Influenza epidemiology Flashcards

(34 cards)

1
Q

How does the influenza virus enters a host cell

A

It binds sialic acid receptors via hemagglutinin and undergoes endocytosis

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2
Q

What triggers the fusion of the viral membrane with the host membrane

A

Low -ph innduced conformational changes in HA

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3
Q

Where does influenza virus RNA replication occur

A

in the nucleus of the host cell

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4
Q

How are new influenza virions released from the host cell

A

By budding at the plasma membrane

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5
Q

What family does the innfluenza virus belong to

A

Orthomyxoviridae

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6
Q

Which type of influenza virus has the highest pandemic potential

A

Influenza A

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7
Q

Which influenza virus primarily affects humans and causes seasonal epidemics

A

Influenza B

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8
Q

What allows influenza viruses to undergo genetic reassortment

A

Their segmented RNA genome

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9
Q

What is antigenic drift

A

Small mutations in HA/NA proteins causing seasonal flu variations

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10
Q

What is the antigenic shift

A

Major genetic reassortment events leading to pandemics

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11
Q

What does A/California/04/2009 H1/N1 represent

A

A= influenza type
california =first isolation location
04= isolation number
2009= year of isolation
H1N1= HA and NA subtype

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12
Q

What species are common hosts for influenza

A

Human pigs horses and birds

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13
Q

Why are pigs considered mixinng vessels for influenza viruses

A

They have both a2-3 (avian ) and a2-6 (human ) receptors allowing reassortment

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14
Q

What are the 2 primary transmission routes of influenza

A

Airborne droplets
Direct contact with contaminnated surfaces

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15
Q

What is the incubbation period for influenza

A

1-4 days

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16
Q

What are the common symptoms of influenza

A

Fever ,cough, muscle aches ,fatigue and sore throat

17
Q

Who are at high risk for severe influenza complications

A

Elderly , immunocomprimised individuals , pregnant women

18
Q

What is influenza season inn the northern hemisphere

A

November to March

19
Q

How does climate affect innfluenza transmission

A

Cold temperature and low humidity enhance virus spread

20
Q

Which influenza pandemic caused the highest mortality

A

The 1918 H1N1 pandemic (spanish flu ) caused 50 million deaths

21
Q

What is a cytokine storm

A

An excessive immune response causing severe immunne response causinng severe inflammation seen in severe flu cases

22
Q

Name 3 other influennza pandemics

A

1957(H2N2),1968 (H3N2) and 2009(H1N1)

23
Q

Which avian influenza strains are highly pathogenic

A

H5N1 and H7N9

24
Q

What is the significance of H5N1 in mammals

A

It has been detected in cattle and causes human infections

25
How many mutations in HA are needed for airborne transmission in ferrets
Five mutations
26
What global system predicts seasonal flu strains
GISRS
27
Name 3 types of influenza vaccines
Egg based reassortment vaccines cDNA based vaccinnes Universal flu vaccines
28
What are the main classes of antiviral drugs for influenza
M2 innhibitors (adamantanes ) Neuraminnidase innhibitors (NAIs) RNA polymerase inhibitors
29
Why are adamantanes no longer reccomended
High levels of resistance
30
What is the mechanism of action of neuraminidase inhibitors
They block viral release from infected cells
31
Name an Rna polymerase inhibitor used against influenza
Baloxavir(XOfluza)
32
What are the 2 main mechanisms of influenza virus evolution
Antigenic drift and antigenic shift
33
What makes influenza pandemics possible
Genetic reassortmennt events
34
Why is continnuous surveilance of influenza necessary
To detect and control emerging strains before they cause pandemics