Influenza is a topic covered in the Johns Hopkins ABX Guide.

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  • Influenza A (seasonal): in 2016-2017 judged a moderate season, of analyzed specimens in U.S., influenza A comprised 77.9%, and 22.1% were influenza B viruses.
    • Influenza A: 2.8% were influenza A(H1N1)pdm09 viruses, and 97/2% were influenza A(H3N2) viruses.
    • Lineage was determined for influenza B viruses with B/Yamagata lineage (71.2%) and B/Victoria lineage (28.8%).
  • Influenza A: recently active strains
    • H3N2: seasonal influenza, predominant strain in 2016-2017 in U.S.
    • H1N1v: detected Jan 2015 with handful of reported infections in U.S.
    • Other novel strains (usually limited): A(H1N2) variant (H1N2v) virus (2016), A(H7N2) (2016)
    • H3N2v: Swine influenza strain with triple re-assortment, emerging 2011-2013 multiple states in the U.S., continues to circulate including in 2017.
      • Most human cases have had pig contact.
      • Strain has been susceptible to neuraminidases.
      • People at high risk for severe consequences with influenza should avoid pig contact.
      • Children < 10 yrs may be most prone as older children and adults may have some immunity by exposure to earlier influenza strains.
      • No clear indication of increased severity of disease.
    • Pandemic H1N1, remains active since pandemic 2009 in now routine seasonal influenza.
    • Other: multiple avian influenza or other strains
  • Influenza B (seasonal)

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Last updated: September 5, 2017