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  • China - Zhong Nanshan: there has been some variation in influenza B making it more contagious

    Translation Google

    Your position: Guangzhou Daily Ocean Network Home > News Channel > Community > Text

    Zhong Nanshan: This winter flu into the end of the new tetravalent vaccine is an emergency research and development

    2018-01-17 08:48 Source: South Network share it

    Since late December last year, a flu has swept across the country. Influenced by the popularity of Type A Influenza in previous years, what is the fierce trend of Type B Influenza prevailing this year? What are the current epidemic characteristics of type B influenza? Flu vaccination there is no need for vaccination?

    Zhong Nanshan, an academician of the Chinese Academy of Engineering, said in an interview with a reporter today that the current pandemic flu is of a type that has not yet been covered by the flu vaccine and that there is a slight change in the flu virus itself.

    "The flu pandemic from the end of last year to early this year is now near the end of the period, and I believe it will be completed by the end of the month." The current vaccine research and development organization is urgently developing a new tetravalent vaccine that covers the epidemic type of influenza this winter, "said Dr. Zhong Nanshan.

    Flu-like cases were more than double the same period last year

    But far from the high prevalence of a stream in 2009

    In this round of influenza epidemic, some media, especially since media coverage, compared this year's flu epidemic with the 2003 SARS and the 2009 influenza pandemic. According to the National Influenza sentinel hospital test results show that the current positive rate of influenza virus up to 40%, mainly B type. According to China CDC test data confirmed in recent weeks the national out-patient, emergency reported influenza virus than the same period the previous three years.

    "So far, the number of influenza-like cases monitored by the hospital is more than double that of the same period of last year, and the predominant strain of pandemic is influenza type B. There are more patients infected, but very few cases of severe cases are caused," said Zhong Nanshan. It is less scientific to equate this winter's flu epidemic with SARS or the 2009 pandemic worldwide.

    Zhong Nanshan: This winter flu into the end of the new tetravalent vaccine is an emergency research and development

    In the 2009 influenza pandemic, the number of flu-like cases monitored by the hospital reached five times the level of the same period of the previous year and there was much more serious cases of H1N1 influenza.

    It is reported that the current round of influenza virus advantage strain B (Yamagata), is a long-term latent for many years has not caused a pandemic influenza strains, it is also because of its quiet for a long time, the general population of this strain of immunity The basic lack of, causing the population lack of immune barrier. "The influenza vaccine component used in the South, which covers only two types of H1N1, H3N2 and B (Victoria) influenza A vaccines, does not cover the virus subtype B (Yamagata), which to some extent also caused the flu Large area popular. "
    Last year, Guangzhou was the pandemic of pandemic influenza

    Vaccine manufacturers are developing new vaccines to be covered

    According to the CDC influenza surveillance system in Guangzhou, influenza-like viruses were detected in the sentinel samples of sentinel hospitals in Guangzhou in each of the months of 2017, showing A (H1N1) pmd09, A (H3N2) subtype and B (Victoria ) Type and B (Yamagata) type common cycle. Among them, two waves peaked in May-June and November-December, accounting for 65.29% of A (H3N2) subtype in the first half of the year and 53.19% in the second half of the year.

    The current round of Yamagata influenza B virus also showed a slight variation (not easy to trigger panic mutations). Zhong Nanshan said that the virus shows the characteristics of people susceptible to infection, the duration will be slightly longer, but the vast majority are mainly mild, rarely causing severe cases or deaths.

    "The current round of flu epidemic, I estimate, will come to an end by the end of the month, and against this subtype of influenza, our vaccine research and development agencies are stepping up research and development and production, I believe soon there will be coverage of this subtype Vaccine available "Zhong Nanshan said.


    Know more about the flu virus

    The coexistence of a large number of natural influenza viruses is also easy to mutation

    The current epidemic of influenza virus, a very large number, mainly divided into A, B, C three types, while in our country is generally used to distinguish between A, B, C to. The pandemic in 2009 was Type A H1N1 flu, the type A H1N1 flu.

    Zhong Nanshan said that the flu virus is actually very unstable, there may be a small drift of gene fragments, which is a virus mutation; there may be the entire conversion of the virus, which can be understood as a mutation. In this popular type B influenza, there has been some variation, making it more contagious.

    The reason for the mutation of influenza virus is still not explained at present. Factors such as climate and environment can affect the virus mutation indirectly. At present, we can only predict the prevalence of the dominant virus strain in the short term according to the provisions of the World Health Organization and the research of global scientists in a period of three to four years, and then cover it with the method of polyvalent vaccine. prevention.

    It is reported that on the basis of the monitoring results of the global influenza surveillance and response system, WHO annually proposes the vaccine components of the next popular season based on the major influenza pandemic strains of the previous year in the northern and southern hemispheres. For the next influenza season in the northern hemisphere, a suggestion will be given in February or March, while for the next pandemic in the southern hemisphere, a suggestion will be given in September.

    Zhong Nanshan: This winter flu into the end of the new tetravalent vaccine is an emergency research and development

    Taking the specific situation in our country as an example, at present, the flu vaccines that can be inoculated in our country include the following epidemic strains and belong to the recommended influenza vaccine recommended by the WHO for the 2017-2018 influenza season in the northern hemisphere:

    - A / Michigan / 45/2015 (H1N1) pdm09 - like virus;

    - A / Hong Kong / 4801/2014 (H3N2) - like virus;

    - Type B / Brisbane / 60/2008-like virus;

    Compared with the recommended strains of the 2016-2017 influenza season in the Northern Hemisphere, the strains of the recommended influenza A (H1N1) pmd09 strains in the northern hemisphere influenza in the 2017-2018 period have been changed. The type A / California / 7/2009 (H1N1) pdm09- like virus was replaced by type A / Michigan / 45/2015 (H1N1) pdm09-like virus.

    Flu vaccine also hit?

    Immediately enter the next influenza season? Key people still recommend vaccination

    In addition to affecting the virus's climate variation, the epidemic also has a great impact on the flu. Such as the weather after the snow is colder, humidity increases, dust and other substances decreased. Fresh air at this time for the spread of influenza virus inhibition. However, on the other hand, after the snow is cold, there will be many crowds gathered in the house. Care should be taken to keep the air flowing smoothly.

    Although influenza vaccine currently recommended on the market does not cover the current epidemic of influenza strains. But for vaccination, Zhong Nanshan still holds a positive attitude. "Vaccination is the most important way to prevent a pandemic of influenza, and in March, Guangzhou will enter the mainstream influenza A-high season again in March, just around the corner." Influenza A viruses are more likely to cause severe illness and death from post-infection clinical outcomes, so vaccination is necessary to reduce the risk of morbidity, serious illness and death in special populations.
    ...
    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

  • #2

    Translation Google

    Zhong Nanshan: Should strengthen the immunization of influenza vaccination should be targeted to increase immunization injection prevention funding


    [Guangzhou Daily] March or a new wave of flu hit

    Release Date: 2018-01-22 Source: Guangzhou Daily Views: 1 Font: [ Da Zhong small ]

    Guangzhou Daily

    Weng Shuxian

    Picture 1.png

    Zhong Nanshan Academy of Sciences interpretation of the recent flu and prevention and control measures Weapon. (Sponsor for map)


    On the afternoon of the 17th, at a forum for public health in Guangzhou, Academician Zhong Nanshan, director of the National Center for Clinical Research of Respiratory Diseases, explained the characteristics of this year's influenza and pointed out that there are some variations in the prevailing influenza B virus. Among the infected people, Type B Yamagata virus increased significantly.

    At present, the trivalent flu vaccine used in the country has failed to cover this subtype and has not been able to provide the desired preventive effect on the current wave of influenza B. He called for the production of a tetravalent vaccine as soon as possible.

    He also warned that a new wave of influenza might emerge in March this year, and that immunization with influenza vaccines should be strengthened in the hope that relevant departments will increase funding for immunization injections aimed at the target population.

    Text / Guangzhou Daily All Weng Shu-yin correspondent Su Yueming
    status quo: a significant increase in flu cases year on year

    "Winter is the season of influenza. Flu everyone is familiar with, in a broad sense, it is also a cold." Zhong Nanshan said the past three weeks in our country and Flu cases have increased significantly in many countries and regions.

    According to him, according to the virus's nucleoprotein, influenza can be divided into A, B, C, D 4 major antigenic type, or A, B, C, D type; of which type A and type B are more common, type C and D-type rare. There are two major subtypes of type B: the Victoria type and the Yamagata type. From the end of last year to early this year increased cases of influenza, B accounted for a large proportion, including Yamagata type increased significantly.

    Interpretation: Influenza B viruses vary

    Seasonal influenza almost every year, and sometimes even more than once a year outbreak. Although, like most common cold infections, it is caused by a viral infection, the virus is often mutated and can sometimes be caught off guard.

    "The flu is still a threat we can not predict so far." Zhong Nanshan explained that unlike smallpox strains, the strain of influenza is constantly changing and can constantly evade the immune attacks on the population. He quoted the National Influenza Center data that since April 2017, no significant variants have been observed in Influenza A (H3N2), Influenza A (H1N1) and Influenzavirus B (B) viruses in our country. The epidemic strains and the 2017-2018 vaccine strain recommended by the Northern Hemisphere Matching better. At present, the vaccine used in our country is the trivalent influenza vaccine, which contains three antigenic components of A (H1N1) pdm09, A (H3N2) and type B (Victoria). However, from the end of last year to the beginning of this year, the influenza B virus has some variations. The Yamagata type B is obviously increased. The matching of the existing type B vaccines can not keep up. It has failed to play a preventive role in the current wave of influenza. The lack of immunity to this new virus subtype, so the number of doubled.

    Reminder: To Prevent Influenza in March

    "Since 2013, a total of 1533 cases of H7N9 bird flu have been reported in 27 provinces in Mainland China, with a death toll of 607 and a case fatality rate of 39.6%." Zhong Nanshan reminded that bird flu (H7N9 Mainly) into the fifth popular season, although there is no direct evidence, but according to the prevailing laws in recent years, usually occurs in January to March.

    "What is scarcer now is the bird flu and the human flu. If they are mixed, the issue must be aroused great vigilance." Zhong Nanshan said that if the H7N9 became popular again in the coming months and influenza B would occur what's the situation? Need a high degree of vigilance. Because no virus or pathogen will evolve as rapidly as an influenza virus, coupled with the ability of the flu to spread across species, once across the species barrier it is highly likely that public health safety will be severely affected.

    He repeatedly reminded this year of the new wave of flu that may emerge in March. In recent years, Guangdong has closed the market during the bird flu epidemic season, temporarily closed the market and set up restricted areas for live poultry transactions. Zhong Nanshan said that these measures will help to achieve better prevention results. "In particular, the closure of the live poultry market has reduced the risk of infection among urban residents by 97% -99%."
    Prevention: Incentives to encourage target populations

    Zhong Nanshan called for the early production of a tetravalent vaccine that covers both A (H3N2, H1N1) and B (Victoria, Yamagata) viruses in order to enhance the preventive effect.

    He re-quoted the Guangdong Provincial Health and Family Planning Commission to prevent flu four reminders:

    1. Schools, nurseries, nursing homes and other collective units to be vigilant to take the morning check, absence registration, case monitoring, ventilation and disinfection and other influenza prevention and control measures.
    2. Various public places such as densely populated and highly mobile stations, shopping malls and other public places should step up prevention and control measures such as ventilation and environmental disinfection, and scientifically do a good job in prevention and control of influenza in various key places such as public places and transport vehicles.
    3. The public should raise their awareness of disease prevention and self-care, keep adequate sleep, keep a balanced diet and exercise. Flu should seek timely medical treatment if flu symptoms occur.
    4. The elderly, children and the infirm may be vaccinated at the CDC or vaccination clinic.

    "To deal with the flu, immunization is the best way to prevent it." Zhong Nanshan said frankly that the next outbreak of flu is only a matter of time, and prevention is the key. Some western countries vaccinate up to about 30% of the population, only about 1% of our country is far from enough. He disclosed that the target population (≥60 years old, children, medical staff and special trades) had been given a free flu vaccine in Beijing, Shanghai and Shenzhen.
    "Guangdong is a high-incidence area of ​​influenza and should be popularized free of charge or cut-price vaccination." Zhong Nanshan appealed, especially for the target population, hope the relevant departments to improve their funding for immunization prevention.
    Treatment: early use can reduce the spread of the virus
    "early in the epidemic, the use of anti-influenza virus drugs can reduce the spread of the virus." Zhong Nanshan said anti-influenza virus drugs for patients with flu-like clinical symptoms, and the region has reported flu When it appears.

    Recently, the National Health and Family Planning Commission released the latest "Influenza Diagnosis and Treatment Program" and specifically recommended a batch of anti-influenza virus drugs, oseltamivir, Lianhua Qingwen capsules and a number of western medicine, proprietary Chinese medicines in the column, but a stream, Banlangen, a prophylactic drug during SARS, is not a recommendation.

    In this regard, Zhong Nanshan combined with clinical observation said that in the flu-like symptoms within 48 hours, oseltamivir for early treatment, does help relieve fever and other symptoms, reduce the risk of pneumonia.

    And compared with oseltamivir, even Hua Qingwen capsules in reducing the duration and reduce the viral load with its efficacy similar. And Radix is ​​a long-term folk medicine, it is helpful for patients to use early. However, the role of isatis root needs to be further substantiated by a more normative, larger evidence-based medical study. "We are doing, hoping to understand more clearly the components of the Banlangen." Zhong Nanshan said that from the existing animal experiments, Banlangen not only has some anti-virus effect, but also by regulating the host immune response "virus Mediate inflammation. "

    Flu Q & A
    About the Quadruple Vaccine

    Q: Is it still necessary to vaccinate the trivalent vaccine?
    Zhong Nanshan: Trivalent vaccine for the recent prevention of this wave of influenza B is not too large, but does not mean that this year do not need vaccination. Because the next wave of flu may also be produced, the next wave of dominant strains is not necessarily type B Yamagata. Maybe the next wave is the other three. Therefore, the continued vaccination of trivalent vaccine now is effective in preventing other subtypes of influenza. In addition, the state is now trying to produce a tetravalent vaccine, may be listed in the second half.

    Q: Four-valent vaccine more than trivalent what changes?
    Zhong Nanshan: Trivalent did not add the current B-type Yamagata antigen, plus it becomes a tetravalent vaccine.

    Q: Some people in the public store oseltamivir phenomenon, what do you think?
    Zhong Nanshan: A cold does not necessarily use oseltamivir. Oseltamivir is only for flu, and for other viral infections, oseltamivir is useless.
    About Banlangen

    Q: The flu, northern China and the South What is the difference?
    Zhong Nanshan: The difference is not great. The ratio of Type B (Type B) influenza in the North has also been relatively high recently. However, no accurate statistical or epidemiological analysis has been done.

    Q: Is Radix still available as a flu medication? It is reported that after taking oseltamivir appeared adverse reactions?
    Zhong Nanshan: Radix is ​​a long-term folk drug, these drugs in my early use of the patient is helpful. Why is this not listed in the flu guide this time, and I would not think that was the reason I just mentioned. Radix now needs a more normative and larger evidence-based medical study to confirm. We are doing, hoping to understand the components of Radix more clearly.

    The adverse reactions of oseltamivir are individual cases and can not be generalized.

    http://www.zjwjw.gov.cn/art/2018/1/2..._15290213.html
    Last edited by Pathfinder; January 25, 2018, 01:18 PM. Reason: Bold text
    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

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