Publications by authors named "Vincent Enouf"

Influenza, respiratory syncytial virus (RSV) and SARS-CoV-2 are among the main respiratory viruses circulating in the population, with a significant burden on public health. While individuals at higher risk are more likely to develop severe symptoms leading to hospitalization, viral circulation in the community remains less extensively monitored. This study compared viral circulation between RELAB, a recently established community-based laboratory surveillance network (n = 22 843 tested patients) and hospital surveillance at the Hospices Civils de Lyon, France (n = 23 046 tested patients), for the season 2023-2024.

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IntroductionInfluenza A(H1N1)pdm09, A(H3N2) and B/Victoria viruses circulated in Europe in 2023/24, with A(H1N1)pdm09 dominance. First influenza infections in childhood may lead to different vaccine effectiveness (VE) in subsequent years.AimThe VEBIS primary care network estimated influenza VE in Europe using a multicentre test-negative study.

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We estimated the effectiveness of 2024/25 COVID-19 vaccination against medically attended SARS-CoV-2 infection in Europe, among target groups. We included 3204 patients (8/139 cases vaccinated: 6%; 517/3065 controls vaccinated: 17%) from a multicentre, test-negative design study at primary care level. Vaccine effectiveness was 66% (95% CI: 34-85) overall, 73% (95% CI: 21-94) and 54% (95% CI: -3 to 83) in the first and second months post-vaccination, respectively.

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The epidemiology of respiratory viruses and vaccine effectiveness (VE) in the community are not well described. This study assessed VE against a positive test of influenza (VEf) and SARS-CoV-2 (VECov). Data from networks of community-based laboratories in France were collected during standard of care in the 2023-2024 epidemic season ( = 511,083 multiplex RT-PCR tests).

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Influenza circulates at high levels in Europe since November 2024. Using a test-negative study based on data from French community laboratories between October 2024 and February 2025, we estimated vaccine effectiveness (VE) against PCR-detected influenza infection (44,420/15,052; positive/negative individuals). For all age groups, the overall VE was 42% (95% CI: 37-46%), with 26% (95% CI: 18-34%) against influenza A and 75% (95% CI: 66-82%) against influenza B.

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BackgroundEarly detection and characterisation of SARS-CoV-2 variants have been and continue to be essential for assessing their public health impact. In August 2023, Santé publique France implemented enhanced surveillance for BA.2.

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Article Synopsis
  • - First-generation monoclonal antibodies (mAbs) for COVID-19 were withdrawn due to resistance from Omicron variants, but two new mAbs, VYD222/Pemivibart and AZD3152/Sipavibart, were approved in 2024.
  • - Researchers tested these mAbs against contemporary JN.1 sublineages and found VYD222 still had moderate activity, but AZD3152 lost effectiveness against several variants.
  • - The study underscores the importance of monitoring VYD222's clinical performance and raises concerns about AZD3152's efficacy in treating infections from newer variants.
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Background: Pacific Islanders are underrepresented in vaccine efficacy trials. Few studies describe their immune response to COVID-19 vaccination. Yet, this characterization is crucial to re-enforce vaccination strategies adapted to Pacific Islanders singularities.

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Article Synopsis
  • Respiratory syncytial virus (RSV) is a significant cause of hospitalizations and fatalities in infants globally, prompting France to start a national program administering nirsevimab, a monoclonal antibody treatment, to protect infants from RSV infections.
  • A modeling study was conducted to evaluate the effectiveness of nirsevimab and estimate the number of RSV-related hospitalizations avoided in infants under 24 months during the 2023-24 season in France.
  • The findings indicated that nirsevimab prevented approximately 5,800 RSV-associated hospitalizations for bronchiolitis in children under 24 months, with around 4,200 of these cases in infants aged 0-2 months.
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Importance: In the context of emerging SARS-CoV-2 variants or lineages and new vaccines, it is key to accurately monitor COVID-19 vaccine effectiveness (CVE) to inform vaccination campaigns.

Objective: To estimate the effectiveness of COVID-19 vaccines administered in autumn and winter 2022 to 2023 against symptomatic SARS-CoV-2 infection (with all circulating viruses and XBB lineage in particular) among people aged 60 years or older in Europe, and to compare different CVE approaches across the exposed and reference groups used.

Design, Setting, And Participants: This case-control study obtained data from VEBIS (Vaccine Effectiveness, Burden and Impact Studies), a multicenter study that collects COVID-19 and influenza data from 11 European sites: Croatia; France; Germany; Hungary; Ireland; Portugal; the Netherlands; Romania; Spain, national; Spain, Navarre region; and Sweden.

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Article Synopsis
  • Daratumumab-treated myeloma patients may have a higher risk of seasonal influenza due to weaker immune responses after vaccination, prompting a study on their response to a boosted flu vaccine.
  • In this study of 84 myeloma patients (40 treated with daratumumab), the seroprotection rates varied significantly among different influenza strains after vaccination, with only A-H3N2 showing a notable increase in response with a booster for daratumumab-treated individuals.
  • Overall, while daratumumab didn't significantly hinder the likelihood of seroprotection, the low response rates highlight the need for better vaccination strategies for patients with multiple myeloma.
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BackgroundScarce European data in early 2021 suggested lower vaccine effectiveness (VE) against SARS-CoV-2 Omicron lineages than previous variants.AimWe aimed to estimate primary series (PS) and first booster VE against symptomatic BA.1/BA.

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Influenza A viruses circulated in Europe from September 2023 to January 2024, with influenza A(H1N1)pdm09 predominance. We provide interim 2023/24 influenza vaccine effectiveness (IVE) estimates from two European studies, covering 10 countries across primary care (EU-PC) and hospital (EU-H) settings. Interim IVE was higher against A(H1N1)pdm09 than A(H3N2): EU-PC influenza A(H1N1)pdm09 IVE was 53% (95% CI: 41 to 63) and 30% (95% CI: -3 to 54) against influenza A(H3N2).

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Article Synopsis
  • * The study included 38,058 patients and found that VE against A(H3N2) was 36%, while VE was higher against A(H1N1)pdm09 at 46% and even higher against influenza B at 76%, with varying effectiveness based on age group and target population.
  • * Overall, results showed high vaccine effectiveness particularly among children and against influenza B, but lower effectiveness rates were reported for the A(H1N1)pdm09
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Article Synopsis
  • The study analyzes the impact of the COVID-19 pandemic on the epidemiology of respiratory syncytial virus (RSV) in Europe from October 2020 to September 2022.
  • Data from multiple surveillance systems showed a significant drop in RSV detections during the 2020/21 season, followed by a gradual increase in 2021 and notable peaks in 2021/22.
  • Despite increased testing, RSV patterns were disrupted, with unusual circulation trends observed, indicating that normalization of RSV activity had not been achieved by the 2022/23 season.
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  • The study investigated the presence of SARS-CoV-2 in four French mink farms during late 2020, amidst concerns of forming a new viral reservoir due to the COVID-19 pandemic.
  • On one farm, a high percentage (96.6%) of serum samples tested positive, indicating significant circulation of the virus, with genetic analysis showing several variants cocirculating.
  • Other farms showed lower seroprevalence but were positive for an alphacoronavirus, suggesting potential viral recombination, which may explain varied clinical symptoms across infected farms in Europe.
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Background: ESBL-producing Escherichia coli (ESBL-Ec) is considered a key indicator for antimicrobial resistance (AMR) epidemiological surveillance in animal, human and environment compartments. There is likelihood of ESBL-Ec animal-human transmission but proof of cross-compartment transmission is still unclear.

Objectives: To characterize ESBL-Ec genetic similarity in various compartments (humans, animals and environment) from a rural area of Madagascar.

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Introduction: We aimed to describe the epidemiological situation during the Omicron variant circulation in light of genomic surveillance data in Martinique, a territory with low vaccination rates.

Patients And Methods: We exploited COVID-19 national databases of virological tests, for the collection of hospital data and for the sequencing data from December 13, 2021 to July 11, 2022.

Results: Three prevailing sub-lineages of Omicron have been identified in Martinique (BA.

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Article Synopsis
  • * Genetic analysis showed multiple lineages of the virus co-circulating in the infected farm, linking it to human cases from the same period.
  • * Other farms had lower infection rates, but one contained a mink coronavirus similar to earlier strains found in Danish farms, raising concerns about potential viral recombination and varied clinical impacts among infected farms.
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Since the beginning of the SARS-CoV-2 coronavirus pandemic, genome sequencing is essential to monitor viral mutations over time and by territory. This need for complete genetic information is further reinforced by the rapid spread of variants of concern. In this paper, we assess the ability of the hybridization technique, Capture-Seq, to detect the SARS-CoV-2 genome, either partially or in its integrity on patients samples.

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Aim: We aimed to describe the characteristics of individuals infected by BA.4 or BA.5 in France in comparison to BA.

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Since the first cases of SARS-CoV-2 infection in Wuhan in December 2019, this RNA virus gave rise to different viral lineages with different virological, epidemiological and immunological properties. Here we describe the dynamics of circulation of SARS-CoV-2 lineages in an Amazonian South American French overseas territory, French Guiana (FG). The data analyzed are based on the general epidemic course, and genomic surveillance data come from whole genome sequencing (WGS) as well as typing PCRs.

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Article Synopsis
  • A lot of money has been spent on studying the COVID-19 virus in Africa, leading to over 100,000 virus samples being analyzed to understand the spread of the disease.
  • *More countries in Africa are now able to do these studies themselves, which helps them get results faster and keep a close watch on the virus.
  • *To keep fighting COVID and other diseases, more funding and support for testing and research in Africa is really important for the future.
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Objectives: We described bronchiolitis epidemics during the 2020-2021 and 2021-2022 seasons in France and their interaction with the COVID outbreak.

Patients And Methods: Data on family physician (FP) visits, emergency department (ED) visits, hospitalizations for bronchiolitis for children˂2 years, and hospital virological data were analyzed and compared with previous seasons (2015-2020).

Results: The 2020-2021 epidemic arrived very late, and its impact was lower than in previous seasons (2015-2020) (FP visits: -23%, ED visits: -38%, and hospitalizations: -30%).

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Background: The systemic antibody responses to SARS-CoV-2 in COVID-19 patients has been extensively studied. However, less is known about the mucosal responses in the upper airways, the site of initial SARS-CoV-2 replication.

Methods: The IgG and IgA antibody responses were analysed in plasma and nasopharyngeal swabs from the first four confirmed COVID-19 patients in France.

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