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H3N2v Ohio Cases Increase to 99 in 23 Counties
Recombinomics Commentary 22:00
August 27, 2012

Ashland (1), Athens (8), Butler (17), Champaign (15), Clark (3), Fairfield (1), Franklin (4), Gallia (12), Greene (6), Hamilton (3), Henry (5), Huron (3), Jackson (1), Licking (2), Medina (1), Monroe (2), Montgomery (2), Morrow (1), Preble (1), Richland (2), Ross (7), Union (1), Warren (1).

The above list represents the August 24 tally of H3N2v cases confirmed in Ohio by the Ohio Department of Health (ODH).  The number of cases increased from 98 to 99, while the number of counties remained at 23.  These short term increases signal increased testing, but also strongly suggests that many of the totals will represent serious undercounts.

Gallia county increased to 12 from 11, which is the first increase since the August 13 report, although media reports indicate the 3 cases in Mason County, West Virginia attended the Gallia Junior County Fair and the WVDH has warned of more cases.

The 6 "seasonal" H3N2 cases in Ashland, Kentucky did not attend fairs in Ohio or West Virginia, but the tri-state cluster remains curious. West Virginia is also reporting "seasonal" H3 raising concerns that H3N2v cases in West Virgina and Kentury are being misdiagnosed because of limitations in the CDC RT-PCR test and expectations of seasonal H3N2 in cases with no swine exposure.

The continued increase in confirmed counties supports efficient human to human transmission, CDC qualifiers notwithstanding.

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