Article

The global circulation of seasonal influenza A (H3N2) viruses.

Department of Zoology, University of Cambridge, Cambridge, UK.
Science (impact factor: 31.2). 05/2008; 320(5874):340-6. DOI:10.1126/science.1154137 pp.340-6
Source: PubMed

ABSTRACT Antigenic and genetic analysis of the hemagglutinin of approximately 13,000 human influenza A (H3N2) viruses from six continents during 2002-2007 revealed that there was continuous circulation in east and Southeast Asia (E-SE Asia) via a region-wide network of temporally overlapping epidemics and that epidemics in the temperate regions were seeded from this network each year. Seed strains generally first reached Oceania, North America, and Europe, and later South America. This evidence suggests that once A (H3N2) viruses leave E-SE Asia, they are unlikely to contribute to long-term viral evolution. If the trends observed during this period are an accurate representation of overall patterns of spread, then the antigenic characteristics of A (H3N2) viruses outside E-SE Asia may be forecast each year based on surveillance within E-SE Asia, with consequent improvements to vaccine strain selection.

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Keywords

accurate representation
 
Antigenic
 
antigenic characteristics
 
consequent improvements
 
E-SE Asia
 
epidemics
 
long-term viral evolution
 
region-wide network
 
South America
 
Southeast Asia
 
surveillance
 
temperate regions
 
temporally overlapping epidemics
 
trends
 
vaccine strain selection