ArticleFrontiers in microbiology2026
Molecular epidemiology and genetic characteristics of influenza viruses in a local pediatric population of eastern China, 2024.
Article in Frontiers in microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: The persistent circulation of influenza viruses following the COVID-19 pandemic remains a major public health concern, yet local genomic epidemiology in pediatric populations is not well-defined. Methods: In 2024, we collected 490 influenza antigen-positive specimens from a pediatric hospital in Qidong, eastern China, and performed influenza genome enrichment-based whole-genome sequencing, yielding 425 genomes (86.73%) with at least hemagglutinin (HA) and neuraminidase (NA) segments. Results: A/H1N1 (45.41%), A/H3N2 (18.35%), and B/Victoria (36.24%) co-circulated, with two activity peaks in January and December. Phylogenetic analysis assigned these viruses to clades 6B.1A.5a.2a (A/H1N1), 3C.2a1b.2a.2a.3a.1 (A/H3N2), and V1A.3a.2 (B/Victoria). Positively selected sites in HA included lineage-specific residues such as position 210 in B/Victoria and positions 187 and 372 in A/H3N2. The oseltamivir resistance marker NA-H275Y was detected in 7/193 (3.65%) A/H1N1 strains, whereas no detected resistance to RNA polymerase inhibitors. Discussion: These findings highlight the co-circulation patterns, genetic diversity, and antiviral susceptibility profile of influenza viruses in a pediatric population in eastern China, supporting the importance of sustained genomic surveillance to guide local prevention strategies and clinical management.
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