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      Vacina inativada contra gripe trivalente: estudo comparativo da resposta imunitária pelos métodos de inibição de hemaglutinação e da hemólise radial simples Translated title: Inactivated vaccine against trivalent influenza: a comparative study of antigenicity by haemagglutination inhibition and simple radial haemolysis

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          Abstract

          A vacina inativada contra gripe, trivalente, preparada no Instituto Butantan, contendo 200 unidades hemaglutinantes de cada uma das cepas de virus Influenza A/SP/1/80 (H3N2), A/SP/1/78 (H1N1) e B/England/847/73, foi administrada em 110 voluntários humanos adultos, sendo que 62 receberam uma dose de vacina e 48 duas doses, com intervalo de 21 dias. A resposta de anticorpos específicos para influenza foi analisada comparativamente pelos testes de Inibição da Hemaglutinação (IH) e Hemólise Radial Simples (HRS). Ocorreu aumento significativo do teor de anticorpos nos indivíduos vacinados, correspondente a um aumento de 4 vezes ou mais nos títulos obtidos pelo teste IH e a um aumento de 3,0 mm ou maior no diâmetro das zonas de hemólise pelo teste HRS. Os métodos demonstraram correlação satisfatória entre si.

          Translated abstract

          The inactivated vaccine anti-influenza virus, prepared at the Butantan Institute, containing 200 U.H. from each one these virus strains, Influenza A/SP/1/80 (H3N2), A/SP/1/78 (H1N1), B/England/847/73, was administered to 110 human volunteers in one and two doses to 62 and 48 persons respectively, with an interval of 21 days between these doses. The response to specific antibodies to influenza was analysed comparatively by the methods of Haemagglutination-Inhibition (HI) and Single-Radial-Haemolysis (SRH). These methods demonstrated a correlation between themselves, with a percentual correspondence in the negative HI titres, < 1:20 and diameter of haemolysis < 3.0mm. Correlation between the haemolysis zone of 3.5-5.0 mm diameter with HI titres of 1:40-1:80 was observed and titres of 1:160-1:320 by HI test were equal to haemolysis zones of 5.5 mm in diameter by SRH test. Very high HI titres > 1:640, corresponded to hemolysis zones > 7.5 mm in diameter. Soroconversion rate occurred those vaccinated, which corresponded to an increase of 4 times or more in the antibody titres obtained from the HI test and an increase of 3.0 mm or more in the haemolysis zone diameter.

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          Influenza A and B virus infection in infants and young children during the years 1957-1976.

          Influenza A virus activity was demonstrated in infants and young children from metropolitan Washington, DC during each of 19 successive August-July respiratory disease years, and during 17 of these years at least 2% of hospitalized respiratory disease patients yielded an influenza A or B virus and/or showed an influenza A or B serum complement-fixing (CF) antibody response. Between October 1957 and July 1976, 14.3% of 860 croup patients and 5.3% of a total of 5655 hospitalized respiratory patients, including croup patients, showed evidence of influenza A or B infection. The mean period of hospitalization with either virus was about 8 days, though serious infection with influenza A virus was 4.5 times more common than with influenza B virus. Both influenza viruses were detected more frequently in respiratory disease outpatients than in respiratory disease inpatients. Patients with serious influenza A virus infections were especially likely to have croup (particularly during the H3N2 era), to be seen during December through February, and to be black male infants. During the peak month of a composite of 13 consecutive influenza A virus outbreaks, influenza A virus infection was demonstrated in 67.6% of croup patients and in 35.6% of all hospitalized respiratory patients including croup patients. During the peak month of a composite of 6 consecutive influenza B virus outbreaks, influenza B virus infection was demonstrated in 36.0% of croup patients and in 10.8% of all hospitalized respiratory disease patients including croup patients.
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            Control of influenza and poliomyelitis with killed virus vaccines.

            The requirements for inducing immunity against an infectious disease are outlined, and the application of these requirements to the development of effective vaccines (vaccinology) is discussed. Influenza and poliomyelitis are examined from this viewpoint, and data are presented that demonstrate the effectiveness of killed virus vaccines against these diseases. A comparison between live and killed poliovirus vaccines suggests the desirability of returning to the use of a killed virus vaccine for the eradication of polio. The natural history of influenza and experience with vaccination suggest that influenza might be brought under effective control by routine immunization in childhood with a polyvalent killed virus vaccine potentiated by an immunologic adjuvant.
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              Influenza A/USSR/77 (H1N1) on a university campus.

              An extensive outbreak of influenza caused by A/USSR/77 (H1N1) virus occurred in February, 1978, at the University of Maryland, College Park, Maryland, and the outbreak was studied by virus isolation, serology, clinical questionnaire and outpatient chart review. Among students who returned questionnaires, clinical attack rates were extraordinarily high (73.2% of those less than or equal to 23 years of age and 45.7% for those greater than 23 years (p less than 0.001)), and rates were higher in students who lived on campus (p less than 0.05). Employing the criterion of hemagglutination inhibition titer greater than or equal to 16, 89.8% of those less than or equal to 23 years of age had evidence of infection by March, 1978. Illness was generally mild, and no complications were reported. The extent and rapid spread of this outbreak suggested that only immunoprophylaxis or rapidly acting control measures such as chemoprophylaxis would be effective in this institutional setting with a highly susceptible population.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                rsp
                Revista de Saúde Pública
                Rev. Saúde Pública
                Faculdade de Saúde Pública da Universidade de São Paulo (São Paulo )
                1518-8787
                October 1985
                : 19
                : 5
                : 438-443
                Affiliations
                [1 ] Instituto Butantan Brazil
                Article
                S0034-89101985000500007
                10.1590/S0034-89101985000500007
                11c1e02a-c381-4bad-a0db-a326e820720b

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielosp.org/scielo.php?script=sci_serial&pid=0034-8910&lng=en
                Categories
                Health Policy & Services

                Public health
                Influenza vaccine,Immunization,Gripe, vacina,Imunização
                Public health
                Influenza vaccine, Immunization, Gripe, vacina, Imunização

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