Influenza –An Overview

 

 

Three strains of viruses that cause influenza:

  • Type A

    • Isolated from animals (fowl, swine, horses, etc.)

    • The cause of all pandemics

  • Type B

    • Isolated from humans

    • Low mortality rate

    • The cause of illness in the very young

·         Type C

o        Isolated from humans

o        A strain not implicated in epidemic disease

 

Characteristics of the Influenza virus

 

Consists of:

 

·         Surface antigens

o        Hemagglutinin (H)

      • Subtypes (H1 to H 12)

      • Binds to red cell and to virus on the host  cells

      •  

o        Neuraminidase (N)

      • Subtypes (N1 to N 9)

      • Releases newly grown viruses

      • Allows viruses to spread      

 

 

·         A core

o        Containing the genetic material, ribonucleic acid, RNA

      • As eight separate genetic fragments

      • The eight genes allow  the virus to mutate easily, thereby changing the appearance of the surface antigens.

 

o        A Minor mutation causes a surface “antigenic drift” in H1, H2 or H3 and/or in N1 and N2.

§         This type of mutated virus is transmitted person to person

§         A portion of immunity is retained from one drift to another

§         Partial immunity may be transferred year to year.

o        The result is an “ordinary flu epidemic”

 

o        A Major mutation causes a great change in surface antigens, an “antigen shift”.

§         It is caused by an individual who contracts flu from a source in which there was a viral exchange between two different species such as between a swine and fowl.

§         The result is the creation of an entirely new hybrid antigen, an antigen shift. It is a new strain that has no worldwide immunity.

§         All pandemics are caused by antigen shifts.

 

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