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In 2011, the U.S. Department of Homeland Security (DHS) was catapulted into the lead as the nation's primary provider of domestic preparedness, response and recovery. DHS' creation in 2002 was predicated on the response to 9/11, but the agency's growing role in disasters--with its evolving mission, organizational structure, and surging responsibilities--calls for a holistic review of DHS' readiness and response capability across all hazards.

The pandemic H1N1 (pH1N1) virus has been found to be transmissible primarily by direct contact, person-to-person spread and aerosol transmission, but to a lesser extent by airborne transmission. The pandemic H1N1 virus has been found to be more transmissible than the seasonal influenza viruses circulating in the human population in 2009 and early 2010. An increase in pH1N1 influenza B virus activity has also occurred. In response, CDC issued guidelines for vaccination, antiviral use, and therapeutic use of oseltamivir, and position statements for hospitals, healthcare facilities, and emergency response systems to include clinicians in pH1N1 preparedness planning and management.

F0 is a composition of molecular variants with a minor change in amino acid at position 180 of the hemagglutinin (H1), H3, or H7. Detection of F0 in poultry, swine and cattle provides a warning of epidemic influenza in the human population. Relationships of this consensus sequence in human H3N2 and avian H7N3 viruses with those of other subtypes are examined. Most avian influenza A viruses isolated in the northern hemisphere were either H3N2 or reassortants between H3N2 and H7N3; human H3N2 viruses were detected mainly in poultry. d2c66b5586

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