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Revised (1972-1973) Bivalent Influenza Vaccine: Title and subTitle BreakSerum and Nasal Antibody Responses to Parenteral Vaccination FREE

Richard P. Wenzel, MD; J. Owen Hendley, MD; Merle A. Sande, MD; Jack M. Gwaltney, Jr., MD
[+] Author Affiliations

Reprint requests to Department of Internal Medicine, University of Virginia School of Medicine, Charlottesville, VA 22901 (Dr. Wenzel).


JAMA. 1973;226(4):435-438. doi:10.1001/jama.1973.03230040019004
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A new (1972-1973), more potent inactivated influenza vaccine was evaluated for acceptability and effectiveness in stimulating serum and nasal antibodies. The vaccine contained 700 chick cell agglutination (CCA) units of A2 Hong Kong antigen and 300 CCA units of B antigen (B/Mass/71). Injection of the vaccine into 100 middle-aged and elderly volunteers was well tolerated and effective in stimulating serum hemagglutination inhibition (HI) and nasal neutralizing antibody to the A2 component. All men with undetectable serum HI titers of <10 and 62% of men with serum HI titers of ≤ 160 had serum antibody responses.

A direct correlation between serum HI antibody titers and nasal neutralizing antibody titers was demonstrated. All men with ≥ 16-fold serum rise had ≥ 4-fold nasal antibody rises. Since both serum and nasal antibodies may have protective roles, influenza vaccines should induce high titers of both systemic and local antibodies.

REFERENCES

Wade N: DBS:  Agency contravenes its own regulations . Science 176:34-35, 1972;.
Salk JE, Menke WJ, Francis T Jr:  A clinical, epidemiological, and immunological evaluation of vaccination against epidemic influenza . Am J Hyg 42:57-93, 1945;.
Maynard JE, et al:  Evaluation of monovalent and polyvalent influenza vaccines during an epidemic of type A,, and B influenza . Am J Epidemiol 87:148-157, 1968;.
Edmondson WP Jr, et al:  A comparison of subcutaneous, nasal, and combined influenza vaccination: II. Protection against natural challenge . Am J Epidemiol 93:480-486, 1971;.
Kilbourne ED, Butler WT, Rossen RD:  Specific immunity in influenza—summary of influenza workshop III . J Infect Dis 127:220-236, 1973;.
 Influenza vaccine: Recommendation of the Public Health Service Advisory Committee on Immunization Practices . Ann Intern Med 77:425-426, 1972;.
Saslaw S:  Polyvalent influenza vaccination in the aged . Geriatrics 20:507-509, 1965;.
Robinson RG, Dowdle WR:  Influenza viruses , in Lennette EJ, Schmidt NJ (eds): Diagnostic Procedures for Viral and Rickettsial Infections , ed 4. New York, American Public Health Assoc, 1964;, pp 415-433.
Chanock RM, et al:  Newly recognized myxoviruses from children with respiratory disease . N Engl J Med 258:207-213, 1958;.
Gwaltney JM Jr, et al:  A comparison of subcutaneous, nasal, and combined influenza vaccination: I. Antigenicity . Am J Epidemiol 93:472-479, 1971;.
Kasal JA, et al:  Antibody responses in nasal secretions and serum following local or parenteral administration of inactivated influenza virus vaccine . J Immunol 102:555-562, 1969;.
Waldman RH, et al:  Influenza antibody in human respiratory secretions after subcutaneous or respiratory immunization with inactivated virus . Nature 218:594-595, 1968;.

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Wade N: DBS:  Agency contravenes its own regulations . Science 176:34-35, 1972;.
Salk JE, Menke WJ, Francis T Jr:  A clinical, epidemiological, and immunological evaluation of vaccination against epidemic influenza . Am J Hyg 42:57-93, 1945;.
Maynard JE, et al:  Evaluation of monovalent and polyvalent influenza vaccines during an epidemic of type A,, and B influenza . Am J Epidemiol 87:148-157, 1968;.
Edmondson WP Jr, et al:  A comparison of subcutaneous, nasal, and combined influenza vaccination: II. Protection against natural challenge . Am J Epidemiol 93:480-486, 1971;.
Kilbourne ED, Butler WT, Rossen RD:  Specific immunity in influenza—summary of influenza workshop III . J Infect Dis 127:220-236, 1973;.
 Influenza vaccine: Recommendation of the Public Health Service Advisory Committee on Immunization Practices . Ann Intern Med 77:425-426, 1972;.
Saslaw S:  Polyvalent influenza vaccination in the aged . Geriatrics 20:507-509, 1965;.
Robinson RG, Dowdle WR:  Influenza viruses , in Lennette EJ, Schmidt NJ (eds): Diagnostic Procedures for Viral and Rickettsial Infections , ed 4. New York, American Public Health Assoc, 1964;, pp 415-433.
Chanock RM, et al:  Newly recognized myxoviruses from children with respiratory disease . N Engl J Med 258:207-213, 1958;.
Gwaltney JM Jr, et al:  A comparison of subcutaneous, nasal, and combined influenza vaccination: I. Antigenicity . Am J Epidemiol 93:472-479, 1971;.
Kasal JA, et al:  Antibody responses in nasal secretions and serum following local or parenteral administration of inactivated influenza virus vaccine . J Immunol 102:555-562, 1969;.
Waldman RH, et al:  Influenza antibody in human respiratory secretions after subcutaneous or respiratory immunization with inactivated virus . Nature 218:594-595, 1968;.
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