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Swine Workers and Swine Influenza Virus Infections
Journal article   Open access   Peer reviewed

Swine Workers and Swine Influenza Virus Infections

Gregory C Gray, Troy McCarthy, Ana W Capuano, Sharon F Setterquist, Christopher W Olsen, Michael C Alavanja and Charles F Lynch
Emerging infectious diseases, Vol.13(12), pp.1871-1878
12/2007
DOI: 10.3201/eid1312.061323
PMCID: PMC2876739
PMID: 18258038
url
https://doi.org/10.3201/eid1312.061323View
Published (Version of record) Open Access

Abstract

Swine workers and their spouses are at markedly increased risk of acquiring swine influenza virus infections. In 2004, 803 rural Iowans from the Agricultural Health Study were enrolled in a 2-year prospective study of zoonotic influenza transmission. Demographic and occupational exposure data from enrollment, 12-month, and 24-month follow-up encounters were examined for association with evidence of previous and incident influenza virus infections. When proportional odds modeling with multivariable adjustment was used, upon enrollment, swine-exposed participants (odds ratio [OR] 54.9, 95% confidence interval [CI] 13.0–232.6) and their nonswine-exposed spouses (OR 28.2, 95% CI 6.1–130.1) were found to have an increased odds of elevated antibody level to swine influenza (H1N1) virus compared with 79 nonexposed University of Iowa personnel. Further evidence of occupational swine influenza virus infections was observed through self-reported influenza-like illness data, comparisons of enrollment and follow-up serum samples, and the isolation of a reassortant swine influenza (H1N1) virus from an ill swine farmer. Study data suggest that swine workers and their nonswine-exposed spouses are at increased risk of zoonotic influenza virus infections.
agriculture communicable diseases disease outbreaks emerging epidemiology Influenza influenza A virus occupational exposure porcine Research seroepidemiologic studies zoonoses

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