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The presence of G158E and D225G in China was anticipated because of the large number of swine H1N1 isolates from Guangdong province with both G158E and D225G. The recent collection of Nanjing/1 raises concerns that these markers may be emerging as the flu season in the southern hemisphere approaches peak activity, as seen in the spike in cases in Australia. This activity may be spilling over into regions in the northern hemisphere. An increase in cases in India has been noted, including a hospitalized case from Australia. In addition, ARI/influenza activity in Ukraine is approaching epidemic levels, which is unusual from July. In the United States there has been a spike in pneumonia cases in Indiana, which has been attributed to “bronchitis” and “allergies” linked to “hot and humid weather”. However, this speculation is nit supported by lab results and is similar to the misdiagnosis of H1N1 symptoms which was widespread in the United States just over a year ago as H1N1 spread through schools at the beginning of the new school year. Media Links Recombinomics
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