Influenza
Influenza viruses are classified as genera A, B, and C, in accordance with the antigenic differences in their nucleoproteins (NP) and matrix 1 (M1) proteins (28). Influenza A (IAV) and B (IBV) viruses can result in severe upper respiratory disease in humans, while influenza C viruses (ICV) cause relatively mild disease (9, 23). Among influenza viruses, IAV and IBV are very similar in terms of genome structure and organization. IBV, along with influenza A(H3N2) and A(H1N1) viruses [including A(H1N1)pdm09 virus], cause seasonal influenza epidemics annually (9, 23). In the United States alone during 1976 to 2007, approximately 3,000 to 49,000 deaths each year have been attributed to these epidemics (42). Some reports indicate that in older children and healthy adults, influenza A(H3N2) virus is responsible for the most severe cases, followed by IBV, while influenza A(H1N1) virus infections tend to manifest as the mildest cases of illness (1,5,23,25). In some seasons, however, IBV may be the predominate strain responsible for influenza activities. This was best exemplified by the 1979-1980 season, in which IBV was the predominant strain circulating in the United States; therefore, it was responsible for influenza outbreaks and excess pneumonia and influenza deaths nationwide (39). Furthermore, IBV has been reported to be associated with central nervous system complications, such as Reye's syndrome and encephalitis in children (1).IBVs continue to circulate worldwide alongside IAVs. Actively circulating IBVs are divided into two genetically and antigenically