2012
DOI: 10.1111/j.1750-2659.2011.00323.x
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The impact of pandemic influenza A (H1N1) 2009 on the circulation of respiratory viruses 2009–2011

Abstract: Please cite this paper as: Mak et al. (2012) The impact of pandemic influenza A (H1N1) 2009 on the circulation of respiratory viruses 2009–2011. Influenza and Other Respiratory Viruses 6(3), e6–e10.Surveillance of respiratory viruses has been conducted for many years at the public health laboratory in Hong Kong. With the occurrence of pandemic influenza A (H1N1) 2009, we observed a change in the seasonality of influenza activity with a seemingly corresponding change in the activity of respiratory syncytial vir… Show more

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Cited by 68 publications
(78 citation statements)
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“…This downward trend in 2009 may have been associated with the extensive circulation of H1N1 in this period. A similar phenomenon was reported by Mak and co-workers in Hong Kong and is most likely explained by virus interference 11 . Regarding the severity of respiratory infections, using ICU admission as a surrogate measure, we observed higher rates of ICU admission for RSV and ADV infection in 2007 and 2010, whereas in 2008 and 2009, the highest rates of ICU admission were attributable to H1N1 and ADV ( Table 1).…”
Section: Number Suspicious/confirmed Casessupporting
confidence: 55%
“…This downward trend in 2009 may have been associated with the extensive circulation of H1N1 in this period. A similar phenomenon was reported by Mak and co-workers in Hong Kong and is most likely explained by virus interference 11 . Regarding the severity of respiratory infections, using ICU admission as a surrogate measure, we observed higher rates of ICU admission for RSV and ADV infection in 2007 and 2010, whereas in 2008 and 2009, the highest rates of ICU admission were attributable to H1N1 and ADV ( Table 1).…”
Section: Number Suspicious/confirmed Casessupporting
confidence: 55%
“…This phenomenon has been shown experimentally in animal models (1)(2)(3), as well as in humans given the live-attenuated IAV vaccine in clinical studies (4)(5)(6)(7), and has been postulated as a major factor in determining the rate of IAV antigenic drift (8). This temporary immunity has also been observed epidemically when the respiratory syncytial virus season was delayed as a result of the 2009 pandemic IAV outbreak occurring earlier than is normally seen with seasonal strains (9)(10)(11). Although observations of influenza-induced temporary immunity are well documented, how this protection is established is unknown.…”
mentioning
confidence: 87%
“…The putative mechanism that would create dependence or interference among waves of different co-circulating respiratory viruses would be post-infection raised antibody or cytokine concentrations [53][54][55] generated by one viral epidemic preventing an epidemic of a different virus from taking off immediately thereafter. Epidemiological interference among respiratory viruses has been observed in long-term time series in temperate 56,57 and tropical 58 regions, but the strength and duration of this effect is not well understood. In our community study, additional molecular confirmations for a range of respiratory pathogens are now underway to further describe this phenomenon.…”
Section: Discussionmentioning
confidence: 99%