The Russian flu. Its history and implications for this year's influenza season

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Abstract
From Nov. 1977 through mid-Jan. 1978 the population younger than 25 yr in the USSR experienced a widespread epidemic of mild influenza (Russian flu) caused by an H1N1 virus similar to the virus that circulated world wide during the early 1950s. Outbreaks of Russian flu occurred in school populations and military recruits in the USA starting in mid-Jan. Many other countries reported outbreaks of H1N1 virus in the winter of 1978. Predictions of influenza activity are always hazardous, but most experts believe that the Russian flu may occur again in the fall and winter of 1978. Other type A and B strains may also circulate; therefore, a trivalent vaccine containing A/USSR, A/Texas and B/Hong Kong virus strains will be available. The chronically ill and those 65 yr and older should be the target populations for annual vaccination.

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