Virology Journal

official impact factor 2.55

Open Access Highly Access Research

Outbreak of pandemic influenza A/H1N1 2009 in Nepal

Bal Ram Adhikari1*, Geeta Shakya1, Bishnu P Upadhyay1, Khagendra Prakash KC1, Sirjana D Shrestha2 and Guna R Dhungana1

Author Affiliations

1 Department of Health Services, Molecular Virology Research Division, National Public Health Laboratory, Kathmandu, Nepal

2 Department of Health Services, Department of Microbiology, National Public Health Laboratory, Kathmandu, Nepal

For all author emails, please log on.

Virology Journal 2011, 8:133 doi:10.1186/1743-422X-8-133

Published: 23 March 2011

Abstract

Background

The 2009 flu pandemic is a global outbreak of a new strain of H1N1 influenza virus. Pandemic influenza A (H1N1) 2009 has posed a serious public health challenge world-wide. Nepal has started Laboratory diagnosis of Pandemic influenza A/H1N1 from mid June 2009 though active screening of febrile travellers with respiratory symptoms was started from April 27, 2009.

Results

Out of 609 collected samples, 302 (49.6%) were Universal Influenza A positive. Among the influenza A positive samples, 172(28.3%) were positive for Pandemic influenza A/H1N1 and 130 (21.3%) were Seasonal influenza A. Most of the pandemic cases (53%) were found among young people with ≤ 20 years. Case Fatality Ratio for Pandemic influenza A/H1N1 in Nepal was 1.74%. Upon Molecular characterization, all the isolated pandemic influenza A/H1N1 2009 virus found in Nepal were antigenically and genetically related to the novel influenza A/CALIFORNIA/07/2009-LIKE (H1N1)v type.

Conclusion

The Pandemic 2009 influenza virus found in Nepal were antigenically and genetically related to the novel A/CALIFORNIA/07/2009-LIKE (H1N1)v type.