Flu update

The Advisory Committee on Immunization Practices (ACIP) recommendations for the 2012-2013 flu season are now available. The Vaccine Information Statements (VIS) for influenza for the 2012-2013 season are also online. 

Influenza A H3N2v is a variant virus recently detected in the United States. The first case of H3N2v was detected in summer of 2011, with 12 total cases being detected in all of 2011. The virus has already been found in over 200 individuals to date in 2012. Maine has not identified any cases in 2012. Influenza A H3N2v is associated with exposures to pigs, and most cases had either direct contact with pigs, or indirect contact such as visiting a fair.

Maine identified 2 cases of influenza A H3N2v in the fall of 2011. Both of Maine’s cases had fair exposures, and one had direct pig contact.

Symptoms of influenza A H3N2v are similar to regular influenza including fever, cough, sore throat, and body aches. This virus can spread between humans and pigs, so sick humans should avoid animal contact, and the general public should avoid contact with ill animals.

Maine CDC and the Maine Department of Agriculture remind everyone to exercise good judgment while attending agricultural fairs. For recommendations and more information, see the health alert Maine CDC issued on Aug. 7.

Influenza

The Vaccine Information Statements (VIS) for influenza for the 2012-2013 season are now available.

Multiple infections with variant influenza A (H3N2v) viruses have been identified in three states in recent weeks. From July 12 through August 3, 2012, 16 cases of H3N2v were reported and confirmed by US CDC. This virus was first detected in humans in July 2011. It has also been isolated in U.S. swine in many states.

 

Since July 12, 2011, there have been 29 cases of H3N2v virus infection, including the 16 cases occurring in the last three weeks. Maine confirmed two cases of H3N2v influenza in 2011, but no new cases have been detected to date in 2012.

 

Each of the 16 recent cases reported contact with swine prior to illness onset; in 15 cases, contact occurred while attending or exhibiting swine at an agricultural fair. While the viruses identified in these cases are genetically nearly identical, separate swine exposure events in each state were associated with human infections. Maine CDC and the Maine Department of Agriculture remind everyone to exercise good judgment while attending agricultural fairs.

Interim Recommendations for the Public

• Persons who are at high risk for influenza complications (e.g., underlying chronic medical conditions such as asthma, diabetes, heart disease, or neurological conditions, or who are pregnant or younger than 5 years, older than 65 years of age or have weakened immune systems) should consider avoiding exposure to pigs and swine barns this summer, especially if ill pigs have been identified.
• Persons engaging in activities that may involve swine contact, such as attending agricultural events or exhibiting swine, should wash their hands frequently with soap and running water before and after exposure to animals; avoid eating or drinking in animal areas; and avoid close contact with animals that look or act ill.
• Patients who experience influenza-like symptoms following direct or close contact with pigs and who seek medical care should inform their health care provider about the exposure.
• Patients with influenza-like illness who are at high risk for influenza complications (e.g., underlying chronic medical conditions such as asthma, diabetes, heart disease, or neurological conditions, or who are pregnant or younger than 5 years, older than 65 years of age or have weakened immune systems) should see their health care provider promptly to determine if treatment with antiviral medications is warranted.
• Influenza viruses have not been shown to be transmissible to people through eating properly handled and prepared pork or other products derived from pigs. For more information about the proper handling and preparation of pork, visit the USDA website fact sheet “Fresh Pork from Farm to Table.”

 

Interim Recommendations for Health Care Providers  

• Clinicians who suspect influenza in persons with recent exposure to swine should obtain a nasopharyngeal swab or aspirate from the patient, place the swab or aspirate in viral transport medium, and contact their state or local health department to arrange transport and request a timely diagnosis at a state public health laboratory.
• Reverse-transcription polymerase chain reaction (RT-PCR) testing for influenza should be considered for patients with influenza-like illness prior to the start of the traditional influenza season in October.
• RT-PCR testing for influenza should be considered throughout the year for patients with influenza-like illness reporting recent swine exposure and for those who can be epidemiologically linked to confirmed cases of variant influenza.
• Commercially available rapid influenza diagnostic tests (RIDTs) may not detect H3N2v virus in respiratory specimens. Therefore, a negative rapid influenza diagnostic test result does not exclude infection with H3N2v or any influenza virus. In addition, a positive test result for influenza A cannot confirm H3N2v virus infection because these tests cannot distinguish between influenza A virus subtypes (they do not differentiate between human influenza A viruses and H3N2v virus). Therefore, respiratory specimens should be collected and sent for RT-PCR testing at a state public health laboratory.
• Clinicians should consider antiviral treatment with oral oseltamivir or inhaled zanamivir in patients with suspected or confirmed H3N2v virus infection. Antiviral treatment is most effective when started as soon as possible after influenza illness onset.

 For more information, see the health alert Maine CDC issued on Aug. 7.