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Guangdong reports H1N1 outbreak in primary school as flu activity declines

The Guangdong Provincial Center for Disease Control and Prevention announced that between March 3 and March 9, 2025, one influenza outbreak was reported in the province, occurring in a primary school and caused by the H1N1 influenza A virus.

(Photo: Nanfang Plus)

Key Epidemiological Data: Influenza-Like Illness (ILI) Surveillance

During the 10th week of 2025 (March 3-9), sentinel hospitals reported that ILI cases accounted for 5.87% of total outpatient and emergency department visits, a slight decrease from the previous week's 5.90% but aligning with the baseline level (5.89%).

Virological Surveillance

The positivity rate for influenza viruses in tested ILI specimens was 17.49%, marking a continuous decline from 23.13% the prior week but remaining above the baseline (12.44%).

Among positive samples, the H1N1 influenza A virus dominated, accounting for 94.15% of detections.

Outbreak Reporting

One influenza outbreak was reported this week, occurring in a primary school and attributed to the H1N1 strain. Kang Min, Director of the Infectious Disease Prevention and Control Institute at GDCDC, emphasized, "While Guangdong's flu activity continues to decline and is expected to return to non-epidemic levels soon, high-risk settings like schools and childcare facilities remain vulnerable to outbreak clusters.”

Recommendations:

For educational institutions: implement daily health checks, enhance ventilation, maintain hygiene protocols, and promote handwashing and respiratory etiquette.

For the public: practice frequent handwashing, use masks in crowded or poorly ventilated spaces, and stay vigilant against flu symptoms.

Understanding H1N1 Influenza:

H1N1, a subtype of influenza A viruses categorized by surface proteins hemagglutinin (HA) and neuraminidase (NA), is a major driver of seasonal flu epidemics. Symptoms include:

Fever: often high-grade (39-40℃).

Systemic symptoms: chills, headache, muscle/joint pain, fatigue, and appetite loss.

Respiratory symptoms: sore throat, cough, and occasionally nasal congestion or gastrointestinal issues.

Critical Distinction: Flu ≠ Common Cold

Unlike mild colds, influenza can lead to severe complications, including pneumonia, multi-organ failure, and death. The World Health Organization estimates seasonal flu causes 3-5 million severe cases and 290,000-650,000 respiratory deaths globally each year.

Transmission: Primarily via respiratory droplets; indirect contact (e.g., touching contaminated surfaces) is also possible.

Prevention: Vaccination remains the most effective measure to reduce severe outcomes. High-risk groups, including children, the elderly, and immunocompromised individuals, are urged to prioritize immunization.

Features

Influenza

Common Cold

Pathogen

Influenza virus

Rhinovirus, Parainfluenza virus, Common coronavirus, etc.

Contagiousness

High

Low

Seasonality

Distinct seasonal pattern

No clear seasonal pattern

Fever Degree

High fever common (39~40℃) with chills

No fever or mild-moderate fever; chills rare

Systemic Symptoms

Pronounced (fatigue, muscle aches, etc.)

Mild or absent; primarily upper respiratory symptoms

Upper Respiratory Symptoms

Headache, cough, sore throat

Runny nose, sneezing, nasal congestion, sore throat

Duration

Typically 7-10 days

Typically 3-5 days

Health authorities remind the public to avoid self-medication and seek prompt medical attention if flu symptoms persist. Enhanced surveillance and proactive prevention measures will be critical in mitigating future outbreaks.

Author | Jiang Chang

Info Source | China CDC

Editor | Wei Shen, James, Shen He

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