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Volume 24, Number 7—July 2018
Research

Registry Cohort Study to Determine Risk for Multiple Sclerosis after Vaccination for Pandemic Influenza A(H1N1) with Arepanrix, Manitoba, Canada

Salaheddin M. MahmudComments to Author , Songul Bozat-Emre, Luiz C. Mostaço-Guidolin, and Ruth Ann Marrie
Author affiliations: University of Manitoba, Winnipeg, Manitoba, Canada (S.M. Mahmud, S. Bozat-Emre, R.A. Marrie); Government of Manitoba, Winnipeg (L.C. Mostaço-Guidolin); Health Sciences Centre, Winnipeg (R.A. Marrie)

Main Article

Table 1

Cohort characteristics by vaccination status, Manitoba, Canada, 2009–2012*

Variable No. (%) persons
Adjuvanted A(H1N1)pdm09
Unadjuvanted A(H1N1)pdm09
TIV alone Unvaccinated
Alone And TIV Alone And TIV
Total
267,539 (100)
61,239 (100)

10,592 (100)
1,977 (100)
144,594 (100)
485,941 (100)
Age group, y
<14 83,097 (31.1) 10,206 (16.7) 1,245 (11.8) 109 (5.5) 4,915 (3.4) 99,463 (20.5)
15–34 62,261 (23.3) 12,637 (20.6) 4,717 (44.5) 679 (34.3) 7,094 (4.9) 92,008 (18.9)
35–44 38,401 (14.4) 9,272 (15.1) 1,835 (17.3) 363 (18.4) 6,463 (4.5) 51,795 (10.7)
45–54 39,958 (14.9) 12,018 (19.6) 1,452 (13.7) 389 (19.7) 12,696 (8.8) 74,454 (15.3)
>55
43,822 (16.4)
17,106 (27.9)

1,343 (12.7)
437 (22.1)
113,426 (78.4)
168,221 (34.6)
Sex
F
144,461 (54.0)
31,081 (50.8)

7,352 (69.4)
1,194 (60.4)
82,868 (57.3)
266,956 (54.9)
Urban residence
146,256 (54.7)
41,916 (68.4)

6,202 (58.6)
1,604 (81.1)
96,605 (66.8)
292,583 (60.2)
Income quintile
Q1 (lowest) 53,269 (19.9) 9,766 (15.9) 1,803 (17.0) 279 (14.1) 27,899 (19.3) 92,147 (19.0)
Q2 47,036 (17.6) 11,066 (18.1) 1,833 (17.3) 355 (18.0) 27,593 (19.1) 91,214 (18.8)
Q3 48,257 (18.0) 10,976 (17.9) 1,766 (16.7) 358 (18.1) 28,037 (19.4) 91,542 (18.8)
Q4 50,592 (18.9) 12,454 (20.3) 2,373 (22.4) 447 (22.6) 27,167 (18.8) 95,379 (19.6)
Q5 (highest) 62,320 (23.3) 15,602 (25.5) 2,613 (24.7) 503 (25.4) 25,103 (17.4) 101,411 (20.9)
Cannot be calculated
6,065 (2.3)
1,375 (2.2)

204 (1.9)
35 (1.8)
8,795 (6.1)
14,248 (2.9)
Immunosuppressed 11,541 (4.3) 4,028 (6.6) 322 (3.0) 78 (3.9) 20,990 (14.5) 33,561 (6.9)
Autoimmune diseases 6,680 (2.5) 2,669 (4.4) 197 (1.9) 45 (2.3) 10,179 (7.0) 17,661 (3.6)
Any chronic diseases 18486 (6.9) 7,485 (12.2) 364 (3.4) 96 (4.9) 42,909 (29.7) 65,158 (13.4)
Pregnant, % of all 15–49-year-old females
2,184 (3.1)
355 (2.4)

2,857 (50.6)
330 (40.4)
816 (7.4)
5,160 (4.9)
High priority for A(H1N1)pdm09 vaccine 142,909 (53.4) 25,652 (41.9) 6,200 (58.5) 683 (34.5) 59,165 (40.9) 230,948 (47.5)
High priority for TIV 42,207 (15.8) 12,958 (21.2) 3,231 (30.5) 419 (21.2) 105,557 (73.0) 158,565 (32.6)
Received 2008–09 TIV 41,896 (15.7) 22,231 (36.3) 1,237 (11.7) 542 (27.4) 109,107 (75.5) 42,071 (8.7)
Received pneumococcal vaccine 49,203 (18.4) 11,554 (18.9) 286 (2.7) 64 (3.2) 87,552 (60.6) 86,261 (17.8)

*A(H1N1)pdm09, pandemic influenza A(H1N1) strain; Q, quintile; TIV, trivalent influenza vaccine.

Main Article

Page created: June 18, 2018
Page updated: June 18, 2018
Page reviewed: June 18, 2018
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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