Information on Influenza A (H3N2) Variant Viruses (“H3N2v”)
H3N2v Background
Between August and December 2011, 12 U.S. residents were found to be infected with an influenza A H3N2 variant virus (H3N2v) with the matrix (M) gene from the 2009 H1N1 pandemic virus. This M gene may confer increased transmissibility to and among humans, compared to other variant influenza viruses. This virus also has been found in swine in many U.S. states. Investigations into the human cases revealed infections with these viruses following contact with swine as well as some limited human-to-human transmission. In 2012, another case of H3N2v in a child was detected in April. Then, beginning in July 2012, multiple H3N2v human infections were identified. CDC issued a Health Advisory and held a telebriefing on this situation on August 3, 2012.It's possible that sporadic infections and even localized outbreaks among people with this virus will continue to occur. While there is no evidence at this time that sustained human-to-human transmission is occurring, all influenza viruses have the capacity to change and it's possible that this virus may become widespread. So far, the severity of illnesses associated with this virus in people has been similar to the severity of illnesses associated with seasonal flu virus infections. Limited serologic studies indicate that adults may have some pre-existing immunity to this virus while children do not. CDC is closely monitoring human infections with all novel influenza viruses, including H3N2v viruses, and will provide more information as it becomes available.
For more general information about variant influenza viruses, see Variant (Swine Origin) Influenza Viruses in Humans.
For more detailed information about previous cases of H3N2v infection, see Reports of Human Infections with Variant Viruses.
Table. Case Count: Detected U.S. Human Infections with H3N2v by State since August 2011
States Reporting H3N2v Cases | Cases in 2011 | Cases in 2012 |
---|---|---|
Hawaii | 1 | |
Indiana | 2 | 5 |
Iowa | 3 | |
Maine | 2 | |
Ohio | 10 | |
Pennsylvania | 3 | |
Utah | 1 | |
West Virginia | 2 | |
Total | 12 | 17 |
This chart indicates the number of CDC-reported infections with H3N2v variant influenza A viruses since August 2011 and is current as of August 3, 2012. This case count will be updated weekly each Friday.
NOTE: The state totals reported by CDC may not always be consistent with those reported by state health departments. If there is a discrepancy between these two counts, data from the state health departments should be used as the most accurate number.
Protect Yourself Against H3N2v
Information for Health Professionals
Below is guidance for health care professional relevant to H3N2v.- August 3, 2012 CDC Health Advisory: Increase in Influenza A H3N2v Virus Infections in Three U.S. States
- Prevention Strategies for Seasonal and Influenza A(H3N2)v in Health Care Settings
- Interim Guidance for Influenza Surveillance: Additional Specimen Collection for Detection of Influenza A(H3N2)v Virus Infections
- Interim Guidance on Specimen Collection, Processing, and Testing for Patients with Suspect Influenza A(H3N2)v Virus Infection
- Interim Guidance on Case Definitions to be Used For Investigations of Influenza A(H3N2)v Virus Cases
Information for Schools & Childcare Providers
Resources
Information and materials, including educational posters [389 KB, 1 page] that can be displayed around animal exhibits, are available in Compendium of Measures to Prevent Disease Associated with Animals in Public Settings, 2011.
Materials from North Carolina Department of Agriculture and Consumer Services
Reduce Your Risk (English)
Reduce Your Risk (Spanish)
Materials from Colorado Department of Public Health and Environment
Signs for Strollers at Fairs
Materials from North Carolina Department of Agriculture and Consumer Services
Reduce Your Risk (English)
Reduce Your Risk (Spanish)
Materials from Colorado Department of Public Health and Environment
Signs for Strollers at Fairs
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