Serologic Survey of the Pandemic H1N1 2009 Virus in Guangdong Province, China: A Cross Sectional Study
2011

Serological Survey of H1N1 in Guangdong, China

Sample size: 4319 publication 10 minutes Evidence: moderate

Author Information

Author(s): Zhang Xin, He Jianfeng, Li Linghui, Zhu Xiaolan, Ke Changwen, Ni Hanzhong, Hou Nianmei, Zhong Haojie, Wu Jie

Primary Institution: Center for Disease Control and Prevention of Guangdong Province

Hypothesis

The study aimed to understand the serological evidence of infection and transmission features of the pandemic H1N1 2009 virus in Guangdong province.

Conclusion

The prevalence of pH1N1 was correlated with age and population density, with preexisting antibodies potentially protecting the elderly from infection.

Supporting Evidence

  • The overall seroprevalence was found to be 22.82%.
  • Seroprevalence was highest in the 11–20 age group at 32.8%.
  • In large cities, the seroprevalence was 27.3%, compared to 21.4% in medium cities and 20.1% in rural areas.
  • No significant differences in seroprevalence were found between genders.

Takeaway

The study found that many people in Guangdong had been infected with the H1N1 virus, especially younger people, and that living in cities increased the chances of infection.

Methodology

A cross-sectional serological survey was conducted with serum samples collected from 4319 subjects using multi-stage stratified random sampling.

Potential Biases

Potential bias due to the exclusion of vaccinated individuals and reliance on serological evidence.

Limitations

The study may not fully capture asymptomatic cases, and the true number of infections could be underestimated.

Participant Demographics

Participants were from various age groups, with a focus on those without prior vaccination against pH1N1.

Statistical Information

P-Value

p<0.001

Confidence Interval

95%CI, 16.5–19.5%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0023034

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