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Periodically, a radically new type of flu has evolved and rapidly spread around the world.
Most adult humans have had some type of flu, and therefore, Dr. Fouchier said, they may also have some natural protection against bird flu.
A new type of flu vaccine won regulatory approval on Wednesday, and its manufacturer said that limited supplies are expected to be available this winter.
The strain was not identified until 2009, when it spread rapidly from country to country because there was little immunity to the new type of flu.
Tests showed that about half of them had a mutated strain of the AH3N2 strain of flu that has been the main type of flu that has been circulating this winter.
Last winter, about 11percentt of the throat swabs from patients with the most common type of flu that were sent to the Centers for Disease Control and Prevention for genetic typing showed a Tamiflu-resistant strain.
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Keeping the vaccine pipeline running and building immunity against all types of flu will help us prepare.
Adding to the confusion is the decision by New York State to require hospital workers to get both types of flu shots.
But scientists and vaccine manufacturers are hard at work on a so-called universal flu vaccine that would work against all types of flu.
Dr. Manzur said that officials now suspect that there are 100,000 cases of swine flu in the country, compared with 320,000 cases of other types of flu.
"The seasonal flu jab protects against the dominant strains – this year it protects against three types of flu, including the type known as swine flu.
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