Evidence map›Paper›PMID 40523127›Full record

ArticleEmerging microbes & infections2025

Genetic characterization of influenza A viruses circulating in Hong Kong, China, 2023: the first influenza epidemic after the lifting of 2.5 years of COVID-19 non-pharmaceutical interventions.

Jingyuan Bian, Joshua Fung, Lam-Kwong Lee, Wing-Yin Tam, Leo Chun-Hei Wong, Cyrus Ka-Wo Wong, Maverick Yu-Xuan Lau, Bei Jiang, Nicky Ho-Laam Tang, Alex Yat-Man Ho and 9 more

Abstract read
In one paragraph

Article in Emerging microbes & infections, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Jingyuan BianDepartment of Health Technology and Informatics, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, People's Republic of China.ORCID 0009-0003-5239-7046
Joshua FungDepartment of Health Technology and Informatics, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, People's Republic of China.ORCID 0000-0002-5817-8456
Lam-Kwong LeeDepartment of Health Technology and Informatics, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, People's Republic of China.
Wing-Yin TamDepartment of Health Technology and Informatics, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, People's Republic of China.
Leo Chun-Hei WongDepartment of Health Technology and Informatics, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, People's Republic of China.
Cyrus Ka-Wo WongDepartment of Health Technology and Informatics, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, People's Republic of China.ORCID 0009-0006-4042-7529
Maverick Yu-Xuan LauDepartment of Health Technology and Informatics, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, People's Republic of China.
Bei JiangDepartment of Health Technology and Informatics, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, People's Republic of China.ORCID 0009-0004-3176-4983
Nicky Ho-Laam TangDepartment of Health Technology and Informatics, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, People's Republic of China.
Alex Yat-Man HoDepartment of Pathology, Princess Margaret Hospital, Hong Kong Special Administrative Region, People's Republic of China.
Miranda Chong-Yee YauDepartment of Clinical Pathology, Pamela Youde Nethersole Eastern Hospital, Hong Kong Special Administrative Region, People's Republic of China.ORCID 0009-0004-3211-2020
Jason Chi-Ka ChengDepartment of Clinical Pathology, United Christian Hospital, Hong Kong Special Administrative Region, People's Republic of China.
Kristine Shik LukDepartment of Pathology, Princess Margaret Hospital, Hong Kong Special Administrative Region, People's Republic of China.
May Kin-Ping LeeDepartment of Pathology, Princess Margaret Hospital, Hong Kong Special Administrative Region, People's Republic of China.
Jimmy Yiu-Wing LamDepartment of Clinical Pathology, Pamela Youde Nethersole Eastern Hospital, Hong Kong Special Administrative Region, People's Republic of China.
Sandy Ka-Yee ChauDepartment of Clinical Pathology, United Christian Hospital, Hong Kong Special Administrative Region, People's Republic of China.
Qing XiongDepartment of Health Technology and Informatics, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, People's Republic of China.ORCID 0000-0001-6000-4677
Gilman Kit-Hang SiuDepartment of Health Technology and Informatics, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, People's Republic of China.ORCID 0000-0002-4354-3393
Franklin Wang-Ngai ChowDepartment of Health Technology and Informatics, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, People's Republic of China.ORCID 0000-0003-1275-2464

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the COVID-19 pandemic, stringent public health measures led to historically low influenza activity in Hong Kong. However, after these interventions were relaxed in 2023, Influenza A viruses (IAV), including A(H1N1)pdm09 and A(H3N2), rapidly resurfaced. In this study, 1,046 clinical cases collected throughout 2023 underwent comprehensive genomic analysis using Oxford Nanopore Technologies (ONT). Phylogenetic analyses of the assembled genome segments were conducted alongside several global public sequences for comparison. The dataset is comprised of 593 A(H1N1)pdm09 sequences, predominantly of hemagglutinin (HA) subclade 5a.2a and neuraminidase (NA) subclade C.5.3, and 453 A(H3N2) sequences classified mainly as HA subclade 2a.3a.1 and NA subclade B.4.3. Phylogenetic comparisons revealed close genetic relationships between the studied viruses and 30 A(H1N1)pdm09 and 27 A(H3N2) sequences published in other regions during the same time. Additionally, identified amino acid substitutions may affect antigenicity and viral fitness. These findings underscore Hong Kong's high post-COVID-19 influenza diversity and the need for ongoing molecular surveillance to monitor emerging viral variants.

Indexed as

COVID-19Influenza A virusInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypeInfluenza, HumanAdultFemaleGenome, ViralHong KongHumansMaleMiddle AgedNeuraminidasePhylogenySARS-CoV-2NeuraminidaseA(H1N1)pdm09A(H3N2)Influenza A virusmolecular epidemiologyNanopore sequencingnon-pharmaceutical interventions (NPIs)phylogenetic analysis

Identifiers

PMID40523127
PMCPMC12269094

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.