Influenza season is in full force
      As you can see from the graphs, influenza has hit Southern California.  We are still at high, endemic levels of RSV (well over 10%), however the numbers look like they are leveling off or even declining.  For influenza we are seeing primarily influenza A but we have reports of influenza B from all reporting sites.  Remember that the CDC is reporting >98% resistance to Oseltamivir for H1N1 influenza A isolates, so recommends either Zanamivir or combination Oseltamivir + Rimantidine for empiric treatment of influenza A.  For now, it looks as though the vaccine is a good match for both H1N1 and H3N2 influenza A isolates (H3N2 retaining susceptibility to Oseltamivir) and that the influenza B isolates seems to be different from the vaccine strains, and so will be changed for next year's vaccine.  The complete information can be accessed at the CDC influenza site:  www.cdc.gov/flu
    
    


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