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Commentary

Iowa trH3N2 Cluster of Five Forces WHO Alert 
Recombinomics Commentary 17:00
November 24, 2011

The three children attend the same daycare facility. There is an ongoing investigation and to date, no epidemiological link to swine has been identified in any of the three children. Additional investigation is currently underway to identify and characterize the illness in other daycare attendees, family members, or other contacts, and to determine any exposure to swine.

These are 16th, 17th and 18th cases of human infection with swine origin triple reassortant influenza A (H3N2) detected in the United States since 2009, and the 8th, 9th, and 10th cases reported this year.

WHO is closely following the situation with the US Government, CDC and other partners.

The above comments are from the WHO Global Alert and Response page, signaling trH3N2 transmission concerns.  The above described Iowa cluster of 5 has providing compelling evince that the novel trH3N2 is not due to “swine exposure”, the CDC narrative that has been in the category of "hopes and dreams" since the first case was identified in July.

Although the identities in the sequences in all 10 cases reported this year leaves little doubt that this is a human contagion, the CDC continues to attempt to maintain its “swine exposure” linkage, which is largely linked to biased testing

Sophisticated testing is required, and the CDC has only sequenced 3 influenza A positive samples collected from children under the age of 10 who were not  trH3N2 (9 were trH3N2 and all had the same constellation of genes with the same lineage).

More aggressive testing will generate an explosion of cases, which should be announced by the end of the year as the pandemic ramps up and other agencies begin to take notice.

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