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The Russian flu. Its history and implications for this year's influenza season

JAMA
|November 17, 1978
PubMed

Insights

A mild Russian flu epidemic caused by an H1N1 influenza virus occurred in the USSR and spread globally in late 1977-1978. Experts predict its return in fall/winter 1978, necessitating vaccination for high-risk groups.

Area of Science:

  • Virology
  • Epidemiology
  • Public Health

Background:

  • A widespread, mild influenza epidemic, termed Russian flu, affected individuals under 25 in the USSR from November 1977 to January 1978.
  • The epidemic was caused by an H1N1 influenza virus strain, similar to one circulating in the early 1950s.
  • Outbreaks of this H1N1 virus were subsequently reported in the United States and other countries during the winter of 1978.

Purpose of the Study:

  • To report on the epidemiology of the 1977-1978 Russian flu epidemic.
  • To discuss the potential for future influenza outbreaks and the development of preventative measures.

Main Methods:

  • Surveillance of influenza outbreaks.
  • Identification of the causative influenza virus strain (H1N1).
  • Analysis of epidemiological patterns and predictions.

Main Results:

  • The Russian flu epidemic was characterized by mild symptoms and primarily affected younger populations.
  • The H1N1 virus responsible for the epidemic showed similarities to strains from the 1950s.
  • International spread of the virus was observed, leading to outbreaks in multiple countries.

Conclusions:

  • While the 1977-1978 Russian flu was mild, experts anticipate its potential recurrence in the upcoming fall and winter seasons.
  • A trivalent influenza vaccine, including A/USSR, A/Texas, and B/Hong Kong strains, will be available.
  • Annual vaccination is recommended for high-risk populations, including the chronically ill and individuals aged 65 and older.

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