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Update on 2009 pandemic influenza A (H1N1) virus
Cleveland Clinic Journal of Medicine, 10/05/09

Gordon SM – The pandemic of a novel strain of swine–origin influenza A (H1N1) is expected to make this a difficult flu season. Fortunately, this strain is relatively mild, and the principles of prevention, diagnosis, and treatment remain the same. Physicians will have a number of complex decisions to make about when to test, when to treat, and when to simply reassure.

• Vaccination this season will require two vaccines: a trivalent vaccine for seasonal influenza and a monovalent vaccine for 2009 pandemic influenza A (H1N1).
• Recent studies indicate that the monovalent vaccine for 2009 pandemic influenza A (H1N1) may require only one injection.
• To date, 2009 pandemic influenza A (H1N1) virus has not been exceptionally virulent and differs from conventional influenza in that it seems to disproportionately affect children and young adults. Pregnant women are at a higher risk of complications.
• Most people with 2009 pandemic influenza A (H1N1) do not need to be tested, treated, or seen by a clinician.
• Antiviral drugs should be reserved only for those at high risk of influenza complications.

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