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The above isolate is from southeast Wisconsin and was collected December 15, 2009, so recent spread is unknown because there is only one 2010 HA sequence from Wisconsin. A change at the adjacent position, N231K has been circulating in southeast Wisconsin in the fall of 2009, but N231K is not in the above isolate. The acquisition of changes in or adjacent to the receptor binding domain is a concern because of potential effects on tissue tropism, as well as immune recognition. Release of additional 2010 sequences from Wisconsin and the rest of the US would be useful. Media Links Recombinomics
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