2020
DOI: 10.1017/s0950268820000412
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Co-circulation of influenza A(H1N1), A(H3N2), B(Yamagata) and B(Victoria) during the 2017−2018 influenza season in Zhejiang Province, China

Abstract: Influenza is a major human respiratory pathogen. Due to the high levels of influenza-like illness (ILI) in Zhejiang, China, the control and prevention of influenza was challenging during the 2017  2018 season. To identify the clinical spectrum of illness related to influenza and characterize the circulating influenza virus strains during this period, characteristics of ILI were studied. Viral sequencing and phylogenetic analyses were conducted to investigate the virus types, substitutions at the amino acid le… Show more

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Cited by 6 publications
(3 citation statements)
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“…In the influenza A/H3N2, the previous reports found R277Q and D69N at the antigenic epitope C, N137K, and N187K at the antigenic epitope D and E78K/G at the antigenic epitope E of the HA [ 60 , 61 ]. Among these, four amino acid substitutions (N137K, N187K, I422V, and G500E) belong to clade 3C.2a.1 and are represented by A/Singapore/INFIMH-16-0019/2016(H3N2) virus [ 62 ].…”
Section: Discussionmentioning
confidence: 99%
“…In the influenza A/H3N2, the previous reports found R277Q and D69N at the antigenic epitope C, N137K, and N187K at the antigenic epitope D and E78K/G at the antigenic epitope E of the HA [ 60 , 61 ]. Among these, four amino acid substitutions (N137K, N187K, I422V, and G500E) belong to clade 3C.2a.1 and are represented by A/Singapore/INFIMH-16-0019/2016(H3N2) virus [ 62 ].…”
Section: Discussionmentioning
confidence: 99%
“…The number of severe cases was also higher. [30][31][32] Therefore, there was an urgent need to study the pathogenicity and transmissibility of the major influenza viruses circulating in 2018.…”
Section: Discussionmentioning
confidence: 99%
“…In the influenza A/H3N2, the previous reports found R277Q and D69N at the antigenic epitope C, N137K and N187K at the antigenic epitope D and E78K/G at the antigenic epitope E of the HA (141,142). Among these, four amino acid substitutions (N137K, N187K, I422V and G500E) belong to clade 3C.2a.1 and are represented by A/Singapore/INFIMH-16-0019/2016(H3N2) virus (143).…”
Section: Discussionmentioning
confidence: 98%