title: Prevalence of antibodies to European porcine influenza viruses in humans living in high pig density areas of Germany.
abstract: The risk of zoonotic human infection caused by European porcine influenza virus strains was estimated in German regions with a high pig density. Sera from 622 healthy volunteers were collected between April 2009 and November 2011, mainly in Westphalia and western Lower Saxony. These included 362 subjects with occupational contact to pigs and 260 blood donors without any direct exposition to pigs. Samples were analysed by the haemagglutination inhibition (HI) assay against a panel of six swine viruses of subtypes avian-like H1N1 and human-like H3N2 as well as against human H1N1 and H3N2 viruses including the pandemic H1N1 strain of 2009. Reciprocal HI titres ≥20 were quoted as seroreactive. Compared to the control group, a significantly higher proportion of subjects with direct contact to pigs exhibited seroreactivity against porcine antigens of the avian-like H1N1 (37.0 %/7.7 %), the human-like H3N2 (59.7 %/43.1 %), the pandemic H1N1 strain of 2009 (51.7 %/26.5 %) and against a historic seasonal H3N2 strain that is closely related antigenetically to currently circulating human-like H3N2 viruses of European pigs (57.5 %/36.5 %). This trend was also observed when a reciprocal HI titre ≥40 was chosen as cut-off. Particularly, in younger subjects, the differences in seroreactivity against porcine strains between the exposed and non-exposed group were significant. The data indicate a higher risk of infection in the exposed individuals.
authors.affiliation: Institute for Infection Medicine, Christian Albrecht University of Kiel and University Medical Center Schleswig-Holstein, Campus Kiel, Brunswiker Strasse 4, 24105, Kiel, Germany, krumbholz@infmed.uni-kiel.de.
authors.forename: Andi
authors.initials: A
authors.lastname: Krumbholz
authors.forename: Jeannette
authors.initials: J
authors.lastname: Lange
authors.forename: Ralf
authors.initials: R
authors.lastname: Dürrwald
authors.forename: Mario
authors.initials: M
authors.lastname: Walther
authors.forename: Thomas H
authors.initials: TH
authors.lastname: Müller
authors.forename: Detlef
authors.initials: D
authors.lastname: Kühnel
authors.forename: Peter
authors.initials: P
authors.lastname: Wutzler
authors.forename: Andreas
authors.initials: A
authors.lastname: Sauerbrei
authors.forename: Roland
authors.initials: R
authors.lastname: Zell
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D000914:Antibodies, Viral / Q000097:blood / Q000276:immunology*; D000956:Antigens, Viral / Q000276:immunology; D005260:Female; D005858:Germany / Q000453:epidemiology; D006385:Hemagglutination Inhibition Tests; D006801:Humans; D009980:Influenza A virus / Q000276:immunology*; D007251:Influenza, Human / Q000453:epidemiology* / Q000276:immunology* / Q000635:transmission; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D009976:Orthomyxoviridae Infections / Q000662:veterinary; D015995:Prevalence; D016036:Seroepidemiologic Studies; D013552:Swine; D013553:Swine Diseases / Q000821:virology; D055815:Young Adult
chemical_list: D000914:Antibodies, Viral; D000956:Antigens, Viral