVID-19), among 715,164 members of a health maintenance organization. In a multivariate regression model, the odds ratios for SARS-CoV-2 infection among individuals vaccinated for influenza in 2018-2019, 2019-2020, and in both seasons, compared to non-vaccinated individuals, were 0.82 (95% CI 0.68-0.99, p = .048), 0.79 (95% CI 0.67-0.98, p = .005), and 0.76 (95% CI 0.61-0.97, p = .004), respectively. Based on our findings, administration of influenza vaccine before the influenza season is highly recommended to reduce the burden of influenza, which is critical in scenarios of outbreaks of both influenza and SARS-CoV-2 infections, and also regarding its association with reduced rate of COVID-19.

Keywords: COVID-19; coronaviruses; cross-protection; immunization; influenza vaccine; sars-CoV-2.
 
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