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	<title>Comments on: Influenza A/Mexico/2009 (H1N1): Questions and answers</title>
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	<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/</link>
	<description>About viruses and viral disease</description>
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		<title>By: Delayed Diagnosis</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-27779</link>
		<dc:creator>Delayed Diagnosis</dc:creator>
		<pubDate>Wed, 08 Jun 2011 11:07:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-27779</guid>
		<description>Although your doctor or other medical practitioner may be responsible for the medical negligence you have suffered, they are not sued directly. Action is always taken against their employer - the practice, hospital or health authority for whom they work.</description>
		<content:encoded><![CDATA[<p>Although your doctor or other medical practitioner may be responsible for the medical negligence you have suffered, they are not sued directly. Action is always taken against their employer &#8211; the practice, hospital or health authority for whom they work.</p>
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	<item>
		<title>By: Don</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-21809</link>
		<dc:creator>Don</dc:creator>
		<pubDate>Sun, 08 Nov 2009 11:33:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-21809</guid>
		<description>Thnaks for your comments</description>
		<content:encoded><![CDATA[<p>Thnaks for your comments</p>
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	<item>
		<title>By: Don</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-21810</link>
		<dc:creator>Don</dc:creator>
		<pubDate>Sun, 08 Nov 2009 11:32:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-21810</guid>
		<description>Thanks for your comments</description>
		<content:encoded><![CDATA[<p>Thanks for your comments</p>
]]></content:encoded>
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	<item>
		<title>By: Don</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-18370</link>
		<dc:creator>Don</dc:creator>
		<pubDate>Sun, 08 Nov 2009 03:33:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-18370</guid>
		<description>Thnaks for your comments</description>
		<content:encoded><![CDATA[<p>Thnaks for your comments</p>
]]></content:encoded>
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	<item>
		<title>By: Don</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-18369</link>
		<dc:creator>Don</dc:creator>
		<pubDate>Sun, 08 Nov 2009 03:32:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-18369</guid>
		<description>Thanks for your comments</description>
		<content:encoded><![CDATA[<p>Thanks for your comments</p>
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	<item>
		<title>By: profvrr</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-17987</link>
		<dc:creator>profvrr</dc:creator>
		<pubDate>Fri, 23 Oct 2009 22:22:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-17987</guid>
		<description>Travel is definitely a risk factor for H1N1 infection. One infected&lt;br&gt;person on an airplane is sufficient to infect 70% of the passengers.&lt;br&gt;So if I were at risk (pregnancy, cardiopulmonary complications) I&lt;br&gt;would stay home. Clearly you can still be infected at home but at&lt;br&gt;least you can have some control over your movements and interactions&lt;br&gt;with others.</description>
		<content:encoded><![CDATA[<p>Travel is definitely a risk factor for H1N1 infection. One infected<br />person on an airplane is sufficient to infect 70% of the passengers.<br />So if I were at risk (pregnancy, cardiopulmonary complications) I<br />would stay home. Clearly you can still be infected at home but at<br />least you can have some control over your movements and interactions<br />with others.</p>
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		<title>By: Don</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-17752</link>
		<dc:creator>Don</dc:creator>
		<pubDate>Wed, 07 Oct 2009 23:59:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-17752</guid>
		<description>My husband has scheduled a cruise for the Mexican Rivera, does travel to Mexico increase my chances and my childrens chances of getting H1N1, relative to staying at home with our normal routine, which includes going out in public? Would your answer be different if I was pregnant? Our 2 year old was also a cardiac baby, he was born with transposition of the major arteries, does this change the answer? Thanks for your thoughts.</description>
		<content:encoded><![CDATA[<p>My husband has scheduled a cruise for the Mexican Rivera, does travel to Mexico increase my chances and my childrens chances of getting H1N1, relative to staying at home with our normal routine, which includes going out in public? Would your answer be different if I was pregnant? Our 2 year old was also a cardiac baby, he was born with transposition of the major arteries, does this change the answer? Thanks for your thoughts.</p>
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		<title>By: profvrr</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-1109</link>
		<dc:creator>profvrr</dc:creator>
		<pubDate>Fri, 15 May 2009 13:37:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-1109</guid>
		<description>According to NCBI InDRE4487 was isolated in April 2009. The GISAID&lt;br&gt;entry date is probably incorrect.</description>
		<content:encoded><![CDATA[<p>According to NCBI InDRE4487 was isolated in April 2009. The GISAID<br />entry date is probably incorrect.</p>
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		<title>By: gsgs</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-1033</link>
		<dc:creator>gsgs</dc:creator>
		<pubDate>Mon, 11 May 2009 13:05:57 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-1033</guid>
		<description>when was&lt;br&gt;A/Mexico/InDRE4487/2009(H1N1) isolated ?&lt;br&gt;&lt;br&gt;how can it be that there are only 2 mutations to the calculated index case,&lt;br&gt;when the first viruses were confirmed in mid April in Mexico ?</description>
		<content:encoded><![CDATA[<p>when was<br />A/Mexico/InDRE4487/2009(H1N1) isolated ?</p>
<p>how can it be that there are only 2 mutations to the calculated index case,<br />when the first viruses were confirmed in mid April in Mexico ?</p>
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		<title>By: Lincoln County War &#124; Canine influenza</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-902</link>
		<dc:creator>Lincoln County War &#124; Canine influenza</dc:creator>
		<pubDate>Tue, 05 May 2009 08:59:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-902</guid>
		<description>[...] Influenza A/Mexico/2009 (H1N1): Questions and answers [...]</description>
		<content:encoded><![CDATA[<p>[...] Influenza A/Mexico/2009 (H1N1): Questions and answers [...]</p>
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		<title>By: Lincoln County War &#124; Canine influenza</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-903</link>
		<dc:creator>Lincoln County War &#124; Canine influenza</dc:creator>
		<pubDate>Tue, 05 May 2009 08:59:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-903</guid>
		<description>[...] Influenza A/Mexico/2009 (H1N1): Questions and answers [...]</description>
		<content:encoded><![CDATA[<p>[...] Influenza A/Mexico/2009 (H1N1): Questions and answers [...]</p>
]]></content:encoded>
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		<title>By: profvrr</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-840</link>
		<dc:creator>profvrr</dc:creator>
		<pubDate>Sun, 03 May 2009 23:39:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-840</guid>
		<description>He should be fired because he doesn&#039;t understand that the presence of&lt;br&gt;Eurasian flu genes in this virus has no bearing whatsoever on the&lt;br&gt;origin. It may well be that some pigs in Mexico have viruses with such&lt;br&gt;genes. If he doesn&#039;t understand this simple concept, he should not be&lt;br&gt;Minister of Health.</description>
		<content:encoded><![CDATA[<p>He should be fired because he doesn&#39;t understand that the presence of<br />Eurasian flu genes in this virus has no bearing whatsoever on the<br />origin. It may well be that some pigs in Mexico have viruses with such<br />genes. If he doesn&#39;t understand this simple concept, he should not be<br />Minister of Health.</p>
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		<title>By: profvrr</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-838</link>
		<dc:creator>profvrr</dc:creator>
		<pubDate>Sun, 03 May 2009 23:35:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-838</guid>
		<description>Yes.</description>
		<content:encoded><![CDATA[<p>Yes.</p>
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		<title>By: Hugo Montaldo</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-824</link>
		<dc:creator>Hugo Montaldo</dc:creator>
		<pubDate>Sun, 03 May 2009 12:51:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-824</guid>
		<description>Besides inherent deficiencies in the Mexican health system and initial&lt;br&gt;delays by patients and doctors for a correct diagnosis, there is&lt;br&gt;another scaring possibility for the high death rate in Mexico from the&lt;br&gt;swine flu virus. That possibility is related to the instructions given&lt;br&gt;to the doctors by the Ministery of Health to refrain to treat people&lt;br&gt;with antivirals (Tamiflu, Relenza), unless they already have pulmonary&lt;br&gt;signs (so too late), or they have a chronic disease in addition to the&lt;br&gt;swine flu. Such instruction might save middle aged people (those with&lt;br&gt;chronic diseases) and causes many neumonia cases among the more&lt;br&gt;healthy youngsters. That may parcially explain why not only the death&lt;br&gt;rate is so high, but also the age structure of the affected&lt;br&gt;population. We&#039;ll see if we can solve this questions in the future,&lt;br&gt;because they are full of political consequences.</description>
		<content:encoded><![CDATA[<p>Besides inherent deficiencies in the Mexican health system and initial<br />delays by patients and doctors for a correct diagnosis, there is<br />another scaring possibility for the high death rate in Mexico from the<br />swine flu virus. That possibility is related to the instructions given<br />to the doctors by the Ministery of Health to refrain to treat people<br />with antivirals (Tamiflu, Relenza), unless they already have pulmonary<br />signs (so too late), or they have a chronic disease in addition to the<br />swine flu. Such instruction might save middle aged people (those with<br />chronic diseases) and causes many neumonia cases among the more<br />healthy youngsters. That may parcially explain why not only the death<br />rate is so high, but also the age structure of the affected<br />population. We&#39;ll see if we can solve this questions in the future,<br />because they are full of political consequences.</p>
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		<title>By: Mexico fights swine flu with 'pandemic potential' - Page 14 - Gossip Rocks Forum</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-801</link>
		<dc:creator>Mexico fights swine flu with 'pandemic potential' - Page 14 - Gossip Rocks Forum</dc:creator>
		<pubDate>Sat, 02 May 2009 18:57:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-801</guid>
		<description>[...] in Mekabu. Therefore eating the seaweed would not likely be of value in preventing infection.    Influenza A/Mexico/2009 (H1N1): Questions and answers     [...]</description>
		<content:encoded><![CDATA[<p>[...] in Mekabu. Therefore eating the seaweed would not likely be of value in preventing infection.    Influenza A/Mexico/2009 (H1N1): Questions and answers     [...]</p>
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		<title>By: Robert Innes</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-800</link>
		<dc:creator>Robert Innes</dc:creator>
		<pubDate>Sat, 02 May 2009 16:45:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-800</guid>
		<description>Dear Dr. Racaniello,&lt;br&gt;&lt;br&gt;Thank you for your continuing updates and FAQs.  The MSM treatment of the pandemic seems ill-informed and thus full of contradictory claims, and your blog has become my go-to resource.  Three issues in particular have been inadequately addressed elsewhere.&lt;br&gt;&lt;br&gt;First, what is the link, if any, between lack of immunity to a virus and the virulence or morbidity of the resulting viral disease?  In other words, should we fear a pandemic because: (1) more people will come down sick than during a normal flu season due the unfamiliarity of the virus; or (2) a higher percentage of the people who get sick will die; or (3) both?  &lt;br&gt;&lt;br&gt;Second, with respect to airplane travel and travel generally, I think the press and the authorities have done a very poor job distinguishing between systemic risk and personal risk.  Indeed, politicians in particular are hopelessly conflicted on this subject, notwithstanding the vice president&#039;s widely denounced burst of candor.  Is it the case that: (1) while international travel poses no systmetic risk of spreading the virus, which is already present in North and South America, Europe and Asia, (2) individuals nonetheless greatly increase their chances of catching viral disease by traveling on airplanes, staying in hotels, etc.? &lt;br&gt;&lt;br&gt;Finally, I have seen little intelligent discussion of the vastly different countermeasures deployed by different governments.  While everyone scoffs at Egypt, for instance, for slaughtering hundreds of thousands of pigs, no one mentions the radically different responses of the U.S. and Hong Kong authorities.  Has Hong Kong simply got the science wrong when they decide to quanrantine hundreds of hotel guests for 10 days?  &lt;br&gt;&lt;br&gt;Best regards,&lt;br&gt;Robert</description>
		<content:encoded><![CDATA[<p>Dear Dr. Racaniello,</p>
<p>Thank you for your continuing updates and FAQs.  The MSM treatment of the pandemic seems ill-informed and thus full of contradictory claims, and your blog has become my go-to resource.  Three issues in particular have been inadequately addressed elsewhere.</p>
<p>First, what is the link, if any, between lack of immunity to a virus and the virulence or morbidity of the resulting viral disease?  In other words, should we fear a pandemic because: (1) more people will come down sick than during a normal flu season due the unfamiliarity of the virus; or (2) a higher percentage of the people who get sick will die; or (3) both?  </p>
<p>Second, with respect to airplane travel and travel generally, I think the press and the authorities have done a very poor job distinguishing between systemic risk and personal risk.  Indeed, politicians in particular are hopelessly conflicted on this subject, notwithstanding the vice president&#39;s widely denounced burst of candor.  Is it the case that: (1) while international travel poses no systmetic risk of spreading the virus, which is already present in North and South America, Europe and Asia, (2) individuals nonetheless greatly increase their chances of catching viral disease by traveling on airplanes, staying in hotels, etc.? </p>
<p>Finally, I have seen little intelligent discussion of the vastly different countermeasures deployed by different governments.  While everyone scoffs at Egypt, for instance, for slaughtering hundreds of thousands of pigs, no one mentions the radically different responses of the U.S. and Hong Kong authorities.  Has Hong Kong simply got the science wrong when they decide to quanrantine hundreds of hotel guests for 10 days?  </p>
<p>Best regards,<br />Robert</p>
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		<title>By: kookygirl</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-795</link>
		<dc:creator>kookygirl</dc:creator>
		<pubDate>Sat, 02 May 2009 13:01:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-795</guid>
		<description>I&#039;m getting over a flu and want to test if it&#039;s swine flu. How would I go about it when almost healthy? Would a nasal swab work if there&#039;s hardly anything?</description>
		<content:encoded><![CDATA[<p>I&#39;m getting over a flu and want to test if it&#39;s swine flu. How would I go about it when almost healthy? Would a nasal swab work if there&#39;s hardly anything?</p>
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		<title>By: diana</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-793</link>
		<dc:creator>diana</dc:creator>
		<pubDate>Sat, 02 May 2009 12:42:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-793</guid>
		<description>I&#039;m honored that you reprinted my question - now, can you answer it with a simple &quot;yes&quot; or &quot;no&quot;?&lt;br&gt;&lt;br&gt;&quot;Shouldn’t this be bigger news?&quot;</description>
		<content:encoded><![CDATA[<p>I&#39;m honored that you reprinted my question &#8211; now, can you answer it with a simple &#8220;yes&#8221; or &#8220;no&#8221;?</p>
<p>&#8220;Shouldn’t this be bigger news?&#8221;</p>
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		<title>By: phogdog</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-791</link>
		<dc:creator>phogdog</dc:creator>
		<pubDate>Sat, 02 May 2009 11:48:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-791</guid>
		<description>Thanks.  Another great set of Q&#039;s and A&#039;s.</description>
		<content:encoded><![CDATA[<p>Thanks.  Another great set of Q&#39;s and A&#39;s.</p>
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		<title>By: safdar</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-790</link>
		<dc:creator>safdar</dc:creator>
		<pubDate>Sat, 02 May 2009 11:38:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-790</guid>
		<description>your blog site is very nice so plz check my blog site and give me more comments.</description>
		<content:encoded><![CDATA[<p>your blog site is very nice so plz check my blog site and give me more comments.</p>
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		<title>By: karbon</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-784</link>
		<dc:creator>karbon</dc:creator>
		<pubDate>Sat, 02 May 2009 08:32:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-784</guid>
		<description>Informative blog.</description>
		<content:encoded><![CDATA[<p>Informative blog.</p>
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		<title>By: ppga</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-780</link>
		<dc:creator>ppga</dc:creator>
		<pubDate>Sat, 02 May 2009 06:26:27 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-780</guid>
		<description>Hello Professor -&lt;br&gt;&lt;br&gt;Great blog, thank you for this wealth of information.   My question in this - I understand that with this new, novel strain of virus most, if not all people will not have immunity from previous exposure to the established strains.  However, many (or maybe just some people) will either avoid infection, or become infected yet experience no remarkable symptoms, or maybe just exhibit very mild symptoms rather than get really seriously ill.  What is at work when a person actually is infected yet not really &quot;sick&quot;?  A good immune system that allows infection but contains it quickly? or something else at work? Or just luck at avoiding virus particles?&lt;br&gt;&lt;br&gt;Example - I am 36 years old, and have never been diagnosed, or as far as I know, contracted  influenza.  I have had many other common ailments (many bouts of strep and colds, chicken pox, mononucleosis) over my years, but seemingly not flu virus.  I have never been vaccinated against flu.  What could account for this? Luck?  I find it impossible I haven&#039;t ever come in contact with flu virus.  Assuming I have had contact with flu virus, why no remarkable illness for me? Clearly other infections can occur in me.  Are some people &quot;immune&quot; to all types of flu or react to it differently than others who suffer the common symptoms?  Anyways thanks for the great website.</description>
		<content:encoded><![CDATA[<p>Hello Professor -</p>
<p>Great blog, thank you for this wealth of information.   My question in this &#8211; I understand that with this new, novel strain of virus most, if not all people will not have immunity from previous exposure to the established strains.  However, many (or maybe just some people) will either avoid infection, or become infected yet experience no remarkable symptoms, or maybe just exhibit very mild symptoms rather than get really seriously ill.  What is at work when a person actually is infected yet not really &#8220;sick&#8221;?  A good immune system that allows infection but contains it quickly? or something else at work? Or just luck at avoiding virus particles?</p>
<p>Example &#8211; I am 36 years old, and have never been diagnosed, or as far as I know, contracted  influenza.  I have had many other common ailments (many bouts of strep and colds, chicken pox, mononucleosis) over my years, but seemingly not flu virus.  I have never been vaccinated against flu.  What could account for this? Luck?  I find it impossible I haven&#39;t ever come in contact with flu virus.  Assuming I have had contact with flu virus, why no remarkable illness for me? Clearly other infections can occur in me.  Are some people &#8220;immune&#8221; to all types of flu or react to it differently than others who suffer the common symptoms?  Anyways thanks for the great website.</p>
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		<title>By: carlos guevara-casas</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-776</link>
		<dc:creator>carlos guevara-casas</dc:creator>
		<pubDate>Sat, 02 May 2009 02:17:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-776</guid>
		<description>why?</description>
		<content:encoded><![CDATA[<p>why?</p>
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	<item>
		<title>By: Matt Dubuque</title>
		<link>http://www.virology.ws/2009/05/01/influenza-amexico2009-h1n1-questions-and-answers/comment-page-1/#comment-774</link>
		<dc:creator>Matt Dubuque</dc:creator>
		<pubDate>Sat, 02 May 2009 01:13:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.virology.ws/?p=1254#comment-774</guid>
		<description>I agree.  The chief epidemiologist of Mexico should be fired!</description>
		<content:encoded><![CDATA[<p>I agree.  The chief epidemiologist of Mexico should be fired!</p>
]]></content:encoded>
	</item>
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