https://publichealthmatters.blog.gov.uk/2016/01/28/why-swine-flu-is-now-considered-a-normal-seasonal-flu-strain/

Why "swine flu" is now considered a normal, seasonal flu strain

Flublog

We’ve reached the point in the season where flu is now circulating, and there’s been a number of national media articles recently about ‘swine flu’ cases in the UK. With memories of the 2009 pandemic still in mind, it’s perhaps not surprising that there’s alarm when we hear about swine flu, but the reality is that today, ‘swine flu’ is considered regular seasonal flu.

Swine flu was the unofficial name given to the new strain of influenza (flu) that was responsible for the flu pandemic in 2009-2010. However this specific strain of influenza - A(H1N1)pdm09 – is now circulating each year and is considered a normal seasonal flu strain, which is covered by the annual seasonal flu vaccine. If you’d like to know more about how vaccines are tailored to seasonal flu we blogged about it last year.

Prior to 2009 only people exposed to the H1N1 virus strains, circulating before a similar 1957 pandemic, were considered likely to have any degree of cross-protective immunity. However because A(H1N1)pdm09 has been circulating in the population each flu season since  2009, the proportion of the population with some degree of immunity, either naturally acquired or through vaccination, has been rising.   As a result, A(H1N1)pdm09 is now regarded as one of the seasonal flu strains and if you had flu in the past six years, it’s quite possible A(H1N1)pdm09 was the culprit.

That’s also true this flu season where virus surveillance from the UK and elsewhere in Europe show that A(H1N1)pdm09 is now the main circulating seasonal flu virus. The good news is that the virus samples we’ve examined in our PHE reference labs show that the circulating strains of flu are a good match for this seasons flu vaccine, at this stage. Flu is dynamic and things can change, which is why we continually monitor during the year and provide weekly updates on the latest situation.

So can we all relax when it comes to flu caused by A(H1N1)pdm09? Unfortunately no, immunity wanes over time, the virus can evolve and there are other strains of influenza circulating which continue to make the flu vaccine the most important step in protecting vulnerable people against flu infection.

For most people influenza infection is just a nasty experience, but for some it can lead to illnesses that are more serious, including bronchitis and secondary bacterial pneumonia, which can be life threatening. Previous flu seasons dominated by A(H1N1)pdm09 suggest this strain particularly affects children, pregnant women, and adults with long term conditions like chronic heart disease, liver disease, neurological disease and respiratory disease in particular.

Vaccination  remains the best way for those at highest risk of the severe effects of the virus to protect themselves and others from flu this winter and it’s encouraging to see the number of people who’ve taken steps to protect themselves this winter. The latest PHE data published today (January 2016) shows vaccine uptake rates of:

  • 41.4% in all pregnant women
  • 69.8% in 65+ year olds
  • 43.6% in people under age 65 with a long term health condition
  • 34% in all 2 year old children
  • 35.9% in all 3 year old children
  • 28.9% in all 4 year old children

Another key part to the fight against flu is flu vaccination among key groups including health and social care workers. This helps to not only protect the workers, but also helps protect the vulnerable patients that they might look after, who are at greater risk of the serious consequences of flu.

Our latest figures show 47.6% of frontline healthcare workers had received their influenza vaccination as of 31 December 2015.

It’s great so many people have taken steps to protect themselves against seasonal flu, and as flu circulates it’s important that people remain alert, but not alarmed, about the risk of seasonal flu.

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