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PostPosted: Thu Feb 24, 2011 11:02 am 
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Today the DoD-GEIS Flu Program at Brooks Air Force Base released a series of partial H3N2 recently collected from DoD dependents. Like the H1N1 sequences released yesterday, many of the H3N2 samples were from previously vaccinated patients, once again signaling vaccine failure against the Perth/16/2009, which has been again recommended for the 2011/2012 vaccine target for the northern hemisphere.

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PostPosted: Thu Feb 24, 2011 11:03 am 
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Recent Genbank sequences with A108G

gb|CY084333.1| Influenza A virus (A/Texas/AF2730/2011(H3N2)) ... 48.1 6e-04
gb|CY084332.1| Influenza A virus (A/Texas/AF2729/2011(H3N2)) ... 48.1 6e-04
gb|CY084330.1| Influenza A virus (A/South Carolina/AF2723/201... 48.1 6e-04
gb|CY084329.1| Influenza A virus (A/Oklahoma/AF2722/2011(H3N2... 48.1 6e-04
gb|CY084328.1| Influenza A virus (A/Oklahoma/AF2721/2011(H3N2... 48.1 6e-04
gb|CY084326.1| Influenza A virus (A/Nevada/AF2715/2011(H3N2))... 48.1 6e-04
gb|CY084325.1| Influenza A virus (A/Nevada/AF2714/2011(H3N2))... 48.1 6e-04
gb|CY084324.1| Influenza A virus (A/Massachusetts/AF2713/2011... 48.1 6e-04
gb|CY084318.1| Influenza A virus (A/Florida/AF2705/2011(H3N2)... 48.1 6e-04
gb|CY084317.1| Influenza A virus (A/Delaware/AF2703/2011(H3N2... 48.1 6e-04
gb|CY084316.1| Influenza A virus (A/Colorado/AF2702/2011(H3N2... 48.1 6e-04
gb|CY084315.1| Influenza A virus (A/Colorado/AF2701/2011(H3N2... 48.1 6e-04
gb|CY084314.1| Influenza A virus (A/California/AF2699/2011(H3... 48.1 6e-04
gb|CY084313.1| Influenza A virus (A/Arizona/AF2698/2011(H3N2)... 48.1 6e-04
gb|CY084312.1| Influenza A virus (A/Arizona/AF2697/2011(H3N2)... 48.1 6e-04
gb|CY084310.1| Influenza A virus (A/Texas/AF2727/2010(H3N2)) ... 48.1 6e-04
gb|CY084309.1| Influenza A virus (A/Texas/AF2726/2010(H3N2)) ... 48.1 6e-04
gb|CY084308.1| Influenza A virus (A/Texas/AF2725/2010(H3N2)) ... 48.1 6e-04
gb|CY084307.1| Influenza A virus (A/Oklahoma/AF2720/2010(H3N2... 48.1 6e-04
gb|CY084306.1| Influenza A virus (A/Oklahoma/AF2719/2010(H3N2... 48.1 6e-04
gb|CY084305.1| Influenza A virus (A/Ohio/AF2718/2010(H3N2)) h... 48.1 6e-04
gb|CY084303.1| Influenza A virus (A/Florida/AF2704/2010(H3N2)... 48.1 6e-04
gb|CY084302.1| Influenza A virus (A/Colorado/AF2700/2010(H3N2... 48.1 6e-04
gb|CY084301.1| Influenza A virus (A/Arizona/AF2696/2010(H3N2)... 48.1 6e-04
gb|CY084300.1| Influenza A virus (A/Nevada/AF2693/2010(H3N2))... 48.1 6e-04
gb|CY084299.1| Influenza A virus (A/Alabama/AF2692/2010(H3N2)... 48.1 6e-04
gb|CY084297.1| Influenza A virus (A/Arizona/AF2689/2010(H3N2)... 48.1 6e-04
gb|CY084295.1| Influenza A virus (A/Hawaii/AF2685/2010(H3N2))... 48.1 6e-04
gb|CY084294.1| Influenza A virus (A/Hawaii/AF2684/2010(H3N2))... 48.1 6e-04
gb|CY080269.1| Influenza A virus (A/Oklahoma/5386/2010(H3N2))... 48.1 6e-04
gb|CY080268.1| Influenza A virus (A/Oklahoma/5342/2010(H3N2))... 48.1 6e-04

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PostPosted: Thu Feb 24, 2011 11:13 am 
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Location: Pittsburgh, PA USA
Isolates from vaccinated patients

A/Massachusetts/AF2713/2011 CY084324
A/Colorado/AF2702/2011 CY084316
A/California/AF2699/2011 CY084314
A/Texas/AF2727/2010 CY084310
A/Arizona/AF2696/2010 CY084301
A/Alabama/AF2692/2010 CY084299

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PostPosted: Thu Feb 24, 2011 11:50 am 
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Additional samples from vaccinated patients

A/Korea/AF2686/2010 CY084296
A/Korea/AF2707/2011 CY084319
A/Korea/AF2708/2011 CY084320
A/Korea/AF2711/2011 CY084323
A/South Carolina/AF2724/2011 CY084331

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PostPosted: Thu Feb 24, 2011 1:47 pm 
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Location: Florida
I knew there was Flu B and pH1N1 escape, but I had no idea there was H3N2 escape. That could be troublesome. Could that cause another round of H3N2 this spring?

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PostPosted: Thu Feb 24, 2011 2:12 pm 
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Jim wrote:
I knew there was Flu B and pH1N1 escape, but I had no idea there was H3N2 escape. That could be troublesome. Could that cause another round of H3N2 this spring?

No, H3N2 has been escaping since the beginning of the season. The vaccine fails on all three targets (and the same vaccine has been recommended for the 2011/2012 season).

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PostPosted: Thu Feb 24, 2011 2:52 pm 
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Jim wrote:
I knew there was Flu B and pH1N1 escape, but I had no idea there was H3N2 escape. That could be troublesome. Could that cause another round of H3N2 this spring?

The WHO regional center in Australia has recently released a series of sequences (at GISAID) from Townsville collected in November and December, including a cluster. These isolates were designated as LOW REACTORS.

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PostPosted: Fri Feb 25, 2011 1:56 pm 
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Commentary

http://www.recombinomics.com/News/02251 ... _Seqs.html

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PostPosted: Fri Feb 25, 2011 8:27 pm 
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niman wrote:
Jim wrote:
I knew there was Flu B and pH1N1 escape, but I had no idea there was H3N2 escape. That could be troublesome. Could that cause another round of H3N2 this spring?

The WHO regional center in Australia has recently released a series of sequences (at GISAID) from Townsville collected in November and December, including a cluster. These isolates were designated as LOW REACTORS.


Interesting. Is there a thread or more info here about this?


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PostPosted: Fri Feb 25, 2011 8:50 pm 
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:cray:


February 25, 2011 — Meet the new influenza vaccine: it's the same as the old one. The trivalent vaccine for the 2011-2012 influenza season in the Northern Hemisphere will probably be essentially a clone of the current season’s vaccine, ruled members of the Vaccine and Related Biologic Products Advisory Committee (VRBPAC) to the US Food and Drug Administration today.

In 3 separate votes, the committee elected to retain the current formulation of the vaccine, containing the following components:

•Influenza A (H1N1) strain A/California/7/2009 (H1N1)-like virus (the pandemic 2009 strain that was distributed in a monovalent vaccine in the United States in 2009);
•Influenza A (H3N2) strain A/Perth/16/2009 (H3N2)-like virus; and
•Influenza B/Brisbane 60/2008-like virus (R/Victoria lineage; this will be third season in which this strain of influenza B has been included in the trivalent vaccine)

The strains are the same as those recommended by the World Health Organization earlier this week.

After considering the best possible information from worldwide surveillance, the committee chose the strains most likely to provide broad coverage of the population at large, but some committee members confessed to being uneasy about the choice.


"In addition to the sleepless night last night worrying about [influenza] B, I’m going to have another one tonight" said temporary voting member Pamela McInnes, DDS, MSc, director of the Division of Extramural Research at the National Institute of Dental and Craniofacial Research in Bethesda, Maryland.

"We make the decision we do with the data we have on the table, but I think for the record there is obvious discomfort and concern about this every year," she added.


http://www.medscape.com/viewarticle/738038


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