Purpose

Beginning in October 2009, the Emerging Infections Program (EIP) is conducting active surveillance statewide for all cases of Guillain-Barré Syndrome (GBS). GBS surveillance will be a collaborative effort between the Connecticut EIP, the Centers for Disease Control and Prevention, Connecticut hospitals, and local neurologists. Similar surveillance will be carried out in the 9 other EIP sites across the country.

In 1976, about 40 million Americans were vaccinated against an influenza virus of swine origin, and subsequently, an increased risk of GBS associated with vaccination was found. It remains unclear what caused the increased risk of GBS associated with the swine-origin influenza vaccine in 1976. Since then, numerous studies have been conducted to evaluate the association between seasonal flu vaccine and GBS. Most studies showed no association, while two studies suggested that approximately 1 additional person out of 1 million vaccinated people may be at risk for GBS (http://www.cdc.gov/h1n1flu/vaccination/ gbs_qa.htm). There is no indication that the 2009 pandemic H1N1 vaccine will be associated with an increased risk of GBS. However, there is a need to be vigilant given the magnitude of the anticipated vaccination campaign. To facilitate GBS surveillance, the Commissioner of Health of the Connecticut Department of Public Health has added Guillain-Barré syndrome to the list of mandated reportable diseases and findings. (See link to CT Epidemiologist below).

Goals & Objectives

• Rapidly detect potential cases of Guillain-Barré Syndrome
• Produce regular surveillance reports on cases of GBS identified in the EIP area including descriptive data on vaccination history and presence or absence of established risk factors for GBS
• Determine whether vaccination with the influenza A (H1N1) 2009 monovalent vaccine is associated with increased risk of developing Guillain-Barré Syndrome

Related Links

CT Epidemiologist Addition of GBS to list of reportable diseases and findings

CDC Information about Influenza and GBS

Project Contact Person

Emerging Infections Program
Yale School of Public Health
1 Church Street, 7th Floor
New Haven, CT 06510
Phone: (203) 764-4360
Fax: (203) 764-4357