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EPIDEMICS
Scientists map evolution of pig flu virus

Swine flu killed more Britons last winter than in pandemic
London (AFP) May 25, 2011 - More people in Britain died after contracting swine flu last winter, with most deaths among young and middle-aged adults, than during the pandemic a year earlier, official figures showed on Wednesday. In total, 602 people in Britain were reported as having died with an influenza infection in the 2010/11 season, according to data from the Health Protection Agency (HPA). Where information was available on the strain of the infection, more than 90 percent of the deaths -- 535 out of 582 -- were associated with A(H1N1) swine flu, the agency said in its annual flu report.

The figures for last winter compare to 474 deaths reported between June 2009 and April last year as being associated with A(H1N1). The agency said that 70 percent of fatal cases last winter were in people aged 15 to 64. In past years, seasonal flu has predominantly affected the elderly. "Traditionally the elderly have been more seriously affected by winter flu but the picture is beginning to change as we are now seeing a higher proportion of young and middle-aged people taken seriously ill," said the HPA's Professor John Watson.

In winter 2010, almost 70 percent of all those who died were in a clinical "at risk" group, which means they would have been eligible for vaccination against influenza. But, where figures were available, almost 75 percent of them had not received the vaccine. A(H1N1) swine flu killed at least 18,449 people and affected some 214 countries and territories after it was uncovered in Mexico and the United States in April 2009. The quick spread of the infectious new strain worldwide prompted the UN health agency to declare a pandemic on June 11, 2009 until August 10, 2010. But the response was marred by doubts about the severity of the virus.
by Staff Writers
Paris (AFP) May 25, 2011
Scientists in Hong Kong and Singapore said on Wednesday they had established the widest-ever picture of how the flu virus circulates in pigs, a work that should aid efforts to combat a future influenza pandemic.

Driven by cross-border trade, the range of porcine flu viruses turns out to be larger than thought, they reported in the science journal Nature.

The findings are important because pigs play a key role in the emergence of influenza pandemics in humans.

They are a major viral source in themselves but also can act as a kettle, breeding new flu strains from swine viruses and viruses from poultry and humans in close proximity.

Sometimes -- mercifully rarely -- a novel virus can be a killer.

Tens of millions of people died in flu pandemics in 1918, 1957 and 1968.

A pandemic that occurred in 2009 had about the same lethality as ordinary "seasonal" flu. It is commonly but erroneously called swine flu, for it is a combination of bird and human as well as pig viruses.

Vijaykrishna Dhanasekaran, a specialist in virus evolution at the Duke-National University of Singapore Graduate Medical School in Singapore, said the study showed clearly that viral diversity among pigs had grown.

"The repertoire of viruses that humans are in contact with every day has increased, and this may lead to a higher likelihood of swine-to-human transmission, although the risk remains unquantified," he said.

The research looked at the epidemiology, genetics and immune response to 650 viruses taken from slaughtered pigs in Hong Kong between 1998 and 2010.

These were compared with data on porcine flu viruses found in Europe, North America and elsewhere in Asia stretching back 34 years.

The picture shows the genetic ebb and flow of three major lineages of virus -- classical, Eurasian avian-like and triple reassortant -- and shows how specific sub-types surfaced in Hong Kong pigs, including combinations of all three groups.

Understanding these evolutionary dynamics should help pinpoint which flu viruses among pigs are best able to adapt to a human host, the authors hope.



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