Severe and Fatal Influenza Cases in Russia in 2014-2015

Abstract

This paper aims to characterize herd immunity of the population inhabiting Asian part of Russia before influenza epidemic and to describe influenza viruses isolated from severe cases including cases with fatal outcomes in the 2014-2015 epidemic season. HI test enabled us to study 3888 serum samples from healthy individuals including 1939 samples collected from poultry farm workers. We showed that none of the 3888 samples produced positive results with the antigens A/H5N1, А(H5N8) and A/H7N9. 41% of the samples are positive to A/California/07/09(H1N1pdm09), 36% of the samples are positive to A/Texas/50/2012 (H3N2), 40% of the samples are positive to B/Brisbane/60/2008 (Victoria lineage) and 47% of the samples are positive to B/Massachusetts/2/2012 (Yamagata lineage). In the 2014-2015 epidemic season 25 clinical and 19 autopsy samples were collected from individuals with severe flu-like infection. Fifteen influenza A(H3N2), two influenza A(H1N1pdm09) and one influenza B (Yamagata) virus strains were isolated in Madin-Darby Canine Kidney cell culture. All viruses exhibited normal inhibition by oseltamivir and zanamivir. A/KMAO/1/2015 and A/Kurgan/149/2015 were antigenically characterized as A/California/07/2009-like. Their hemagglutinin (HA) gene sequences fell into the predominant genetic group 6B and were similar to other recent H1N1pdm09 viruses circulating in Asian region. Eight H3N2 isolated viruses (A/Omsk/160/2015, A/Krasnoyarsk/324/2015, A/NizhnyNovgorod/788/2015, A/Omsk/141/2015, A/Buryatia/19/2015, A/Komi/99/2015, A/Novosibirsk/122/2015 and A/Chelyabinsk/160/2015) were characterized as A/Hong Kong/4801/2014-like and seven viruses (A/Irkutsk/88/2015, A/Krasnoyarsk/365/2015, A/Blagoveshchensk/19/2015, A/Kemerovo/2/2015, A/Chelyabinsk/160/2015, A/Chelyabinsk/192/2015 and A/Novosibirsk/64/2015) as A/Switzerland/9715293/2013-like. Their HA gene sequences belong to 3C.2a and 3C.3a genetic groups, respectively. B/Yekaterinburg/155/2015 virus was antigenically similar to B/Phuket/3073/2013 with HA sequence belonging to Y3 genetic group. Obtained findings are important for adjustment of public health measures and vaccine strategy in Russia.