What to do about the potentially pandemic swine virus detected in China?

China has a fantastic flu surveillance system in place in all its provinces. They track the occurrence of influenza outbreaks originating from birds, humans or pigs.

And they do so because, as the scientists say in the article, “systematic surveillance of influenza viruses in pigs is key to both early warning and preparedness for a potential pandemic”.

Between 2011 and 2018, in their surveillance of influenza viruses from pigs, the researchers found what they called “a recently emerged genotype 4 (G4) that has been reclassified as an H1N1 virus, similar to those from Eurasian birds (EB)”.

In that paper, they called the G4 EA H1N1 virus, and they argued that it had been spreading very slowly since 2013, becoming the key component of the H1N1 swine-origin virus that was detected in China in 2018.

What is interesting is that the antibody tests showed that the workers on the pig farms in the affected areas were infected.

Among the workers tested, about 10% (35 people out of 338) showed signs of having contracted the new G4 EA H1N1 virus in the past and people aged 18-35 seemed more likely to have had it.

Most notably, however, a small percentage of the total blood samples collected also tested positive for antibodies; these samples came from people who had little contact with the pigs in the first place, i.e. these people had also had the virus in the past.

It is very relevant that so far researchers have not found evidence that human-to-human transmission of the virus is possible.

Infectious efficiency and aerosol transmission in ferrets” has been discovered, meaning that there is evidence that the new virus can be spread through airborne droplets from ferret to ferret (these are animals that are often used as surrogates for humans in studies of influenza viruses).

Ferrets infected with the G4 virus became ill, lost weight and suffered lung damage, as did other ferrets infected with a seasonal strain of the human-origin H1N1 flu virus.

It was also found that the virus can infect cells in the human respiratory tract, and most people still do not have antibodies to G4 viruses, meaning that most human immune systems lack the tools to fight off illness if faced with such a virus.

In summary: This virus has been circulating for years, is known to jump from pigs to humans, and meets all the requirements to become one of those infectious diseases that researchers call PPP (potentially pandemic pathogen).

If a human is infected, how serious is it?

We don’t have a lot of data to work with yet, but it’s likely that people who have had these infections in the past won’t even remember that they had them.

New articles on the subject do not offer much detail, but none of the people from whom the samples came died from this virus.

There are no indications that this new virus has had a great impact or spread in the regions of China where it has been detected, as this country has excellent virus surveillance systems and at this time there is no reason to be afraid.

What’s going to happen now?

People working in the field (infectious disease research) are alert, but not alarmed. New flu strains emerge from time to time and you need to be prepared to respond to them, you need to pay close attention to any possible signs of human-to-human transmission.

In other words, you can tell if someone has so-called “influenza A” (a type of flu virus that is normally detected in seasonal flu). But this is a very general term that covers many types of flu strains.

There is no specific test yet for this particular strain discovered in China, but one can develop quickly.

It is key to be prepared in the laboratory for unusual outbreaks of flu. This preparedness underlines the importance of pandemic planning, current virus surveillance systems and the implementation of comprehensive health policies.

And, as with all influenza, the best defenses are careful hand washing and maintaining social distance in case others, or the same person, have even the slightest symptom.

Author: Ian M. Mackay, Adjunct Assistant Professor, The University of Queensland

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This article is republished from The Conversation under a Creative Commons license. Read the original article.

Prevalent Eurasian avian-like H1N1 swine influenza virus with 2009 pandemic viral genes facilitating human infection.