“…Secondly, some individuals may have been incorrectly classified as positive for pH1N1 on the basis of cross-reactive serological test results. For example, 5% of staff may have had cross-reactive antibodies to pH1N1 from previous swine flu infections, seasonal vaccination, or vaccination for swine flu in 1976 [33][34][35]. To minimize bias from cross reactive serological test results, we compared acute and convalescent phase serological test results, compared serological analysis of pH1N1 and seasonal influenza strains, and statistically ruled out correlation between positive pH1N1 serological test results and age or prior receipt of the seasonal influenza vaccine.…”