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2015 Resurgence of Influenza A (H1N1) 09: Smoldering Pandemic in India?
The present resurgence of pandemic virus cannot be attributed to any single factor at this stage. The prolong cold and dry weather, possibility of drift virus, absence of annual flu vaccination could have played an integrated role in resurfacing of pandemic virus. The role of sero-epidemiology should be given its due importance for vaccination policy along with the molecular surveillance of the influenza virus circulating strains which is already ongoing in India through an established influenza surveillance network. Vaccination campaign, public awareness and education measures should continue in an optimum mode, even during the inter resurgence interval period, balancing the necessity vis-a-vis public panic. Lastly, considering the ecology, epidemiology, molecular biology of the pandemic virus, a modeling system should be developed to predict such resurgence in future and building up of herd immunity against all the circulating influenza viruses along with pdm H1N1 is essential to fight the battle with the virus.
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