2014
DOI: 10.3201/eid2009.131082
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Swine-to-Human Transmission of Influenza A(H3N2) Virus at Agricultural Fairs, Ohio, USA, 2012

Abstract: Local health care providers should be alerted to the possibility of human infection with variant influenza A viruses, especially during fairs.

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Cited by 81 publications
(71 citation statements)
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“…This has raised concerns that these novel reassortant influenza viruses in swine may pose a threat to humans and gain the ability for human-tohuman transmission. Indeed, novel reassortant H3N2 viruses containing the matrix gene from A(H1N1)pdm09 (H3N2 variants [H3N2v]) that emerged in swine have been reported to infect humans in the United States, and most of the infected patients had been either directly or indirectly exposed to pigs (27,28). Furthermore, limited human-to-human transmission has been found (28).…”
mentioning
confidence: 99%
“…This has raised concerns that these novel reassortant influenza viruses in swine may pose a threat to humans and gain the ability for human-tohuman transmission. Indeed, novel reassortant H3N2 viruses containing the matrix gene from A(H1N1)pdm09 (H3N2 variants [H3N2v]) that emerged in swine have been reported to infect humans in the United States, and most of the infected patients had been either directly or indirectly exposed to pigs (27,28). Furthermore, limited human-to-human transmission has been found (28).…”
mentioning
confidence: 99%
“…Table 2). 21 The estimated rRT-PCR sensitivity for nasal wipes compared to nasal swabs was 92.9% and the estimated IAV isolation sensitivity for nasal wipes compared to nasal swabs was 82.9%. Edwards et al, previously noted that nasal wipes that were positive both by rRT-PCR and virus isolation averaged a lower Ct value (24.32) than nasal wipes that were positive by rRT-PCR but negative for virus isolation (Ct = 31.96).…”
Section: Detection Of Influenza a Virus Nucleic Acidmentioning
confidence: 95%
“…Agricultural fairs are the largest settings for the comingling of people and swine in the United States and are known sites for the zoonotic transmission of IAV. [15][16][17][18][19][20][21] In 2012, during the outbreak of a variant H3N2 IAV, 93% of cases reported attendance at an agricultural fair in the days prior to onset of disease. 15 Genomic analysis of viral isolates from exhibition pigs compared with human isolates confirmed zoonotic transmission.…”
Section: Introductionmentioning
confidence: 99%
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“…A complete genotype was generated by combining the designations for all eight segments. To reduce the redundancy of strains from single outbreak events at swine exhibitions [16,[41][42][43], viruses with identical genotypes collected on the same date, within the same state, and submitted by the Ohio State University through active swine surveillance swine exhibition projects were marked and grouped. From these data, a single randomly chosen virus from each group was included in subsequent analyses.…”
Section: Methodsmentioning
confidence: 99%