Abstract

While infection with influenza A viruses has been extensively investigated, infections with influenza B viruses which are commonly categorized into the highly homologous Victoria and Yamagata lineages, are less studied, despite their considerable virulence. Here we used RT-PCR assays, hemagglutination inhibition assays and antibody titers to determine the levels of influenza B infection. We report of high influenza B Victoria virus prevalence in the 2015–16 winter season in Israel, affecting approximately half of the Israeli population. We further show that the Victoria B virus infected individuals of all ages and that it was present in the country throughout the entire winter season. The vaccine however included the inappropriate Yamagata virus. We propose that a quadrivalent vaccine, that includes both Yamagata and Victoria lineages, should be considered for future influenza vaccination.

Highlights

  • Influenza viruses, which are members of the Orthomyxoviridae family, are categorized into three genera - A, B, and C [1, 2]

  • The percentages of patient samples infected with influenza B viruses varied over the years and peaks of influenza B infection were observed in the years following those in which influenza B viruses were hardly present (Figure 1)

  • In 2012–13 and in 2014–15, influenza B infections were detected in only 5% of the patient samples, while in the last winter season (2015–16), 50% of the influenza-infected individuals were due to influenza B (Figure 1)

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Summary

Introduction

Influenza viruses, which are members of the Orthomyxoviridae family, are categorized into three genera - A, B, and C [1, 2]. Infections with influenza viruses are a major cause of morbidity and mortality worldwide [3,4,5]. Approximately 3–5 million individuals suffer from severe illness each year with an estimated 250,000– 500,000 related deaths [6]. The influenza virus undergoes rapid and significant changes that prevent the generation of long-lasting protective immunity [7, 8]. In attempt to prevent infection, the influenza vaccine composition, is re-evaluated every year. The trivalent vaccine usually contains two influenza A and one influenza B virus

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