H1N1 Swine flu has returned to egypt.

the total remained at 16,373 from the July 3rd Thur this update which was published on the 24th October.

its worth noting that three people are undergoing treatment with one of them possibly still being tested within the hospital.

the information is available on the following link
http://www.mohp.gov.eg/swine_flu/news_d … ?id=66&p=1


The epidemiological situation in the Arab Republic of Egypt
Even on October 24, 2010



The number of confirmed cases of avian influenza A/H1N1 in the Republic to "16 375" case




* The total number of confirmed cases in schools (5678) case



* The total number of confirmed cases in universities (871) case

The total number of cases of recovery from illness influenza A/H1N1 (16093) if there are

Hospital under treatment, the number (3) case, the total number of deaths (281) case.

what's ur take on the vaccine? last yr i had to take it cuz my job, this yr i've got a choice. :)

any vaccine is better then none. many already suspect the flu has mutated enough that the current vaccine will likely fail early in this flu season.

based on what little i have read it sounds like the first signs of low reactors are being discovered on a global basis.

while it continues to add new genetic material from other stains of flu

i read this blog as time permits http://pf11-trends-and-issues.blogspot. … ts/default
the person was working on and doing early research on Egypt's bird flu (h5n1)issue

Thanks Shorouk, i'll have a look at the blog. Hope its an easy flu season on all.
Cheers.

I see egypt added another 15 cases to the totals as of the 31st 0f october 13,090 with seven being confined to hospital for treatment and or testing.

I also see the added one new suspect case of h5n1 bird flu

It looks like they also now suspect vaccine failure with the h3n2 seasonal flu.the gentics indicate the strain is already in egypt.

Sunday, November 7, 2010
Official to "World Health": bird flu pass from person to person through the next four years "
Editing date 07/11/2010

Warned Dr. Mustafa Orhan Director of the Regional Centre for Avian Health Organization's global mutation of bird flu, that he had the ability to transfer infection from an infected person to another sound, when it was only in the past on transmission from infected birds to humans. "Said Orhan, it is with the onset of winter and low temperatures the virus spreads and multiplies again, but this year and years to come will be more dangerous than its predecessor, according to the Egyptians, because the large number of human contact with birds may lead to the mutation of the disease, and HIV transmission from birds to humans, then after a move from an infected person to another sound, and expected this to occur during the next four years, "one hundred per cent". "


Hat tip To Commonground ( pandemicinformationnews )

This study will be very usefull on a global basis, im happy they are doing it in egypt.

The study was posted on this site www.flutrackers.com



Prospective study of avian influenza transmission to humans in Egypt

Ghazi Kayali email, Richard J Webby email, Xiaoping Xiong email, Lobna S Sherif email, Esmat A El-Ghafar email and Mohamed A Ali email

BMC Public Health 2010, 10:685doi:10.1186/1471-2458-10-685
Published:     9 November 2010
Abstract (provisional)

Background

The highly pathogenic avian influenza (HPAI) H5N1 virus remains a public health threat and continues to cause outbreaks among poultry as well as human infections. Since its appearance, the virus has spread to numerous geographic areas and is now considered endemic in Egypt and other countries. Most studies on human H5N1 cases were conducted to investigate outbreak situations and were not designed to address fundamental questions about the epidemiology of human infection with H5N1 viruses. Our objective for this study is to answer these questions by estimating the prevalence and incidence rates of human cases and determine associated risk and protective factors in areas where H5N1 viruses are endemic.
Methods

We designed a 3-year prospective cohort study of 1000 individuals of various exposure levels to poultry in Egypt. At onset, we will collect sera to estimate baseline antibody titers against AI viruses H4-H16. Two follow-up visits are scheduled at 1-year intervals following initial enrollment. At follow-up, we will also collect sera to measure changes in antibody titers over time. Thus, annual prevalence rates as well as incidence rates of infection will be calculated. At each visit, exposure and other data will be collected using a specifically tailored questionnaire. This data will be used to measure risk and protective factors associated with infection. Subjects will be asked to contact the study team any time they have influenza-like illness (ILI). In this case, the study team will verify infection by rapid influenza A test and obtain swabs from the subject's contacts to isolate and characterize viruses causing acute infection.
Discussion

Epidemiologic studies at the influenza human-animal interface are rare, hence many questions concerning transmission, severity, and extent of infection at the population level remain unanswered. We believe that our study will help tackle and clarify some of these issues.


link to the whole study concept

heres a good history/time-line on the subject of bird flu on a global basis it also mentions that Egypt's first two cases where really in 2004 but they were from another type and strain of bird flu.

Its worth reading the whole thing but its a bit long.

well it now looks like Egypt is reporting another forty two new cases of H1N1 as of November 20th.

All the pregnant ladies would be well advised to seek inoculation for the H1N1 virus before we get to far into the real flu season.

Egypt - "Ministry of Health: seventy five cases of H1N1 during October and November.
Twall

well its been a short while i will update this with what i know is current.

The total of deaths due to swine flu H1N1 was 290 on December 7th based on official reports. the next report should be published in a day or so.

As far as h5n1 bird flu fatalities goes one more death has occurred within Egypt and one other suspect case is pending.

on a global basis
reports are now indicating a concern that the seasonal flu h3n2 has mutated in some fashion and may be directly related to a cluster of deaths and infections in younger people in North America Manitoba.

This is one of the few i follow on a regular basis due to fact the information is honest and straight forward while being presented clearly to the public. while being based on sound scientific principals.

Egypt is mentioned through out the information.



HA 223E and 223M in Early Pandemic Suggest Correlation to H5N1 and H3N8 Polymorphisms

Yesterday, December 10, 2010, 7:44:34 AM | [email protected] (NS1)

On 2010-11-29, a WHO Collaborating Centre for Reference and Research on Influenza deposited an aged sequence from an early Dalby pH1N1 sample, 2009-08-27, originated at the Queensland Health Scientific Services of Australia. The OzBrisbane2014_2009_08_27 sequence was published with no age, gender, antigenic characterisation or drug resistance information.

OzBrisbane2014_2009_08_27 carries a very early genetic revision in the Receptor Binding Domain just upstream of the much discussed amino acid position 225. The 223E on this sequence marks a novel instance at a position with very few recorded changes (223M).  This viral reservoir began to cycle through tested Immune Escape RBD changes at a very young age, though this data has only recently been made public. Protein revision is documented at 58 of the 63 amino acid positions (92%) within a critical Receptor Binding Domain area slotting from 186 to 248.

Zoonotic Influenza serotypes have also demonstrated changes corresponding to amino acid position 223, in animals and in humans.

H3N8 is consistently 223V, matching the amino acid value in the pH1N1 reservoir, except for two recent equine sequences from 2008 Egypt [eqEgypt6066NAMRU3VSVRI_2008] and 2009 Japan [eqYokohamaaq19_2009] that each revised at the first nucleotide from G to A, gTC->aTC producing 223I, Isoleucine.

H5N1 is also consistently 223V, except in a very small number of cases that show a similar first base revision of G to A, gTA->aTA producing also 223I, Isoleucine. These H5N1 cases with a revision at amino acid position 223 include at least 2 of the 2006 Gharbiyah, Egypt human death cluster [Egypt14724_2006 & Egypt14725_2006], avian samples from 2007 Egypt [ckEgypt1892N3_HK49_2007], an adult female from 2009 in Kafr El Sheikh, Egypt [EgyptN03434_33F_2009_04_15] and 2 Viet human cases [VietCL100_2004 & VietJPHN30321_2005].

H7N3 and H7N7 are also remarkably consistent as 223V, with a similar variation to H3N8 and H5N1 on H7N7 equine samples worldwide from 1956 to 1977. These older equine samples primarily show the now familiar first base revision of G to A, gTA->aTA (15) producing 223I, Isoleucine. A parallel situation occurs in the H11 reservoir with two sequences of birds from Ohio (1987 and 2001) moving from G to A, gTA->aTA.

That same G to A first base nucleotide revision onto a Pandemic H1N1 background, gTG->aTG, may have produced the 223M found in a human pH1N1 case from California early in the pandemic, California33_2009_08_06. The potential donor for the 223E remains unresolved. The probability is very low for true mutation / sloppy polymerase being involved because patterning throughout the remainder of the sequence leads to other considerations.

Influenza Flux is not necessarily a one-way street. Today's donor may be tomorrow's recipient. This particular zoonotic serotype variation pattern around amino acid position 223 that is overlaying onto human pH1N1 is but the tip of the iceburg considering the inter-serotype dynamics (animal <=> human) that GeneWurx.com has carefully documented over the past 20 months.

With 2 of the most recent H5N1 human cases (Hong Kong and Indonesia) presenting several novel and important clinical signals, a meritorious investigation would determine potential pH1N1 and H5N1 genetic interaction. The creation of a lower CFR H5N1 reservoir like Egypt of 2009 and other similar H5N1 genetics may begin allowing a more consistent and longer human incubation period like these two recent “walking H5N1” patients.

A longer human incubation period, with a commensurate slower burn through the H5N1 human host, increases the potential for co-infection with pH1N1. Co-infection, especially with pH1N1, creates the distinct risk of further human adaptation. PF11 is certainly considered capable of effective transmission. Thereby, a slightly more adept human H5N1, as seen in these 2 recent cases, may further optimise H2H (Human to Human) transmission genetics for the traditional Avian Influenza serotypes.

These reservoirs appear to be working in tandem and in earnest.

. . . . OzBrisbane2014_2009_08_27 (
. . . . . . . . 3T [GhanaFS1966_2010_04-06,
. . . . . . . . . . . Taiwan27_2010_03_01
. . . . . . . . . . . . . . . .with 189T, 218T, syn305K, 404D, syn494E,
. . . . . . . . . . . NY04_2010_02_25
. . . . . . . . . . . . . . . .with 100N, syn232Y, syn270I, 437N, syn484N,
. . . . . . . . . . . England1054_2009_12 with 225E,
. . . . . . . . . . . RussiaStPeter99_2009_11_30
. . . . . . . . . . . . . . . .with 225E, syn325P,
. . . . . . . . . . . SichuanWuhouSWL4401_2009_11_29 with syn413K,
. . . . . . . . . . . MarylandAF2457_2009_11_12,
. . . . . . . . . . . Mississippi03_2009_09_25,
. . . . . . . . . . . HongKong24705_2009_09_13,
. . . . . . . . . . . Netherlands1039_2009_08_25 with 430I,
. . . . . . . . . . . California36_2009_08_22 with syn413K,
. . . . . . . . . . . Suriname7534_2009_08_13,
. . . . . . . . . . . HenanSWL14_2009_07_17 with 225E,
. . . . . . . . . . . Surinam08_2009_06_11,
. . . . . . . . . . . Surinam02_2009_06_09,
. . . . . . . . . . . CanadaQCRV1759_2009_05_07,
. . . . . . . . . . . Ireland1_2009_05],
. . . . . . . . 223E mix wt [Unique to GISAID; Unique to GenBank],
. . . . . . . . 269V,
. . . . . . . . 414I)

Supporting Sequences

. . . . OzBrisbane2015_2009_08_28 (
. . . . . . . . 97N mix wt,
. . . . . . . . 269V,
. . . . . . . . 414I)

. . . . California33_2009_08_06 (
. . . . . . . . 223M,
. . . . . . . . 262K,
. . . . . . . . 285T,
. . . . . . . . 502K [UkrTernopilN10_2009_10_28_xL_f with 225G,
. . . . . . . . . . . Oz_Victoria800_2010_06_02,
. . . . . . . . . . . SingGP2362_2010_05_18,
. . . . . . . . . . . Scandinavia (7),
. . . . . . . . . . . CalifVRDL2_2010_01_11,
. . . . . . . . . . . Michigan21_2009_08_07,
. . . . . . . . . . . SouthCarolina36_2009_09_02,
. . . . . . . . . . . SouthCarolina38_2009_09_17,
. . . . . . . . . . . Haiti534_2009_10_19,
. . . . . . . . . . . AlgeriaG2902_2009_12_09 mix with 225E,
. . . . . . . . . . . Egypt114_2009_12_06 with 225E,
. . . . . . . . . . . JapanPR1070_2009_07_10,
. . . . . . . . . . . ThailandTHB0438_2009_07_28,
. . . . . . . . . . . Jiangyin34_2009_08_16,
. . . . . . . . . . . GuangxiLongan1870_2009_12_16])

. . . . swAlbertaOTH33_24_2009_05_03 (
. . . . . . . . 196H,
. . . . . . . . syn216E [H9N2],
. . . . . . . . 223M,
. . . . . . . . syn456L [H5N1])

. . . . swAlbertaOTH33_21_2009_05_05 (
. . . . . . . . 68R,
. . . . . . . . 223M,
. . . . . . . . 299V)

. . . . NY04_2010_02_25 (
. . . . . . . . 3T [OzBrisbane2014_2009_08_27, et al],
. . . . . . . . 50E,
. . . . . . . . syn53L [H2, H5N1 Viet Human, Avian, Civet, H6N1],
. . . . . . . . . . . . . . [TexasJMS380_2009_11_27 with 25R,
. . . . . . . . . . . . . . Tambov_SPN_2009_11_24_f with 225N],
. . . . . . . . 100N,
. . . . . . . . syn232Y,
. . . . . . . . syn270I,
. . . . . . . . 377K,
. . . . . . . . 437N,
. . . . . . . . syn484N [H3N8, H4, H5, H6, H7N7, H9N2, H11])

. . . . TexasJMS380_2009_11_27 (
. . . . . . . . 25R,
. . . . . . . . syn53L [H2, H5N1 Viet Human, Avian, Civet, H6N1])

. . . . Tambov_SPN_2009_11_24_f (
. . . . . . . . syn6L [H3N8],
. . . . . . . . 19I [H3N8],
. . . . . . . . syn53L [H2, H5N1 Viet Human, Avian, Civet, H6N1],
. . . . . . . . syn177L [H3N8, H6, H7N7],
. . . . . . . . 225N,
. . . . . . . . 324I,
. . . . . . . . syn413K [H2, H5N1, H9N2],
. . . . . . . . syn542S [H2, H5, H9N2])

. . . . Ukraine123_2010_02_14_xL (
. . . . . . . . syn0T [BangkokINS427_27M_2010_03_04
. . . . . . . . . . . . . . . . . with syn209Y, syn232Y, syn490P & syn506V,
. . . . . . . . . . . . . DenmarkHvidovreINS290_20F_2009_11_27
. . . . . . . . . . . . . . . . . with 35I, syn490P, 502K & 526T,
. . . . . . . . . . . . . LaReunion3479_2009
. . . . . . . . . . . . . . . . . with syn97D, syn139C & 225E]
. . . . . . . . 186P,
. . . . . . . . 208K,
. . . . . . . . 230I (ATa),
. . . . . . . . syn238E [Ukraine122_2010_01_15_xL
. . . . . . . . . . . . . . . . . . . with 186P, 252M, 324I, syn413K,
. . . . . . . . . . . . . . . . . . . . . . syn431L & syn484N,
. . . . . . . . . . . . . . . WiscD2424_2009_12_15
. . . . . . . . . . . . . . . . . . . with 225E, 300S & 463T,
. . . . . . . . . . . . . . . Netherlands2629_2009_12_04_xL
. . . . . . . . . . . . . . . . . . . with 225N, syn233Y, 324I, syn413K & 507E,
. . . . . . . . . . . . . . . RussiaAnadyrIIV177_2009_12_04_xL_f
. . . . . . . . . . . . . . . . . . . with 225G, 324I, syn413K & syn484N,
. . . . . . . . . . . . . . . JapanNagasakiHA64_2009_11_27
. . . . . . . . . . . . . . . . . . . with syn35L, syn92T, 200T, 324I & 513V,
. . . . . . . . . . . . . . . Arkhangelsk_GNY_2009_11_25_xL_f
. . . . . . . . . . . . . . . . . . . with 324I, syn413K, 437N & syn484N,
. . . . . . . . . . . . . . . MoscowCHSN_2009_11_23_xL_f
. . . . . . . . . . . . . . . . . . . with 225G, 324I & syn413K & syn484N,
. . . . . . . . . . . . . . . DenmarkHvidovreINS141_2009_11_20_xL
. . . . . . . . . . . . . . . . . . . with syn23L, 324I, syn413K, syn484N & syn549R,
. . . . . . . . . . . . . . . Lipetsk_BVV_2009_11_10_xL_f
. . . . . . . . . . . . . . . . . . . with 225G, 324I, syn413K & syn484N,
. . . . . . . . . . . . . . . Orel_KAI1_2009_11_05
. . . . . . . . . . . . . . . . . . . with 280A, 324I, syn413K & syn484N,
. . . . . . . . . . . . . . . Russia4_2009_11_01_xL
. . . . . . . . . . . . . . . . . . . with 324I, syn413K & syn484N,
. . . . . . . . . . . . . . . Russia14_2009_11_01_xL
. . . . . . . . . . . . . . . . . . . with 324I, syn413K & syn484N,
. . . . . . . . . . . . . . . Russia191_2009_11_01_xL
. . . . . . . . . . . . . . . . . . . with syn103E, 324I, syn413K & syn484N,
. . . . . . . . . . . . . . . Belarus220_2009_11,
. . . . . . . . . . . . . . . Belarus360_2009_11,
. . . . . . . . . . . . . . . EgyptN14648_2009_11
. . . . . . . . . . . . . . . . . . . with 225N, 324I, syn413K & syn484N,
. . . . . . . . . . . . . . . Belarus131_2009_10,
. . . . . . . . . . . . . . . GuamNHRC0032_2009_09_14
. . . . . . . . . . . . . . . . . . . with 89G,
. . . . . . . . . . . . . . . Managua5295_02_2009_07_23,
. . . . . . . . . . . . . . . ThailandTHA0364_2009_07_22
. . . . . . . . . . . . . . . . . . . with #12E, 37N, 296H & syn348V,
. . . . . . . . . . . . . . . Missouri02_2009_05_01
. . . . . . . . . . . . . . . . . . . with syn215P, syn377E, syn456L & syn523V,
. . . . . . . . . . . . . . . Bayern62S3_2009_04_29_VxX
. . . . . . . . . . . . . . . . . . . with 158E mix & syn238E,
. . . . . . . . . . . . . . . GermanyRegensburg01_2009_04_27
. . . . . . . . . . . . . . . . . . . with syn456L,
. . . . . . . . . . . . . . . GermanyRegensburgD6_2009
. . . . . . . . . . . . . . . . . . . with syn456L],
. . . . . . . . 252M [Fixed in 2010 Illinois swine with 119M,
. . . . . . . . . . . . . Ukraine122_2010_01_15_xL
. . . . . . . . . . . . . . . . . . . with 186P, 252M, 324I, syn413K,
. . . . . . . . . . . . . . . . . . . . . . syn431L & syn484N,
. . . . . . . . . . . . . Seoul2883_2009_12_02,
. . . . . . . . . . . . . Seoul1829_2009_11_26,
. . . . . . . . . . . . . LagosWRAIR1982N_2009_11_23,
. . . . . . . . . . . . . . . . . . . with syn164L, syn244T [u], syn291T,
. . . . . . . . . . . . . LagosWRAIR1984N_2009_11_18,
. . . . . . . . . . . . . . . . . . . with syn164L, syn244T [u], syn291T,
. . . . . . . . . . . . . LagosWRAIR1984T_2009_11_18
. . . . . . . . . . . . . . . . . . . with syn164L, syn244T [u], syn291T,
. . . . . . . . . . . . . UkrChernihiv857_2009_11_14_xL_f
. . . . . . . . . . . . . . . . . . . with 186P, 225G, syn238E, 324I,
. . . . . . . . . . . . . . . . . . . . . . . syn413K, syn431L, syn484N,
. . . . . . . . . . . . . Texas45132202_2009_09_13,
. . . . . . . . . . . . . Ancona86_2009_08_31
. . . . . . . . . . . . . . . . . . . with 225E & 300S,
. . . . . . . . . . . . . TurkeyAnkara17_2009_08,
. . . . . . . . . . . . . BZ_SaoPaulo43812_2009_07_03_f],
. . . . . . . . 289V [HK1881_2010_04_18,
. . . . . . . . . . . . . EstoniaTallinnINS431_2010_02_05,
. . . . . . . . . . . . . Luxembourg184_2010_01_25,
. . . . . . . . . . . . . Saarland21_2009_12_11,
. . . . . . . . . . . . . IndiaPune21115_2009_12 with 233H,
. . . . . . . . . . . . . Hiroshima457 _2009_11_02,
. . . . . . . . . . . . . JiangsuNanjinggulouSWL11146_2009_09_17,
. . . . . . . . . . . . . Kobe91993_2009_08_18,
. . . . . . . . . . . . . Kobe91992_2009_08_17,
. . . . . . . . . . . . . UK_Glascow_SC10_2009_06 with 225G,
. . . . . . . . . . . . . UK_Glascow_SC19_2009_06,
. . . . . . . . . . . . . UK_Glascow_SC20_2009_06],
. . . . . . . . 324I,
. . . . . . . . syn413K [H2, H5N1, H9N2],
. . . . . . . . syn431L [Emergent],
. . . . . . . . . . . . . . . [OZ_Grafton2_20F_2010_08_05
. . . . . . . . . . . . . . . . . . . . . . . with 128D, syn173G & syn273T,
. . . . . . . . . . . . . . . OZ_Perth504_5M_2010_07_07
. . . . . . . . . . . . . . . . . . . . . . . with 128D, syn173G & syn273T,
. . . . . . . . . . . . . . . swIllinois03037_2010_06_24
. . . . . . . . . . . . . . . . . . . . . . . with 77G,
. . . . . . . . . . . . . . . swIowa03032_2010_06_04
. . . . . . . . . . . . . . . . . . . . . . . with 77G,
. . . . . . . . . . . . . . . PNG_Goroka16_1F__2010_04_07
. . . . . . . . . . . . . . . . . . . . . . . with 77G & 252L,
. . . . . . . . . . . . . . . PNG_Goroka16E3_1F_2010_04_07
. . . . . . . . . . . . . . . . . . . . . . . with 77G, 186P, 204M, syn205G & 252L,
. . . . . . . . . . . . . . . PNG_Goroka15_2010_02_24
. . . . . . . . . . . . . . . . . . . . . . . with 77G & 252L,
. . . . . . . . . . . . . . . Ukraine122_2010_01_15_xL,
. . . . . . . . . . . . . . . HainanDinganSWL123_2010_01_08,
. . . . . . . . . . . . . . . swOregon10_004060_2009_12_31
. . . . . . . . . . . . . . . . . . . . . . . with syn189A,
. . . . . . . . . . . . . . . AthensINS359_2009_12_26
. . . . . . . . . . . . . . . . . . . . . . . with syn189A,
. . . . . . . . . . . . . . . UkrChernihiv857_2009_11_14_xL_f,
. . . . . . . . . . . . . . . SpainCatS1632_2009_10_28,
. . . . . . . . . . . . . . . swHongKong2314_2009_10_22,
. . . . . . . . . . . . . . . ItalyAncona05_2009_07-12
. . . . . . . . . . . . . . . . . . . . . . . with 225E,
. . . . . . . . . . . . . . . England673_2009_07
. . . . . . . . . . . . . . . . . . . . . . . with 225E],
. . . . . . . . syn484N [H3N8, H4, H5, H6, H7N7, H9N2, H11]),
. . . . . . . . . . . . . . . [NY04_2010_02_25
. . . . . . . . . . . . . . . . . . . with 3T, 50E, syn53L, 100N, syn232Y,
. . . . . . . . . . . . . . . . . . . . . . . syn270I, 377K, 437N,
. . . . . . . . . . . . . . . RussiaStPeter204E2E2_2010_02_08_VxX,
. . . . . . . . . . . . . . . RussiaStPeter204E2E1_2010_02_08_VxX,
. . . . . . . . . . . . . . . RussiaStPeter204E2_2010_02_08_VxX,
. . . . . . . . . . . . . . . Saratov07E2E1_2010_02_01_VxX,
. . . . . . . . . . . . . . . Saratov07E2_2010_02_01_VxX,
. . . . . . . . . . . . . . . Ukraine122_2010_01_15_xL
. . . . . . . . . . . . . . . . . . . with 186P, 252M, 324I, syn413K,
. . . . . . . . . . . . . . . . . . . . . . syn431L & syn484N,
. . . . . . . . . . . . . . . RussiaAnadyrIIV177_2009_12_04_xL_f
. . . . . . . . . . . . . . . . . . . with 225G, syn238E, 324I & syn413K,
. . . . . . . . . . . . . . . Arkhangelsk_GNY_2009_11_25_xL_f
. . . . . . . . . . . . . . . . . . . with 324I, syn413K, 437N & syn484N,
. . . . . . . . . . . . . . . MoscowCHSN_2009_11_23_xL_f
. . . . . . . . . . . . . . . . . . . with 225G, 324I & syn413K,
. . . . . . . . . . . . . . . DenmarkHvidovreINS141_2009_11_20_xL
. . . . . . . . . . . . . . . . . . . with syn23L, 324I, syn413K, syn484N & syn549R,
. . . . . . . . . . . . . . . RussiaStPeterVMN_2009_11_19_f,
. . . . . . . . . . . . . . . UkrChernihiv857_2009_11_14_xL_f
. . . . . . . . . . . . . . . . . . . with 186P, 225G, syn238E, 252M,
. . . . . . . . . . . . . . . . . . . . . . . 324I, syn413K, syn431L,
. . . . . . . . . . . . . . . UkrChernihiv855L_2009_11_11_xL_f,
. . . . . . . . . . . . . . . Lipetsk_BVV_2009_11_10_xL_f
. . . . . . . . . . . . . . . . . . . with 225G, 324I, syn413K & syn484N,
. . . . . . . . . . . . . . . OrelKAI1_2009_11_05,
. . . . . . . . . . . . . . . Russia4_2009_11_01_xL,
. . . . . . . . . . . . . . . Russia14_2009_11_01_xL,
. . . . . . . . . . . . . . . Russia191_2009_11_01_xL,
. . . . . . . . . . . . . . . EgyptN14648_2009_11
. . . . . . . . . . . . . . . . . . . with 225N, syn238E, 324I & syn413K,
. . . . . . . . . . . . . . . RussiaStPeterRII96_2009_10_29
. . . . . . . . . . . . . . . . . . . with 187N,
. . . . . . . . . . . . . . . NizhniNovgorodMEV_2009_07_30,
. . . . . . . . . . . . . . . ItalyAncona15_2009_07_17,
. . . . . . . . . . . . . . . Fixed in Thai Swine including
. . . . . . . . . . . . . . . . . . . swThaiCU_RA75_2010_01 with 188T],
. . . . . . . . syn500R [Unique to GenBank/GISAID]),

. . . . Saratov07E2_24X_2010_02_01_xL_VxX (
. . . . . . . . 158E mix,
. . . . . . . . 225G,
. . . . . . . . syn235T [H3N8],
. . . . . . . . syn238E,
. . . . . . . . 324I,
. . . . . . . . syn413K [H2, H5N1, H9N2],
. . . . . . . . syn419L (CTt),
. . . . . . . . syn484N [H3N8, H4, H5, H6, H7N7, H9N2, H11])

. . . . Saratov07E2E1_24X_2010_02_01_ xL_VxX (
. . . . . . . . 47I mix,
. . . . . . . . 157E,
. . . . . . . . 158E mix,
. . . . . . . . 225G,
. . . . . . . . syn235T [H3N8],
. . . . . . . . syn238E,
. . . . . . . . 324I,
. . . . . . . . syn413K [H2, H5N1, H9N2],
. . . . . . . . syn419L (CTt),
. . . . . . . . syn484N [H3N8, H4, H5, H6, H7N7, H9N2, H11])

. . . . RussiaStPeter204E2_2010_02_08_ xL_VxX (
. . . . . . . . 157E,
. . . . . . . . 225G,
. . . . . . . . syn238E,
. . . . . . . . syn240G
. . . . . . . . 324I,
. . . . . . . . 275F,
. . . . . . . . syn413K [H2, H5N1, H9N2],
. . . . . . . . syn484N [H3N8, H4, H5, H6, H7N7, H9N2, H11])

. . . . AnadyrIIV177_2009_12_04_xL_f (
. . . . . . . . 212T [H3N8],
. . . . . . . . 225G,
. . . . . . . . syn238E [H2, H4],
. . . . . . . . 324I,
. . . . . . . . syn413K [H2, H5N1, H9N2],
. . . . . . . . syn484N [H3N8, H4, H5, H6, H7N7, H9N2, H11])




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