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Nasal Wipes for Influenza A Virus Detection and Isolation from Swine
Published on: December 4, 2015
[Main features of the new influenza virus a pandemic (H1N1)]
Josep Vaqué Rafart1, Julita Gil Cuesta, María Brotons Agulló
1Servicio de Medicina Preventiva y Epidemiología, Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España. jvaque@vhebron.net
Abstract:
At the end of March 2009, a new influenza virus A (H1N1) of porcine origin was isolated in two children from California presenting flu-like clinical syndrome. This virus was initially disseminated in Mexico and US and then worldwide. Eight weeks later, it had reached 74 countries with almost 30,000 cases and had caused 145 deaths. The virus had also sustained community transmission in 6 countries. On June 11th, WHO stated the onset of a pandemic. The genetic combination of this virus is completely new, containing five segments of porcine origin, two avian, one human and a HA hemaglutinin adapted for human transmission, which is genetically and antigenically different compared with the H1N1 seasonal virus. Its transmissibility is slightly higher than the one observed in seasonal influenza and similar to previous pandemics. Its pathogenicity and virulence are low. Clinical manifestations are similar to seasonal influenza, with spontaneous resolution. Nevertheless, the variety of symptoms is large and range from asymptomatic to severe fatal pneumonia. The affected population is mainly young, aged under 30 years. Less than a half of the hospitalized patients in US and of the fatal cases in Mexico had concomitant chronic diseases or other baseline conditions. A specific monovalent vaccine against the virus is currently being produced in order to prevent and control the infection through the reduction of susceptible population.
Insights
A novel swine-origin influenza A (H1N1) virus emerged in 2009, causing a pandemic with rapid global spread. While generally mild, this new influenza strain primarily affected young individuals and prompted vaccine development.
Area of Science:
- Virology
- Epidemiology
- Public Health
Context:
- The 2009 H1N1 pandemic, also known as swine flu, emerged from a novel influenza A virus of swine origin.
- The virus rapidly disseminated globally, reaching 74 countries within eight weeks and leading the World Health Organization (WHO) to declare a pandemic.
Purpose:
- To describe the emergence, characteristics, and initial impact of the novel influenza A (H1N1) virus.
- To analyze the genetic makeup, transmissibility, pathogenicity, and clinical manifestations of the pandemic strain.
- To highlight the demographic affected and the development of control measures, including vaccination.
Summary:
- A new swine-origin influenza A (H1N1) virus emerged in 2009, characterized by a unique genetic combination distinct from seasonal H1N1.
- The virus exhibited slightly higher transmissibility than seasonal flu but low pathogenicity, with clinical presentations ranging from asymptomatic to severe pneumonia.
- The pandemic disproportionately affected individuals under 30, with a significant number of severe cases and fatalities occurring in those without pre-existing chronic conditions.
Impact:
- The pandemic underscored the potential for novel influenza viruses to cause widespread illness and mortality.
- It highlighted the importance of rapid global surveillance and response to emerging infectious diseases.
- The development of a specific monovalent vaccine aimed to control the spread by reducing the susceptible population.
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