From CIDRAP's newest post on the situation- notice the expectation of the SECOND wave of H1N1, relative to the second wave of the 1918 infection:
"""WHO Situational Assessment
On May 11, 2009, the WHO released a preliminary assessment of the novel H1N1 global situation as of that date. Key observations include the following
(see References: WHO 2009: Assessing the severity of an influenza pandemic):
The H1N1 virus strain causing the current outbreaks is a new virus that has not been seen previously in either humans or animals. Although firm
conclusions cannot be reached at present, scientists anticipate that preexisting immunity to the virus will be low or nonexistent, or largely confined
to older population groups.
H1N1 appears to be more contagious than seasonal influenza. The secondary attack rate of seasonal influenza ranges from 5% to 15%. Current
estimates of the secondary attack rate of H1N1 range from 22% to 33%.
With the exception of the outbreak in Mexico, which is still not fully understood, the H1N1 virus tends to cause very mild illness in otherwise
healthy people. Outside Mexico, nearly all cases of illness, and all deaths, have been detected in people with underlying chronic conditions.
In the two largest and best documented outbreaks to date, in Mexico and the United States, a younger age-group has been affected than seen during
seasonal epidemics of influenza. Although cases have been confirmed in all age-groups, the youth of patients with severe or lethal infections is a
striking feature of early outbreaks.
In terms of population vulnerability, the tendency of the H1N1 virus to cause more severe and lethal infections in people with underlying conditions
is of particular concern.
For several reasons, the prevalence of chronic diseases has risen dramatically since 1968, when the last pandemic of the previous century occurred.
The geographic distribution of these diseases, once considered the close companions of affluent societies, has likewise shifted dramatically. Today,
WHO estimates that 85% of the burden of chronic diseases is now concentrated in low- and middle-income countries. In these countries, chronic diseases
show an earlier average age of onset than seen in more affluent parts of the world.
The full clinical spectrum of disease caused by H1N1 will not become apparent until the virus is more widespread.
Apart from the intrinsic mutability of influenza viruses, other factors could alter the severity of current disease patterns, if the virus continues
to spread.
Scientists are concerned about possible changes that could take place as the virus spreads to the southern hemisphere and encounters currently
circulating human viruses as the normal influenza season in that hemisphere begins.
The fact that the H5N1 avian influenza virus is firmly established in poultry in some parts of the world is another cause for concern. No one can
predict how the H5N1 virus will behave under the pressure of a pandemic. At present, H5N1 is an animal virus that does not spread easily to humans and
only very rarely transmits directly from one person to another. """""
www.cidrap.umn.edu...
Edited with my bolding the numbers of secondary recurrence.
[edit on 23-5-2009 by CultureD]