---
title: H1N1, H5N1, H10N8, H7N9, H5N8 - What Influenza strain will we see next?
description: H1N1, H5N1, H10N8, H7N9, H5N8 - What Influenza strain will we see next?
---

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## H1N1, H5N1, H10N8, H7N9, H5N8 - What Influenza strain will we see next?

<http://static1.squarespace.com/static/595689fc9de4bbc892200518/t/59568acb5fd63b5f29287869/1498845428687//img.jpg.com/static/595689fc9de4bbc892200518/t/59568acb5fd63b5f29287869/1498843851938/1000w/>

It may seem odd, at this stage in the Flu season to write  
 yet another blog on Influenza, particularly when reports in [Flu activity in North America are starting to decline](http://www.cidrap.umn.edu/news-perspective/2013/03/us-flu-markers-show-further-signs-decline). Rest assured, this blog is not going to focus on how to [prevent transmission of the flu ](http://talkcleantome.blogspot.ca/2011/11/eww-you-have-flu.html)through cleaning and disinfection, what the symptoms of  
 flu are or a reminder that it's not too late to get vaccinated.

Instead I want to focus on the question that inevitably  
 comes up when a new strain of influenza comes knocking on our door. That question is:

"Do you have efficacy against the **H**(insert  
 number)**N**(insert number) strain of Influenza?"

  

As most would attest, in accordance to EPA criteria, if  
 you do not see the "bug" you are concerned with on the label then the  
 disinfectant cannot makes claims against it. To some aspects I can agree, however, if we look at the plethora of data  
 investigating disinfectant efficacy we know that from an efficacy perspective  
 there are not any differences in a disinfectant product's ability to kill *K.  
 pneumonia*, *K. pneumonia* ESBL, *K. pneumonia* MDRO or *K. pneumonia* CRE. From a purely scientific perspective, if a  
 disinfectant can kill *K. pneumonia* for example, it does not matter whether you  
 are dealing with the ESBL, the MDRO or the CRE strain. Unfortunately, the EPA has been slow to adopt  
 this stance which has lead disinfectant manufacturers into the "claims  
 race" for bragging rights on who has the greatest number of claims on  
 their label. The truth is when it comes  
 to efficacy claims, [strength is not always found in numbers](http://talkcleantome.blogspot.ca/2011/08/strength-is-not-always-found-in-numbers.html).

For Influenza however; for once, I can say the EPA has  
 finally got it right!  In 2009, when the  
[Pandemic H1N1](http://www.epa.gov/oppad001/influenza-disinfectants.html) strain hit and panic over how facilities were to develop cleaning  
 and disinfection protocols when disinfectant products available on the market  
 did not have efficacy testing against the specific H1N1 strain, the EPA  
 determined that since there were over 500 disinfectant products registered for  
 use on hard, non-porous surfaces against influenza A viruses that based on  
 available scientific information, the [currently registered influenza A virus products will be effective against the 2009-H1N1 flu strain](http://www.cdc.gov/flu/avianflu/h7n9-virus.htm) and other influenza  
 A virus strains on hard, non-porous surfaces. Of course, for safe and effective use of these products, the EPA  
 reminded users to always follow label instructions and to pay special attention  
 to the product’s dilution rate (if applicable) and contact time. Fancy that, if you kill 1 strain you kill  
 them all. 

In health care, where we talk about evidence based practices,  
 why then do we not use the science, the evidence and the experts who generate  
 the science and evidence to develop evidence based practices around efficacy  
 claims? The EPA has shown it can work  
 for Influenza perhaps we should consider using the same rational for antibiotic  
 resistant bacteria? 

In the meantime, the rates of [H7N9](http://www.cdc.gov/flu/avianflu/h7n9-virus.htm) cases and deaths  
 continue to increase and a new strain, [H10N8](http://www.latimes.com/science/sciencenow/la-sci-sn-h10n8-bird-flu-death-20140205,0,5715283.story#axzz2t921gmEm) has caused the death of two people  
 with genetic testing showing it appears to be more virulent to mammals. Is this concerning from an infection  
 prevention perspective?  Yes. Are we concerned from an environmental  
 hygiene perspective? NO. If you kill 1 strain you kill them all.

*Bugging Off! *

Nicole

 

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