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The frequency of virus isolation from swine was ≤45% at Fairs A, B, and C, whereas frequency at the 7 fairs associated with human cases of subtype H3N2v virus infection (Table 1) was >70%.
The 3 fairs at which swine were shedding influenza A(H3N2pM) virus not associated with any cases of human influenza A(H3N2v) infection (Fairs A, B, and C) were held during weeks 1, 4, and 6, respectively.
Another possible explanation for the lack of human cases of H3N2v infection during Fairs A, B, and C is that increased awareness and surveillance led to a surveillance artifact caused by previous underdiagnosis and/or underreporting of cases in humans.
Of note is the lack of human H3N2v cases associated with Fairs A, B, and C (Table 1), although the influenza A(H3N2pM) viruses circulating among the swine at those fairs were highly similar to the viruses recovered from swine and humans later in the fair season.
A century on, there are still 150 fairs a week in the UK.
Supplying up to six or eight fairs a year, as many big dealers do, is hard work.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com