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Solved and Problematic Issues of Influenza epidemiology one hundred years after Spanish Flu Pandemic

https://doi.org/10.31631/2073-3046-2019-18-5-109-120

Abstract

The history of influenza pandemics of the 20th century and the 2009 pandemic is analyzed, as well as the stages of parallel development of the influenza doctrine. Hypotheses and theoretical aspects explaining the mechanisms of formation of seasonal epidemics and pandemics are considered. Zooanthroponosis locates the Genesis of pandemic influenza type A and type anthropogenic   the essence of seasonal drift epidemics of influenza of all types. Taking into account the diversity of opinions of experts, it is proposed to return to the discussion of controversial epidemiological and virological issues officially recognized by WHO in 2009 of the pandemic to develop a unified concept of pandemic influenza on the basis of multi-level variability of the pathogens. We discuss the possibility of improving the prediction of epidemiological (epizoonotic) influenza situation by complex monitoring of the predictors of pandemics (epidemics, epizoonotics) in the hog production regions laboratories, epidemiological and veterinary profile. It is assumed that the probable causative agent of the next pandemic will be influenza virus of serasubtype A (Н2N2).

About the Authors

A. B. Belov
Medical Academy named after S.M. Kirov
Russian Federation

Alexander B. Belov – Cand. Sci. (Med.), associate professor of Department of General and Military Epidemiology of Military Medical Academy named  after S. M. Kirov.

6, Litera Zh, Аcademician Lebedev str., St. Petersburg., 194044.

+7 9315428624.



P. V. Kulikov
Medical Academy named after S.M. Kirov
Russian Federation

Pavel V. Kulikov – adjunct offederal of Military Medical Academy named  after S. M. Kirov.

6, Litera Zh, Аcademician Lebedev str., St. Petersburg, 194044.



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Belov A.B., Kulikov P.V. Solved and Problematic Issues of Influenza epidemiology one hundred years after Spanish Flu Pandemic. Epidemiology and Vaccinal Prevention. 2019;18(5):109-120. (In Russ.) https://doi.org/10.31631/2073-3046-2019-18-5-109-120

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ISSN 2073-3046 (Print)
ISSN 2619-0494 (Online)