Influenza virus Flashcards

1
Q

List the types of Influenza virus and identify the species associated with each type.

A

Type A- causes flu in Humans and many other –responsible for epidemics and pandemics (pandemic world wide)→ the one we will focus on

Type B- causes flu in humans- epidemics

Type C- causes flu in humans- mild disease
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2
Q

what is the visual difference between the seasonal influenza virus graph and the influenza pandemic of 1918 graph? (in regard to the x axis)

A

The season virus was U shaped higher incidence of illness related death with the very young and very old.

The pandemic virus of 1918 was W shaped (affecting the very young, very old and young adults)

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3
Q

explain Transmission of influenza: 3 major ways and details about each

A

1) Aerosol transmission- fine particles (just in normal breathing)
2) Large Droplet spray (talking, coughing)
3) Contact – direct or indirect

(unsure which mode of the 3 is most effective)

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4
Q

Symptoms of Influenza?

A
Sudden onset
	Fever (often high fever)
	Sore throat
	Myalgia 
	Fatigue
	Cough (generally dry)
	Ha (abbreviation for headache)
	(Generally no runny nose with flu)
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5
Q

Identify risk groups/complications associated with influenza virus infections

A
Risk: children under 2 yrs old
•	Adults over 65 yrs old
	(both due to weakened immune system)
•	Pregnant women (for reasons unknown)
•	People with preexisting conditions (ie..asthma, chronic lung disease, immune compromised, heart disease)

Mortality rate: < 0.1% , however a lot of people get the flu and not always recorded

On average in the US about 23,000 deaths/yr (but varies every year from 6-48K)

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6
Q

Describe how climate change may affect influenza transmission?

A

Influenza has seasonality

Temperate climates- winter

In tropical climates- all year round→ but increase during rainy season

In sub-tropical climates- can have 2 flu seasons (winter and summer)

No one knows for certain but speculation is that climate change will bring about more opportunity for influenza.

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7
Q

Identify the surface molecules associated with all influenza A virus infections?

A

These surface molecules:

Hemoglutinin- (HA, or H)→ binds to the receptor on the cell , also responsible for virus entry- one of the major antigenic proteins (it makes an immune response )
In nature there are 16 HA’s
Called H1 – H16

Neuraminidase – (NA, or N) → responsible for the release of infected virus cells, another antigenic protein (not as important as HA)
In nature there are 9 NA’s
Called N1-N9

Commonly known: H1N1 (swine virus), H3N2 (immerged in 1968), H7N9 (immerging in China currently in humans)

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8
Q

Where in nature do we find influenza?

A
Humans
	Pigs
	Chickens
	Turkeys
	Cats (including Tigers)
	Horses
	Dogs 
	Ferrets/mink 
	Seals/whales
	Ducks/geese/waterfowl *** CENTRAL 
(cicle some interconnected)
  • In Waterfowl ALL 16 HA’s and ALL 9 NA’s
  • GI infection in Waterfowl
  • Little disease in waterfowl → suggestive of it being around in waterfowl for a long time allowing it to adapt.
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9
Q

In humans seasonal epidemics are due to ______?

A

Antigenic drift

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10
Q

What is Antigenic Drift?

A

minor frequent changes in the amino acid sequence of proteins recognized by the immune system as a result of point mutations. Responsible for Epidemics (continual process) high mutation rate.

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11
Q

In humans Pandemics occur due to ______?

A

Antigenic Shift

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12
Q

What is Antigenic Shift?

A

Large, rare changes in the amino acid sequence of proteins recognized by the immune system as a result of genetic reassortment. (global change)→ responsible for Pandemics
Reassortment- is the exchange of portions of RNA between influenza viruses.

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13
Q

How is Reassortment possible for influenza virus?

A

reassortment is possible because influenza has a SEGMENTED GENOME ( 8 separate segments)

So if 2 viruses combine it can produce and offspring with an assortment of the 16 possible segments into 8 new segments

Example: if H1N1 + H3N2 = H1N2 (and if it replicates well than you could experience antigenic shift)

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14
Q

Earliest documented influenza pandemic?

A

1500’s –> early 1800’s (but not very good data)

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15
Q

1st documented influenza PANDEMIC with MEDIA publicity?

A

1889 Russian Flu

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16
Q

List the characteristics of the 1918 influenza pandemic?

A

• 1918→ Spanish Flu- H1N1 virus- avian like virus (jumped from birds to humans directly—but not 100% sure) → origin is unclear→ earliest reports of disease came from Kansas. Occurred during WWI (probable exacerbated disease- lots of people in small areas , training camps. And international travel. Unique to this pandemic: graph was not U shaped but W shaped.

o Single most deadly outbreak of the human disease (occurred w/I a year)

o Mortality in 1918 was 2.5%

o Estimates for death was approximately 50 million (estimates vary from 20 million to 100 million)

17
Q

Identify the subtypes that caused each of the pandemics beginning with the one in 1918?
(Don’t need to know dates but MUST know the correct ORDER in which they occurred )

A

All decendents of the 1918 virus:
o 1957→ Asian flu (H2N2)
o 1968→ Hong Kong Flu (H3N2)
o 1977→ Russian Flu (H1N1)
o 2009→ Swine Origin Flu, Pandemic H1N1, A/H1N1 (H1N1)
( the H1N1 were different not the same virus for Russian, Hong Kong, swine)

18
Q

Identify the know major avian influenza virus threats to public health

A

Avian Influenza Virus: aka bird flu → H5N1 virus
o caused a total of 637 KNOWN infections
o most occur in SE Asia
o mortality rate (about 60%)
o however it doesn’t seem to transmit among people- little if any transmission among people (person to person)

• H7N9→ Avian virus→caused infections in people between March and June 2013
o China
o About 140 infections
o About 45 deaths