PT - JOURNAL ARTICLE AU - E L Teare AU - J C Rawes AU - P Chakraverty AU - N D Noah AU - D Webster AU - T Corcoran AU - J Oxford TI - Failure of influenza vaccine to prevent two successive outbreaks of influenza A H1N1 in a school community. DP - 1990 Jan 01 TA - British Journal of General Practice PG - 10--12 VI - 40 IP - 330 4099 - http://bjgp.org/content/40/330/10.short 4100 - http://bjgp.org/content/40/330/10.full SO - Br J Gen Pract1990 Jan 01; 40 AB - Forty nine of the 149 boys (33%) at a preparatory school fell ill at the beginning of the autumn term 1986 with symptoms of influenza. One hundred and eighty two of the 470 pupils (39%) in the senior part of the same school had similar symptoms of influenza at the beginning of the spring term 1987. A new variant of influenza A H1N1 virus was isolated from both outbreaks and shown to be antigenically similar to A/Taiwan/1/86. The attack rate among pupils who had previously received trivalent influenza vaccine containing A/Chile/1/83 H1N1 antigen was not significantly different from the rate among those who had never been vaccinated. It is concluded that annual vaccination of all boarding school pupils may be inappropriate.