>From - Journal of the American Medical Association August 12, 2009 Vol
302 No 6 - pages
679 and 680 -

"Understanding Influenza Backward" by D Morens MD and JK Tuabenberger MD PhD

- the entire last paragraph follows -

"Considering the long and confusing track record of pandemic
influenza, it is difficult to
predict the future course of the present H1N1 pandemic.

The virus' modest transmission efficiency, the possibility of a degree
of preexisiting
population immunity due to prior cross-reactive viruses and vaccines,
and its arrival in
the Northern Hemisphere as summer approaches all give reason to hope
for a more indolent
pandemic course and fewer deaths than in many past pandemics.

If summer weather in the Northern Hemisphere slows viral spread,
transmission may well
surge again in the fall or winter to create a seasonal wave, but
pandemic history suggests
that changes neither in transmissibility nor in pathogenicity are inevitable.

It will be critical to assess the effect of large-scale pandemic
outbreaks in the Southern
Hemisphere in the current and coming (winter) months.

Once again, influenza is showing its latest tricks and must be watched
closely to
understand what is happening. It is well to remember that, as
Kierkegaard said about life,
influenza epidemics are lived forward and understood backward."

(Is that poetic or what?)

(PS - hey - it just occurred to me - what ever happened to bird flu?)

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