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H-what N-who? - How are viruses named? This diagram shows a simplified cartoon of an influenza virus showing the neuraminidase and haemagglutinin molecules on the surface of the virus particle and the nuclear protein within in. The nuclear protein contains RNA. Differences in the nuclear protein give rise to the different subtypes of influenza ie A, B and C. A single virus particle will have approximately 500 molecules of haemagglutinin on its surface and about 100 molecules of neuraminidase. The haemagglutinin and neuraminidase molecules on the surface of the virus particle are the parts of the virus that are different in different subtypes of the virus. It is after the different variants of these that the flu viruses are named eg H1N1 viruses have the type of haemagglutinin (H) designated as 1 and the neuraminidase (N) designated as 1. The haemagglutinin molecule is very important in causing infection as it is this part of the virus that binds to the host cells. The immune system mounts a response to both the haemagglutinin and neuraminidase surface molecules. Changes in these molecules mean any previous immunity may not be effective against infection with a new or different subtype. Using the following cartoons to represent H and N molecules complete the different subtype of virus below: Virus particle 1: H1N1 This subtype caused the 1918 “Spanish Flu” pandemic. It is thought to have caused between 50 and 100 million deaths. This is more than the number of people who died during WW1. Unlike seasonal flu, this pandemic flu caused high rates of illness and death in the young, fit and healthy population. Seasonal flu tends to only kill the very young, very old or people who already have another illness. Virus particle 2: H2N2 This subtype caused the "Asian Flu" pandemic in the late 1950s. The pandemic started in Asia in 1957 and spread to every part of the world within a few months. There was a much better understanding of influenza in the 1950s compared to 1918. The virus was isolated quickly and identified as a new subtype. However vaccines were not produced fast enough or in enough quantities to be very effective. Between 1 and 4 million people died during the pandemic. Virus particle 3: H3N2 This subtype cased the "Hong Kong Flu" pandemic in 1968. The pandemic started in Asia and spread across the world. The virus was rapidly identified as a new subtype and the world was warned of a possible pandemic. This pandemic was milder than the one in 1957 - it may be that some people who were infected during 1957 had partial immunity to the shared N2 subtype. Around 750,000 people are thought to have died.