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Saturday, December 31, 2011

Australia warns of oseltamivir-resistant H1N1.

The Los Angeles Times (12/29, Kaplan) "Booster Shots" blog reports that in Australia, which has "wrapped up its flu season months ago," public health officials are concerned by the finding that "in and around the Australian city of Newcastle, the Tamiflu [oseltamivir]-resistant H1N1 virus was spreading more easily among humans, according to a report being published in Thursday's edition of the New England Journal of Medicine." In a sample of 182 patients, 29 (16%) were resistant. "Genetic analysis of the flu samples revealed that all of the 29 patients were infected with a single strain," but experts are unsure how the strain was spread, since many patients "had no known epidemiologic link." Researchers "warned flu experts in the Northern Hemisphere to be on the lookout for this flu strain – or any other strain that is resistant to Tamiflu – this winter."
        HealthDay (12/29, Mozes) reports that the resistant virus was also resistant to "an older class of adamantine treatments (rimantadine and amantadine)." However, "the resistant strains remained 'fully sensitive' to treatment with another drug, Relenza (zanamivir)." Researcher Aeron C. Hurt, of the World Health Organization, noted that in 2007/2008, when "the pandemic 2009 A(H1N1) flu strain" developed resistance, "within 12 months the virus had spread globally, such that virtually every A(H1N1) virus around the world was resistant to [Tamiflu]." He expressed concern that a similar situation will occur with this strain.

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