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Influenza was confirmed in 20 fatal cases registered among children 0—10 years , in 5 cases among pregnant women, and in cases among elderly people 60 years and older.
Two hundred and ninety nine people died from influenza were patients with some chronic problems. The antigenic features of the strains were similar to the vaccine strains. A phylogenic analysis of hemagglutinin revealed that influenza A H1N1 pdm09 virus strains belonged to 6B genetic group that had two main dominant subgroups during the — season. In Russia strains of the first group predominated. We registered an increased proportion of strains with DG mutation in receptor-binding site.
A herd immunity analysis carried out immediately prior to the epidemic showed that We came to a conclusion that public awareness enhancement is necessary to reduce unreasonable refusals of vaccination. The beginning of the season in Eastern Europe and Western Asia was marked by a spike of influenza cases compared to Western and South Europe. In Russia a morbidity spate started in the week 2 of ; and the influenza epidemic season finished by the 12 th week.
Influenza A H1N1 pdm09 virus was predominant during the whole period of epidemic. We have been studying the condition of herd immunity and influenza epidemical situation in Russia since [ 3 — 5 ]. This paper focuses on the herd immunity to influenza immediately before the — epidemics in Russia and evaluates the confirmed fatal cases of influenza in that epidemic season. Blood samples were obtained on condition of anonymity upon written informed donor consents. The places of collection located close to flyways and breeding grounds of wild waterfowls.
Sera were collected from healthy donors. Samples were collected at the local Sanitary-and-Epidemiological Centers of the Federal Service for Supervision of Consumer Rights and Human Welfare after getting written informed consents from close relatives in accordance with the regulations of the Russian Federation.
Protocol, May 20, S1 and S2 Files. The viral replication was monitored visually for cytopathic effect in HI test with chicken, goose and guinea pig erythrocytes and with human erythrocytes of 0 I Rh group as well as in real-time PCR. If necessary, each sample was passaged at least three times. HI test results were confirmed by real-time PCR. Reverse transcription reaction was carried out with Uni12 primers using AMV reverse transcriptase.
The phylogenetic trees were constructed applying the neighbor-joining method with the Kimura 2-parameter model and 5. Sensitivity to antineuraminidase drugs was tested with the fluorescent method according to the WHO-recommended protocol [ 8 ]. We studied herd immunity to influenza prior to the epidemic season. In October—November we collected 3, blood sera samples.
Table 1 demonstrates that before the — epidemic season herd immunity to influenza varied slightly across Russian regions. Since the share of population in these regions is The majority of deaths fell within the 31—59 age group. This situation can be attributed to the fact that children under the age of 3 stay home. Preschoolers and school students are vaccinated at schools and day-care centers. University and college students, as well as the elderly have an opportunity to get a free vaccination.
In autumn In total Moreover, the over population on the average suffers from more chronic problems compared to the young.
That seems to explain why the 31—59 age group is the most vulnerable segment of the population. The relevant patient characteristics are given in Table 2. We isolated influenza A H1N1 pdm09 and one influenza A N3N2 virus strains from autopsy material from died patients. Fifteen strains were additionally studied in HI test with serum of year-old woman immunized on October 28, with Grippol trivalent vaccine ser.
Table 3 shows the results for fifteen A H1N1 pdm09 virus strains. We intend to publish the study results on the strains with reduced sensitivity to antineuraminidase in our next paper. Bold italics—reference strains; red—strains obtained from confirmed fatal cases; boxed—genetic subgroups. On the tree topology the main characteristic mutations and individual mutations are highlighted. Black diamond —strains isolated by the authors. Bold italics—vaccine strains; red—strain obtained from confirmed fatal cases in ; boxed—genetic subgroups.
Black diamond —strains obtained from confirmed fatal cases isolated by the authors. HA phylogenic analysis revealed that influenza A H1N1 pdm09 virus strains belonged to the 6B genetic group that had two main dominant subgroups during — In Russia strains of the first subgroup dominated. Among fatal cases we registered an increase in proportion of strains with DG mutation in the receptor-binding site.
Nevertheless, our records indicate that this strain has standard sensitivity to oseltamivir. HA of this strain belongs to the same 3c.
A H1N1 pdm09 viruses have been circulating in the human community since and nine clades have been designated on HA phylogenetic tree. A number of virus clusters have emerged within 6B clade and two of these have been designated as subclades: viruses in 6B. A number of researchers believe that the increased mortality rate from influenza A H1N1 pdm09 is caused by DG mutation in HA protein [ 12 — 14 ]. Emergence of the mutation leads to the alteration of virus binding to cell receptors: from human alpha-2,6 to avian-like alpha-2,3.
The latter are more common in ciliated human cells of the lower respiratory airways [ 15 , 16 ]. Some researchers state that this mutation is developed through selection from polymorphous influenza viruses. This selection is found in infected organisms, and at the stage of introduction of infection DG mutation is neither present nor predominant [ 17 ].
Regenerating pneumocytes of the 2nd type comprise a type of sialic acids that provides predominant receptor binding between virions and DG mutation. However, tropism of such mutant strains to the cells of human upper respiratory airways is reduced; thus, those strains are likely to have a reduced transmissibility among people.
A high rate of regenerating pneumocytes of the 2nd type can be caused by chronic obstructive pulmonary disease. Climate or social-and-cultural characteristics of a particular region such as dusty air dust storms, coal mines, smog , smoking, open-fire cooking cause formation of finely dispersed aerosols of non-soluble particles penetrating in lower airways enhancing regeneration of human lung cells [ 18 ], which can factor selection of influenza virus strains with an increased pathogenicity in the infected organisms.
It is likely to be one of the feasible ways of selecting DG mutation. EK mutation in HA gene known as the 47th according to HA2 numeration with capability to enhance virus pathogenicity has become typical for A H1N1 pdm09 current strains [ 19 ]. This mutation is known to decrease the pH threshold value from 5.
ED mutation is located at the site of binding to cell proteins causing production of antiviral mRNA. Such mutation seems to block antiviral cell activity. Current strains include two more significant mutations in the segment of nonstructural protein in influenza viruses: T48A in NS2 and NS in NS1 involved in enhancing antagonism to interferon alpha, which increases virulence [ 9 ].
This pair of mutations initially were globally registered in the NS segment of influenza A H1N1 pdm09 viruses in the — season in India.
Low herd immunity to A H1N1 pdm virus can be another important factor increasing the number of more severe and fatal influenza cases. After emergence and prevalence of influenza A H1N1 pdm09 virus variant in — this subtype has not predominated in the subsequent epidemic seasons [ 4 ] except the — season [ 3 ].
Consequently, new properties of influenza A H1N1 pdm09 virus and low herd immunity in the recent years have resulted in an increased number of severe and fatal cases in Russia in the — influenza epidemic.
Thus, there were 25 fatal cases caused by influenza A H1N1 pdm09 [ 3 ] in the — season; three fatal cases in —, and fatal influenza cases in the — season. It is possible that the environmental conditions as well as social-and-cultural characteristics of the studied regions promoted selection of viruses with DG mutation in HA involved in development of virus virulent properties in infected organisms.
In Russia immunization against seasonal influenza is on the national vaccination schedule. The following population categories should be vaccinated: 6-month old babies, schoolchildren and university students; transport, healthcare and education workers, pregnant women, elderly people at the age of 60 and older, as well as patients with chronic problems.
However, in many cases people refuse vaccination for no important reasons. Undoubtedly, awareness-raising activities among the population should be intensified to decrease the number of unreasonable refusals of vaccination.
For instance, in the — season in Russia 20 children aged 0—10, 5 pregnant women, and elderly people at the age of 60 and older died from influenza; and deceased persons had chronic illness. The funders made it able to obtain a number of reagents, to pay for carrying out several sequences and HI test with sera of immunized human, for analyzing data and to cover publication fees. Read article at publisher's site DOI : J Med Microbiol , 69 7 , 01 Jul PLoS One , 14 7 :e, 29 Jul Arch Virol , 10 , 05 Jun Cited by: 6 articles PMID: Sci Rep , 7 1 , 18 Dec This data has been text mined from the article, or deposited into data resources.
To arrive at the top five similar articles we use a word-weighted algorithm to compare words from the Title and Abstract of each citation. J Med Virol , 88 1 , 26 Jun Cited by: 2 articles PMID: Ter Arkh , 88 11 , 01 Jan Cited by: 1 article PMID: Vopr Virusol , 49 3 , 01 May
"Avaimet mun himaan" is a song by Finnish rapper Cheek featuring Idän Ihme & Tupla-S. Released in , the song serves as the third single from Cheek's first . Aug 10, ACS Cent. . Novosibirsk State University, 2 Pirogova Str., Novosibirsk , Russia. § Institute of Chemistry and Chemical Technologies SB RAS, , of MWCNT buckypaper on the decoration with CdS nanoparticles from . The influx of cash will allow the biotech firm to open new offices, expand. Oct 26, Novosibirsk State University, Pirogova, 2, Novosibirsk, , Russia A natural sustainable halloysite nanoclay was used for CdS catalyst. [He'll say], 'These are the hits, So pick one of these and make a couple of singles or something.' The very first time he heard [me rap on] 'In da Club. All proceeds of the sale of the song, either via CD or download, will be donated to Tuesday's Children, an organization founded to promote.
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