“…Depending on the study and region analyzed, individuals under the age of 25 years represented 45% to 60% of infected subjects, though the pathogenic effects of H1N1 virus infection were most pronounced in individuals more than 60 years old (4,36). These findings, as well as recent immunological studies from our laboratory and other laboratories (11,17,20,22,25,33,39,48,51,52,55,61,62), suggest that previous encounters with vaccines or viruses provide immunological advantages and immunological memory in the population despite the "serological distance" between the hemagglutinin (HA) and neuraminidase (NA) proteins of seasonal and pandemic strains.…”