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Clinical Update

A pandemic that’s not bird flu? Pigs might fly

Sanjaya N Senanayake
MJA 2009; 191 (1): 38-40
Abstract
  • With the recent outbreak of swine influenza, the world may be facing this century’s first influenza pandemic.

  • In Mexico, around 2000 patients have been hospitalised with respiratory illness and almost 150 people have died. Several other countries have reported smaller numbers of suspected and confirmed cases of swine influenza.

  • This 2009 influenza A virus is a strain of the H1N1 subtype, and appears to be a human–avian reassortment swine virus influenza.

  • It is likely that sustained human-to-human transmission of swine influenza has occurred, at least in Mexico.

  • Despite there being so many hospitalised patients in Mexico, cases outside Mexico have demonstrated a mild influenza-like illness, with only one fatality to date.

  • In contrast to the 1918 influenza pandemic, we now have a more robust public health system, with widespread global networks; vaccines can be developed rapidly; and there are antiviral medications to which the swine influenza A(H1N1) virus is sensitive.

  • Many resources have been invested in pandemic preparedness programs in the health care and public health systems in Australia over the past few years.

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©The Medical Journal of Australia 2009 www.mja.com.au PRINT ISSN: 0025-729X ONLINE ISSN: 1326-5377