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8/100?000 and the mortality rate for A(H1N1) virus infection was 8.6/1?000?000. A report from New Zealand estimated that approximately 7.5% of the population had symptomatic illness, suggesting that 10�C15% may have been infected with a CFR http://www.selleckchem.com/products/blz945.html of the pandemic in the R��union population has not been severe and hospitals and health care centres have not been overwhelmed. R��union Island is also exposed to seasonal influenza from the northern hemisphere because of its links with continental France. Therefore, a second wave of A(H1N1) 2009 influenza cannot be excluded following the pandemic wave expected in northern hemisphere countries. Thus, ongoing surveillance will continue to detect a second wave of the epidemic and to monitor and characterise potential virus changes. These findings demonstrate the value of using an integrated epidemiological, virological and hospital surveillance programme in order to monitor the scope of an influenza epidemic, identify http://www.selleckchem.com/products/nutlin-3a.html circulating strains and provide some guidance for public health control measures. These results could provide relevant information for northern hemisphere countries for their own management of their ongoing epidemic and control measures. We are very thankful to all the sentinel network practitioners. We thank all the clinicians for their participation in providing https://en.wikipedia.org/wiki/Oxymatrine clinical data. We are very grateful to J. C. Desenclos (InVS) for his collaboration on this manuscript. The work described was funded by the Institut de Veille Sanitaire as part of its surveillance mission; InVS is funded by the French Ministry of Health. The authors declare no conflict of interest. ""Indirect transmission of the influenza virus via finger contamination with respiratory mucus droplets has been hypothesized to contribute to transmission in the community. Under laboratory conditions, influenza-infected respiratory droplets were reconstituted as close as possible to natural conditions. We investigated experimentally the survival of influenza A (H3N2) and A (H1N1)pdm09 viruses on human fingers. Infectious virus was easily recoverable on all fingers 1 min after fingertip contamination but then decreased very rapidly. After 30?min, infectious virus was detectable in only a small minority of subjects. Infectious viruses were detected for a longer period of time when droplets of larger size containing a higher number of particles were tested or when the viral concentration increased. A rapid decrease in infectiousness was observed when droplet integrity was disrupted. Our findings could help to set up the promotion of hand hygiene to prevent influenza hand contamination.