Cent Eur J Public Health 2021, 29(1):14-17 | DOI: 10.21101/cejph.a6573

Annual influenza vaccination effect on the susceptibility to COVID-19 infection

Betul Erismis1, 2, Semsi Nur Karabela2, 3, Fatma Eksi4, Faruk Karandere1, Bekir Dogan1, Fatih Okay1, Melih Filiz1, Hakan Kocoglu1, Halim Issever5, Mehmet Hursitoglu1, 6, Kadriye Kart Yasar3
1 Internal Medicine Department, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
2 Hamidiye Health Services College, University of Health Sciences, Istanbul, Turkey
3 Infectious Diseases Department, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
4 Infectious Diseases Department, Bagcilar Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
5 Public Health Department, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
6 Internal Medicine Department, Basaksehir Cam and Sakura Sehir Hospital, University of Health Sciences, Istanbul, Turkey

Objectives: We aimed to study the effect of seasonal influenza (flu) vaccination on the susceptibility to coronavirus disease 2019 (COVID-19).

Methods: A total of 203 healthcare workers of a pandemic centre of Istanbul, Turkey, were included in this retrospective study. According to the presence or absence of flu vaccination, participants were divided into group 1 and group 2. A comparison of the rate of COVID-19 was done between these two groups. Also, the mean age and the sex ratio of females/males were evaluated and compared between these two groups.

Results: Group 1 participants (n = 65) were older than participants in group 2 (n = 138) (p < 0.05). Despite of this, interestingly, the COVID-19 infection rate was lower in the 1st group (in comparison to the 2nd group) (p < 0.05).

Conclusion: Our study results showed that, even if low, the flu vaccination may have a protective effect on the susceptibility to COVID-19 infection. Using this beneficial adjuvant effect of the vaccine may help us in this unpredictable battle with the COVID-19 pandemic. Further studies are needed to confirm this assumption.

Keywords: influenza, vaccination, COVID-19, protection

Received: October 21, 2020; Revised: February 8, 2021; Accepted: February 8, 2021; Published: March 31, 2021  Show citation

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Erismis B, Karabela SN, Eksi F, Karandere F, Dogan B, Okay F, et al.. Annual influenza vaccination effect on the susceptibility to COVID-19 infection. Cent Eur J Public Health. 2021;29(1):14-17. doi: 10.21101/cejph.a6573. PubMed PMID: 33831281.
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References

  1. Hibberd PL. Seasonal influenza vaccination in adults [Internet]. Up to Date; 2020 [cited 2020 May 5]. Available from: https://www.uptodate.com/contents/seasonal-influenza-vaccination-in-adults?search=influenza vaccine&source=search_result&selectedTitle=2~144&usage_type=default&display_rank=1.
  2. Li X, Xu S, Yu M, Wang K, Tao Y, Zhou Y, et al. Risk factors for severity and mortality in adult COVID-19 inpatients in Wuhan. J Allergy Clin Immunol. 2020 Jul;146(1):110-8. Go to original source... Go to PubMed...
  3. European Commission. EPALE. Newsroom. Successful treatment strategy of Turkey against Covid-19 outbreak [Internet]. Brussels: European Commission; 2020 [cited 2020 Jul 17]. Available from: https://epale.ec.europa.eu/en/content/successful-treatment-strategy-turkey-against-covid-19-outbreak.
  4. Salem ML, El-Hennawy D. The possible beneficial adjuvant effect of influenza vaccine to minimize the severity of COVID-19. Med Hypotheses. 2020 Apr 22;140:109752. doi: 10.1016/j.mehy.2020.109752. Go to original source... Go to PubMed...
  5. Fink G, Orlova-Fink N, Schindler T, Grisi S, Ferrer APS, Daubenberger C, et al. Inactivated trivalent influenza vaccination is associated with lower mortality among patients with COVID-19 in Brazil. BMJ Evid Based Med. 2020 Dec 11;bmjebm-2020-111549. doi: 10.1136/bmjebm-2020-111549. Go to original source... Go to PubMed...
  6. Thomas L. Research suggests protective effect of influenza vaccine against COVID-19 severity and mortality [Internet]. Manchester: News Medical Life Sciences; 2020 [cited 2020 Jul 21]. Available from: https://www.news-medical.net/news/20200705/Research-suggests-protective-effect-of-influenza-vaccine-against-COVID-19-severity-and-mortality.aspx.
  7. Jamovi. Stats. Open. Now. [Internet]. [cited 2020 Jul 21]. Available from: https://www.jamovi.org/.
  8. Akoglu H. User's guide to correlation coefficients. Turk J Emerg Med. 2018 Aug 7;18(3):91-3. Go to original source... Go to PubMed...
  9. The National Academies of Sciences, Engineering, and Medicine. Based on science. The flu vaccine does not affect COVID-19 test results or the likelihood of catching COVID-19 [Internet]. Washington: The National Academies of Sciences, Engineering, and Medicine; 2020 [cited 2020 Jul 22]. Available from: https://sites.nationalacademies.org/BasedOnScience/covid-flu-vaccine/index.htm.
  10. Pathak S, Jolly MK, Nandi D. Protective roles of flu infections and BCG vaccination in lowering Covid-19 mortality [Internet]. Durham: Research Square; 2020 [cited 2020 Jul 22]. Available from: https://doi.org/10.21203/rs.3.rs-33242/v1. Go to original source...
  11. World Health Organization. Coronavirus disease (COVID-19) advice for the public: Mythbusters [Internet]. Geneva: WHO; 2020 [cited 2020 Jul 21]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/myth-busters?gclid=CjwKCAjwx9_4BRAHEiwApAt0zrxKB6k9ZvO6zWH-2Ahb1HAnETC66V_HyK41y1U5SsNu8rzfMcgKoxoC6KAQAvD_BwE#vaccines.
  12. BBC. News. Brocklehurst S. Why do the majority of NHS staff not get the flu vaccine? [Internet]. BBC; 2018 [cited 2020 Jul 22]. Available from: https://www.bbc.com/news/uk-scotland-42634781.
  13. Solomon DA, Sherman AC, Kanjilal S. Influenza in the COVID-19 Era. JAMA. 2020 Oct 6;324(13):1342-3. Go to original source... Go to PubMed...
  14. Paget J, Caini S, Cowling B, Esposito S, Falsey AR, Gentile A, et al. The impact of influenza vaccination on the COVID-19 pandemic? Evidence and lessons for public health policies. Vaccine. 2020 Sep 29;38(42):6485-6. Go to original source... Go to PubMed...