Table 3. Comparison of the percentages of the pH1N1-E374K mutants in HA2 and other variants at the four antigenic sites and their relationships with different intervention strategies in various epidemic periods, 2009–2010.
Percentages of Mutants | ||||||||
Periods | Intervention Strategies | HA2 | HA1 | |||||
Number of isolates | E374K | Number of isolates | Ca | Cb | Sa | Sb | ||
Before Aug. 1, 2009 | No any intervention | 17 | 0 (0%)1 | 17 | 4* (23.3%)3 | 0 (0%) | 2* (11.8%)3 | 1 (5.9%) |
Aug 1–Nov. 18, 2009 | Start to pay Tamiflu by National health Insurance | 123 | 32 (26.0)% | 101 | 9 (9.2)% | 2 (2.0%) | 1 (1.0%) | 1 (1.0%) |
Nov.19–Dec 19, 2009 | Implement of vaccination in 6–18 years old | 9 | 7 (77.8%)2 | 9 | 2 (22.2%)4 | 0 (0%) | 0 (0%)4 | 0 (0%) |
After Dec 19, 2009 | Post nation- wide vaccination campaign | 47 | 34 (72.3%) | 47 | 4** (8.5%) | 0 (0%) | 11** (23.4%) | 1 (2.1%) |
. The effect of intervention of antiviral agent on the percentages of E374K mutants: Before (0%, 0/17) vs after (40.78%, 73/179), p<0.001 (Fisher's exact test).
. The effect of intervention of vaccination on the percentages of E374K mutants: Before (22.86%, 32/140) vs after (72.34%, 41/56), p<0.001 (Fisher's exact test).
. The effect of intervention of antiviral agent on the percentages of the pH1N1 variants with substitutions at four antigenic sites (Ca, Cb, Sa, Sb): Before (29.41%, 5/17) vs after (17.83%, 28/157), p = 0.324 (Fisher's exact test).
. The effect of intervention of vaccination on the percentages of the pH1N1 variants with substitutions at four antigenic sites (Ca, Cb, Sa, Sb): Before (11.86%, 18/118) vs after (25%, 15/56), p = 0.097 (Fisher's exact test).
*: Two strains with double mutations in Ca and Sa sites.
**: Three strains with double mutations in Ca and Sa sites.