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Paradigm Shift Intervention Monitoring
CDC Prepares to
Pivot To H3N2v Community Transmission
“It’s important to remember that this is an evolving situation that could change quickly,” Bresee notes. “We’re constantly looking at our data and re-evaluating.”
The above comments from the August 24 CDC H3N2v update, which acknowledges “limited” human to human transmission, mentions the West Virginia day care center cluster, as the CDC prepares to admit community transmission.
However, the CDC focus on pseudo-linkage to swine, and a failure to acknowledge the limited detection of the West Virginia sub-clade in swine, will delay a full understanding of the community spread, which has been largely ignored because of the focus on agricultural fairs.
Media continues to focus on swine to human spread, which has no real support, since the H3N2v sub-clade found in the first 10 cases in 2011 is widespread in swine, but has not caused any reported human cases in 2012.
The CDC should acknowledge community spread in Boyd County, Kentucky and Mason County, West Virginia, where H3 has been confirmed in children with no swine exposure. Ashland-Boyd County Health Department issued a press release and the Kentucky Department of Health issue a health alert on seasonal H3N2, yet neither will answer questions about CDC confirmation, which is also true for the CDC.
An outbreak of seasonal H3N2 in children in August in Kentucky near the Gallia Junior County Fair, were there were over 200 probable H3N2v cases (including 11 confirmed cases) is unlikely, and the refusal of the above agencies to answer questions on confirmation raise serious pandemic concerns, which have not been transparently addressed by the CDC.