Abstract

Original Antigenic Sin and Pandemic (H1N1) 2009

Highlights

  • To the Editor: While pandemic (H1N1) 2009 was in its earliest stages, age distribution data indicated surprisingly few cases among persons >65 years of age

  • This observation raised the question about whether older persons were protected from infection with an influenza virus A (H1N1) strain acquired many years ago

  • In 1960, Thomas Francis proposed the hypothesis of original antigenic sin, a phenomenon whereby a person who as a child was first exposed to a specific influenza virus A would, throughout life, mount an immune response to the virus of childhood, even when exposed to other antigenically dissimilar influenza viruses

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Summary

Introduction

To the Editor: While pandemic (H1N1) 2009 was in its earliest stages, age distribution data indicated surprisingly few cases among persons >65 years of age. This observation raised the question about whether older persons were protected from infection with an influenza virus A (H1N1) strain acquired many years ago. Data from the Centers for Disease Control and Prevention showed that approximately two thirds of older persons have evidence of immunity to pandemic (H1N1) 2009 virus.

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