The current epidemic of swine influenza A/H1N1, began in Mexico City in March 2009, and has resulted in 1516 laboratory-confirmed cases, of whom 30 have died (at the time of writing, 6.5.09). Deaths have occurred predominantly in young healthy adults and the WHO have escalated the situation to Phase 5, indicating a pandemic is imminent. A novel virus has been identified as a reassortant of components of influenza A viruses of humans, pigs and birds. A new vaccine is already under development, and the CDC have recommended use of oseltamivir and zanamivir for treatment and prophylaxis.
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