Influenza: dealing with a continually emerging disease

Authors

  • Alan Hampson WHO Collaborating Centre for Reference and Research on Influenza, CSL Limited, 45 Poplar Road, Parkville, Victoria, 3152

DOI:

https://doi.org/10.33321/cdi.1996.20.27

Abstract

There are two major types of influenza virus, types A and B, which are responsible for disease in man. Both types of virus display a progressive antigenic change known as antigenic drift while influenza A occasionally undergoes a more dramatic change known as antigenic shift. Antigenic shifts are typically associated with pandemic spread and severe disease and it is now believed that they occur when a new virus strain evolves by genetic reassortment between avian and human influenza viruses. In recent years influenza surveillance has provided for a good antigenic match between vaccines and the circulating epidemic viruses and the development of safe vaccines with good protective efficacy have been possible. However, in a pandemic situation the spread of the new virus is much more rapid and may well outstrip the capacity to produce vaccines.

Downloads

Download data is not yet available.

References

Payne AM-M. The influenza programme of WHO. Bull World Health Organ 1953; 8:755-774.

Parvin JD, Mascona A, Pan WT, et al. Measurement of the mutation rates of animal viruses: Influenza A virus and poliovirus type 1. J Virol 1986; 59:377-383.

Webster RG, Bean WJ, Gorman OT, et al. Evolution and ecology of influenza A viruses. Microbiol Rev 1992; 56:152-179.

Webster RG. Personal communication.

Kilbourne ED. Future influenza vaccines and the use of genetic recombinants. Bull World Health Organ 1969; 41:643-645.

Shortridge KF. Pandemic influenza: a zoonosis? Semin Respir Infect 1992; 7:11-25.

Scholtissek C. Molecular aspects of the epidemiology of virus disease. Experentia 1987; 43:1197-1201.

The new A/New Jersey/76 influenza strain (Memorandum). Bull World Health Organ 1976; 53:1-5.

Claas ECJ, Kawaoka Y, De Jong JC, et al. Infection of children with avian-human influenza virus from pigs in Europe. Virology 1994; 204:453-457.

Scholtissek C, Von Hoyningen V, Rott R. Genetic relatedness between the new 1977 epidemic strains (H1N1) of influenza and human influenza strains isolated between 1947 and 1957. Virology 1978; 89:613-617.

Lui KJ, Kendal AP. Impact of influenza epidemics on mortality in the United States from October 1972 to May 1985. Am J Public Health 1987; 77:712-716.

Sprenger MJW, Mulder PGH, Beyer WEP, et al. Impact of influenza on mortality in relation to age and underlying disease, 1967-1989. Int J Epidemiol 1993; 22:334-340.

Carrat F, Valleron AJ. Influenza mortality among the elderly in France, 1980-90: how many deaths may have been avoided through vaccination? J Epidemiol Comm Health 1995; 49:419-425.

Schoenbaum SC. Economic impact of influenza. The individual’s perspective. Am J Med 1987; 82 (suppl 6A):26-30.

Tannock GA. Alternatives in the Control of Influenza. Med J Aust 1991; 154:692-695.

Strassburg MA, Greenland S, Sorvillo FJ, et al. Influenza in the elderly: report of an outbreak and a review of vaccine effectiveness reports. Vaccine 1986; 4:38-44.

Gross PA, Ennis FA. Influenza vaccine: split-product versus whole-virus types - How do they differ? N Engl J Med 1977; 296:567-568.

Govaert TM, Dinant GJ, Aretz K, et al. Adverse reactions to influenza vaccine in elderly people: randomised double blind placebo controlled trial. BMJ 1993; 307:988-990.

Gross PA, Hermogenes AW, Sacks HS, et al. The efficacy of influenza vaccine in elderly persons. A meta-analysis and review of the literature. Ann Intern Med 1995;123:518-527.

Nichol KL, Margolis KL, Wuorenma J, Von Sternberg T. The efficacy and cost effectiveness of vaccination against influenza among elderly persons living in the community. N Engl J Med 1994; 331:778-784.

Russell LB. Opportunity costs in modern medicine. Health Aff 1992; 11:162-169.

Scott WG, Scott HM. Economic evaluation of vaccination against influenza in New Zealand. Pharmacoeconomics 1996; 9:51-60.

Nichol KL, Lind A, Margolis KL, et al. The effectiveness of vaccination against influenza in healthy, working adults. N Engl J Med 1995; 333:889-893.

Channock RM, Murphy BR, Collins PL et al. Live viral vaccines for respiratory and enteric tract diseases. Vaccine 1988; 6:129-133.

Webster RG, Fynan EF, Santoro JC, Robinson HTI.Protection of ferrets against influenza challenge with a DNA vaccine to the haemagglutinin. Vaccine 1994; 12:1495 -1498

von Itzstein M, Wu W-Y, Kok GB, et al. Rational design of potent sialidase-based inhibitors of influenza virus replication. Nature 1993; 363:418-423.

Downloads

Published

29/04/96

How to Cite

Hampson, Alan. 1996. “Influenza: Dealing With a Continually Emerging Disease”. Communicable Diseases Intelligence 20 (April):212-16. https://doi.org/10.33321/cdi.1996.20.27.

Issue

Section

Original article

Categories