SPH PH 510 Lecture Notes - Lecture 17: Reassortment

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PH510 LECTURE 17
The Biology of Influenza
Describe the process by which influenza viruses evolve, including the role of the interaction among
humans, birds and pigs.
o Pigs are susceptible to avian, human, and swine influenza viruses, and they get symptoms
similar to man (cough, fever, and runny nose).
o If a pig is infected with influenza viruses from ducks and humans at the same time, the viral
gene may exchange genetic material (reassort) to produce a new virus that can infect
humans. It may also have surface proteins not previously seen in viruses infecting humans.
o Avian and swine flu genes have been found in humans, and avian flu genes are found in pigs.
But they have not found swine or human flu genes in birds.
o Farming and living conditions bring birds, pigs, and humans in close proximity.
Domestic birds mingle with wild birds.
Explain how “genetic drift” and “genetic shift” result in continual changes in the influenza genomes.
o "Drifts" are relatively small changes due to point mutations.
Each year, one or two of the three virus strains in the influenza vaccine are updated
to keep up with the changes in the circulating flu viruses.
o "Shifts" are large changes in the virus due to re-assortment of genomic segments between
viral strains. Pandemics occur after re-assortment of genes between human and animal
influenza viruses.
Describe the process by which influenza viruses are transmitted and how they infect humans.
o Transmission of respiratory pathogens is mainly via aerosols generated by cough or sneeze
(up to 6 feet).
Medium-small particle aerosol is more infective than large droplets.
o Respiratory pathogens are also transmitted by hand-to-hand, personal contact, or surface
transmission.
Discuss the utility of non-pharmacologic means of controlling the spread of influenza viruses.
o Keeping your hands away from your face.
o Cover your coughs.
o Stay home if youre sick.
o Shut down communal places if there is an outbreak.
o Wash your hands.
o R0 = C x D x P
C = frequency of contact.
D = mean duration of infectivity.
P = the probability that the disease gets transmitted.
Explain why new flu vaccines must be produced each year.
o Flu viruses are genetically unstable and undergo random mutations that can result in
changes in the epitope shapes and poor recognition by our immune system.
Outline the global surveillance system for influenza viruses.
o Throat swabs are taken at 110 national flu centers in 83 nations.
o Selected samples are sent to 4 advanced labs:
CDC
National Institute of Medical Records (UK)
CSL In Australia
National Institute of Infectious Disease in Japan
o Prevalence of strains determines vaccines for next season.
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