Which event is most likely to result in an influenza pandemic?

Study for the APhA Pharmacy-Based Immunization Delivery Test. Prepare with flashcards and multiple choice questions, each question includes hints and explanations. Ensure readiness for your exam!

An influenza pandemic is primarily associated with significant changes in the influenza virus that can lead to widespread transmission and impact many people across different regions, even globally. The correct answer indicates the role of antigenic shift in Influenza A virus. Antigenic shift refers to the process where a virus accumulates significant genetic changes, often through reassortment of genetic material when two different strains of the virus infect the same host and recombine. This can produce a novel virus to which the population has little or no pre-existing immunity, making it capable of causing a pandemic.

In contrast, antigenic drift, which is the other mechanism mentioned, involves smaller and more gradual mutations in the virus's genes, leading to minor changes in the virus's surface antigens. While antigenic drift can lead to seasonal outbreaks and minor epidemics, it does not create the major shifts that would enable the virus to bypass the immune responses generated by pre-existing antibodies in a population.

Influenza B primarily affects humans and does not cause pandemics historically, as it does not possess the same potential for antigenic shift as Influenza A. Influenza C is typically associated with milder respiratory illnesses and lacks the capability to cause pandemics due to its more stable genome and lesser mutation

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