The motility and acrosome integrity of SD rat sperm were approxim

The motility and acrosome integrity of SD rat sperm were approximately Etoposide solubility dmso 32% and 27% for TES-R and TES-S extenders at 100 °C/min cooling rate. On the other hand, plasma and mitochondrial membrane integrity were

approximately 21% and 4% for TES-R and TES-S, respectively. These results suggest that freezing injury and lower progressive motility in rat sperm may be mostly caused by damage to MMP. Yamashiro et al. [58] previously showed that supplementation adenosine 5-triphosphate (ATP) to extender, before freezing, enhanced sperm cryosurvival by improving the metabolic capacity of rat sperm. Similarly, Kim et al. [25] in our laboratory obtained slightly higher total (36.5%) and progressive (6.0%) motility after adding 2 g/L ATP to TES-sucrose-EY extender. However, plasma membrane integrity and MMP showed only a slight increase compared to this study. Sperm motility is the most commonly used assay to evaluate

fresh or frozen-thawed sperm quality. But this assay is selleck compound not enough to determine the fertility of sperm samples. Cell viability, acrosomal integrity and mitochondrial function evaluation enable more accurate description of spermatozoa’s fertilization capacity [15]. Post-thaw spermatozoa could be motile but incapable of fertilization due to acrosomal damage [43]. For this reason, all sperm parameters should be taken into consideration to evaluate sperm fertility capability. In this study, motility was the least affected parameter from freezing compared to membrane, acrosome and mitochondrial membrane integrity. Acrosome integrity decreased after freezing but was not affected from freezing rate and extenders and ranged 18.5–32.2% for both SD and F344 sperm. This result was lower than the study of Yamashiro et al. [57] who reported 89.3% acrosome integrity in mKRB extender. This conflict may be due to

classification of intact and damaged spermatozoa. Another interesting result revealed in our study was that the extenders and cooling rates were not particularly effective in protecting acrosome integrity from freezing injury. In addition, we found that sperm membrane integrity and MMP were highly affected from freezing compared to AZD9291 order motility. Besides lower MMP rate, weak membrane integrity may be involved in low progressive motility of rat sperm. In summary, freezing procedure significantly decreased the motility of rat sperm, but there was no difference between Sprague–Dawley and F344 rat strains. Although SM has been successfully used to cryopreserve mouse sperm, it did not provide cryoprotection for rat sperm. In addition, the results revealed weak interaction between extenders and the cooling rate on the rat sperm viability parameters. Our results indicate that TES extender containing non-penetrating CPA (raffinose or sucrose) with moderate (40 °C/min) and fast (100 °C/min) cooling rate was superior to other extenders and cooling rates tested.


“Obesity represents a considerable health threat to modern


“Obesity represents a considerable health threat to modern adults and children worldwide (WHO, 2000), and is an independent risk factor for various common diseases (Must et al., 1999). Excessive weight gain commonly originates from an imbalance between expenditure versus intake of energy. Accordingly, the management of obesity, apart from exercise, mainly involves a calorie restricted diet. Furthermore, it has been reported that calorie restriction has an additional effect on lifetime extension in many animal species (Fontana et al., 2010), selleck chemical suggesting that it may also be beneficial for humans. However, efforts to restrict calorie intake are often hampered

in part by distorted appetite (Borer, 2010). In this sense, both mental and physical health might partly depend

on the ability to resist gratification by regulating the appetitive impulse to consume a desirable but unhealthy food. Appetite is controlled not only by homeostatic requirements such as nutritional deficit but also by other factors, including cognition, emotions, and pleasure from food intake (Rolls, 2007). In the homeostatic system, the hypothalamus senses the nutritional state of the body and thereby controls energy intake and expenditure. In contrast, the pleasure obtained from food intake can provide reinforcement for intake exceeding the homeostatic requirements and thereby lead to overindulgence Selleckchem Screening Library in highly palatable foods. This hedonic component of feeding behavior is mediated by reward-related cortical and sub-cortical systems, including the ventral striatum, the ventral tegmental area, and the orbitofrontal cortex (OFC) (Berthoud, 2002, Berthoud, 2004, Berthoud and Morrison, 2008 and Grill and Kaplan, 2002). There is growing evidence suggesting that overeating is related to an imbalance in these homeostatic and hedonic systems. However, little is known about the neural mechanism that allows individuals to consciously suppress eating behavior (Carnell et al., 2012). In previous research on appetite and eating behavior

using psychophysiological parameters, few studies have employed electroencephalography (EEG) and magnetoencephalography (MEG), and those that did employ these modalities focused primarily on the asymmetry ADAMTS5 of prefrontal cortex activation in response to viewing food pictures or that in relation to subjective scores of an overeating scale (Gable and Harmon-Jones, 2008 and Ochner et al., 2009). MEG monitors the electrophysiological rhythms inside the brain by measuring induced electromagnetic fields using electric or magnetic sensors over the scalp surface (Hämäläinen et al., 1993, He, 2004 and Nunez and Srinivasan, 2005); it has an intrinsic high temporal resolution that allows tracking of rapid neurophysiologic processes at the neuronal time scale of milliseconds.

paracasei NTU 101 in 2 g powder Lot No N0602G10 was used in all

paracasei NTU 101 in 2 g powder. Lot No. N0602G10 was used in all studies. The methods of the Ames test were described in detail by Maron and Ames (1983) and Gatehouse et al. (1994). The

test strains originated from Salmonella typhimurium and included TA98, TA100, TA102, TA1535, and TA1537 (Food Industry Research and Development Institute, Taiwan). These strains require histidine and have other genotypes such as rfa, uvrB, and +R. For S9 treatment, 0.5 ml of S9 solution was added. Otherwise, 0.5 ml of 0.2 M sodium phosphate buffer was added. After mixing, the solution was added evenly onto minimal glucose agar plates. After the soft agar solidified, the petri dish was incubated at 37 °C for 48 h. Distilled water was served as the negative control, while six mutagens including 4-nitro-o-phenylenediamine, sodium azide, mitomycin C, 9-aminocridine, benzo[α]pyrene and 2-amioanthracene Ruxolitinib order (Sigma-Aldrich, MO, USA) were used as the positive controls. The concentration of test article solution was determined by conducting a preliminary dose at 5.0 mg/plate. From the results of the preliminary study, growth inhibition by the test article solution was not evident at 5.0 mg/plate. Ultimately, the concentration of test 17-AAG nmr article solution was set at 5.0, 2.5, 1.25, 0.6, and 0.3 mg/plate. The test solution of each group was added as follows: negative control group, 0.1 ml of sterile water; positive

control group, 0.1 ml of mutagen; treatment groups, 0.1 ml of test article solution (5.0, 2.5, 1.25, 0.6, and 0.3 mg/plate). The experiments at each dosage and the negative and positive controls were carried out in triplicate. The methods of the chromosome aberration

test are described RAS p21 protein activator 1 by Organization for Economic Cooperation and Development (OECD) (test No. 473, 1997). The main purpose of this experiment was to assess the mutagenicity of the test article in Chinese hamster ovary cells (CHO-K1, Food Industry Research and Development Institute, Taiwan) with or without S9. Two mutagens including mitomycin C and cyclophosphamide monohydrate (Sigma-Aldrich, MO, USA) were used as the positive controls. A preliminary cell survivability of test article was determined by trypan blue at concentration of 5.0 mg/ml. From the results of the preliminary study, cell growth inhibition by the test article was not evident at 5.0 mg/ml. Ultimately, the concentrations of test article selected for the main study were 5.0, 2.5, 1.25, 0.6, and 0.3 mg/ml. The test article or controls were administered in three conditions. For short-term treatment, the test articles were applied for 3 h. For metabolic activation, the test articles were applied together with S9 mix for 3 h. For continuous treatment, the test articles were kept in culture for 20 h. After test article treatment for 20 h, Giemsa solution (5%) was used for cell staining. At least 100 cells at metaphase were observed under 1000× magnification.

11 Alternatively, the binding of daclatasvir or BMS-553 at this l

11 Alternatively, the binding of daclatasvir or BMS-553 at this location might perturb the positioning of the N-terminal AH on DI in the model recently proposed, 28 affecting proper positioning and/or folding of the linker segment connecting DI with the AH ( Supplementary Figure 5A). This hypothesis is supported by the docking of both inhibitors close to the N-terminus of DI (aa 32 and 33) and by

several daclatasvir resistance mutations residing in this connecting region, especially at aa 28, 30, 31, and 32. 30 In the clam-like DI dimer,10 no binding cleft Caspase activity is present. BMS-553 and daclatasvir dock into the same area (Figure 2E; Supplementary Figure 6B and 7; Supplementary Video M2), which includes aa 54 and 93 and corresponds to the area forming one border of the cleft observed at the interface of the back-to-back structure. In addition, both compounds are located at the membrane-proximal surface, eventually PD-1 inhibiton disturbing positioning and/or folding of the N-terminal linker segment

connecting DI with AH ( Supplementary Figure 7). Docking experiments conducted on the recently reported head-to-head DI dimer revealed that all NS5A inhibitors docked into the cleft at the dimer interface in a comparable manner, similar to that reported (data not shown).12 However, the relevance of this inhibitor binding cleft is unclear because Y93 is not directly in contact with the docked molecules. HCV replication strictly depends on the host cell kinase PI4KIIIα, which physically interacts with NS5A and modulates NS5A phosphorylation.7 and 31 It was also shown that 4-anilino quinazolines, such as AL-9, which were formerly classified as NS5A inhibitors, are inhibitors of PI4KIIIα.32 However, in contrast to AL-9, BMS-553 did not inhibit purified PI4KIIIα in vitro, excluding this possible mode of action (Figure 3A). NS5A is critically involved in activation of PI4KIIIα kinase activity, resulting in massive accumulation of intracellular PI4P levels.7 and 8 To determine whether BMS-553 inhibits PI4KIIIα–NS5A interaction, we Branched chain aminotransferase conducted colocalization and coprecipitation experiments. Colocalization was not affected

by BMS-553 treatment (Supplementary Figure 8). However, interaction of the kinase with wild-type (wt) NS5A, but not the resistant mutant, was reduced at highest BMS-553 concentrations (Figure 3B and C). Next, we evaluated whether reduced NS5A-PI4KIIIα interaction might affect kinase activation in vitro. Because NS5A inhibitors were reported to bind to NS5A only intracellularly, but not to purified protein,18 we coexpressed PI4KIIIα and NS3-5B in the presence or absence of BMS-553. PI4KIIIα was captured by immunoprecipitation either directly or by coprecipitation with NS5A, and lipid kinase activity was determined. PI4KIIIα activity was not affected by inhibitor treatment in any condition we tested (Supplementary Figure 9A).

Among the extracts highest value was observed in leaf 9 μg/ml In

Among the extracts highest value was observed in leaf 9 μg/ml. In the reducing power assay, Obeticholic Acid the presence of antioxidants in the samples would result in the reduction

of Fe3+–Fe2+ by donating an electron. Amount of Fe2+ complex can be then monitored by measuring the formation of pearl’s Prussian blue at 700 nm indicates an increase in reductive ability [6]. Ethanolic extracts of L. sativum gives the optical density in increasing concentration in all plant parts ( Table 4 and Fig. 1) it shows that it has the reducing ability of Fe3+–Fe2+. The amount of ascorbic acid (vitamin C) was estimated. The whole plant showed 11.74 ± 0.83 mg, and stem showed 11.74 ± 0.83 (Table 5) of ascorbic acid. In this work the herbal plant L. sativum was selected for the biological studies, which consist of several medicinal benefits for humans. Ethanolic extracts of L. sativum was also analyzed for free radical scavenging and antioxidant activities using DPPH assay, glutathione S-transferase selleck activity and quantifying reduced glutathione content. The results suggested that the extracts contain high antioxidant activities and therefore form a potential source of natural antioxidant compounds. “
“Bioconversion of lignocellulosic biomass to ethanol is considered to be one of the most important alternatives to petroleum based liquid fuels [14], [15], [17], [29] and [35]. Lignocellulosic

biomass are highly abundant, have high energy potential and are low cost materials for ethanol production. Typical sources are forest products, agricultural residues, municipal solid waste, and dedicated energy crops [18] and [31]. Corncobs, a byproduct of corn grain production, were once used for heat, animal feed and manure for agricultural production in some parts of Europe, while in the United States, corncobs are currently being used as a potential feedstock for cellulosic ethanol production due to its Staurosporine mw low lignin and high carbohydrate contents. Moreover,

corncobs have a high heating value (HHV) producing approximately 8000 Btu/lb. The average corncob yield is about 14% of grain yield, which represents about 16% of the total corn stover in a field [32], [22] and [4]. Among the different technologies [25] and [33] available for the conversion of lignocellulosic biomass to suitable fermentation substrates, the enzymatic conversion of cellulose seems to be the most promising approach to get a high yield of fermentable sugars [8] because it is highly specific and does not produce substantial amounts of unwanted byproducts [38]. The enzymatic hydrolysis process is usually catalyzed by cellulase enzymes and the process is affected by many factors including cellulose fibre protection by hemicelluloses and lignin, cellulose crystallinity, degree of polymerization, degree of acetylation of hemicelluloses and the accessible surface area of the biomass [28].

In several studies, mean temperature, cumulative precipitation, a

In several studies, mean temperature, cumulative precipitation, average relative humidity and sunshine duration were found to associate with

diarrheal diseases.30, 31, 32, 33 and 34 Consequently, the model was performed Adriamycin concentration to evaluate the association between the morbidity of dysentery and floods with adjustment for the multiple-lag effects of monthly mean temperature, monthly cumulative precipitation, monthly average relative humidity and sunshine duration. Firstly, the effects of floods on dysentery in each city were analyzed by the GAMM. The regression model was described as follows: ln(Yt)=β0+β1(floods)+β2(floodduration)+s1(precipitation)+s2(temperature)+s3(relativehumidity)+s4(sunshineduration)+s5(t)+s6(sin2πt/12) All the three cities are located in the north central Henan Province, and adjacent to each other. And then, the overall effects of floods on dysentery were evaluated in all the three cities. The overall function

was as follows: ln(Yt)=β0+β1(floods)+β2(floodduration)+β3(city)+s1(precipitation)+s2(temperature)+s3(relativehumidity)+s4(sunshineduration)+s5(t)+s6(sin2πt/12)Where Palbociclib purchase Yt denoted the monthly morbidity of dysentery at time t, which represented the specific month; the parameters were individually represented by β0 from β2 in the first regression model and β0 from β3 in the second regression model, respectively. The values and confidence interval of RRs of floods and flood duration on dysentery were the natural logarithms of corresponding parameters. Floods was a categorical variable including non-flood and floods endowed by 0 and 1, respectively. Flood duration represented the days with flooding in a month. City, a variable categorized as Kaifeng, Xinxiang and Zhengzhou endowed by 1, 2 and 3, respectively, was designed to control for the effects of other unobserved factors. s1(precipitation), SPTLC1 s2(temperature), s3(relative humidity) and s4(sunshine duration) were smooth

functions of monthly cumulative precipitation, monthly mean temperature, monthly average relative humidity and monthly cumulative sunshine duration, respectively, which were designed to control for the effect of weather. The smooth spline of specific month was projected as s5(t) in order to avoid the influence of long-term trend. Considering the effects of seasonality on dysentery, the proposed model included a triangular function, sin(2πt/12), to reveal the seasonal component in series. The statistical analysis was performed using SPSS 16.0 (SPSS Inc., USA) and software R 2.3.1 (MathSoft Inc., USA). A total of 24,536 cases of dysentery were notified in the study areas over non-flooded and flooded months from 2004 to 2009. Among all the cases, the dysentery caused by Shigellae accounted for 99.00%, far more than the dysentery caused by the protozoan parasite E. histolytica with 1.00%.

Evapotranspiration from the soil depends on soil moisture and pot

Evapotranspiration from the soil depends on soil moisture and potential evapotranspiration. Generated runoff is split into a fast component (surface flow) and a slow component representing base flow (simulated as a linear reservoir). In general monthly time-steps Selleck PKC inhibitor are used, but the interception and soil modules internally use descretizations into daily time-steps to account for intra-monthly variability (interception/evaporation of individual rainfall events; inter-dependence of soil moisture,

evapotranspiration and runoff generation). The model equations are listed in the Appendix. The water allocation model aggregates runoff of the water balance model along the river-network to compute discharge and was developed new for this study. Even though the inputs and outputs have a monthly temporal resolution, daily time-steps are used for the internal computations. The model considers the following elements (Fig. 4, right): • River points: Used for querying discharge at locations of interest. The standard set-up of the water Gemcitabine manufacturer allocation model consists of 38 computation points (see also Fig. 1): • 27 river points at the sub-basin outlets. Additional computation points were inserted to query discharge at locations of interest (e.g. Kafue Hook Bridge)

and to study the impact of planned reservoirs (Batoka Gorge, Mphanda Nkuwa). A key characteristic of controlled and uncontrolled reservoirs is the relationship between storage (hm3), water surface (km2), water level (m) and release (m3/s). At uncontrolled reservoirs the release is a direct function of storage. At controlled reservoirs the release depends on a prioritization of water: 1. Environmental flow as a function of month. The water surface area may show large seasonal fluctuations especially at natural floodplains, thereby affecting evaporation fluxes. Evaporation is computed as the potential evapotranspiration increased by 5% (according to FAO 56, Allen et al., 1998) and multiplied by the water surface area. Other fluxes at reservoirs

include upstream inflows, lateral inflows, and precipitation on the water body. Overall, the model is able to mimic the most important reservoir operation characteristics, as, e.g. also used by the well-known HEC-ResSim model. The calibration of the river basin model combined methods of a PARP inhibitor priori estimation (literature review), sensitivity analysis, automatic optimization and manual parameter adjustments with the overall objective to obtain simulations that are consistent with available observations – i.e. observed discharge data measured at gauges and observed water levels in large reservoirs. The main focus was on calibration of parameters of the water balance model. Initial parameter estimates were based on previous studies that give valuable insights into the hydrological behaviour of the Zambezi basin (Scipal et al., 2005, Winsemius et al., 2006, Winsemius et al., 2008 and Meier et al., 2011).

” Green indicated a strongly held preference that was “mostly or

” Green indicated a strongly held preference that was “mostly or completely satisfied.” This sample of NH residents showed wide variability Selleck Bortezomib in the number of important preferences and the extent to which they considered their care to be preference congruent. Findings from phase 1 demonstrated that cognitively capable NH residents and those with

mild cognitive impairment could report personal preferences and satisfaction with their fulfillment. In addition, a preference congruence score was calculated via an easily interpreted Excel report for NH staff. The next phase of the process entailed the adoption and scaling-up of this process by the Advancing Excellence Collaborative. The Advancing Excellence in America’s Nursing Homes Campaign was formed in 2006 to promote clinical and organizational excellence for the residents, families and staff of NHs.19 The campaign includes

a wide range of stakeholders including providers, consumers, advocates, ombudsmen, practitioners, government agencies, and quality improvement (QI) organizations. To date, 9,545 (61%) of the nation’s NHs homes have signed on to pursue 1 or more goals designated by the Campaign to strengthen phosphatase inhibitor library NH quality. In 2012, the Campaign revised and expanded potential goals to include a total of 9 clinical and process goals, including the PCC goal. At this time, AE convened a workgroup (Appendix) to develop a measurement strategy and toolkit of resources to support Cyclic nucleotide phosphodiesterase NHs pursuing a data-driven QI project focusing on PCC. The workgroup chose outcome measures to capture both resident-centered decision-making processes and resident-centered care planning processes. The workgroup identified PRI’s PELI, and the associated preference congruence indicator,

as an evidence-based approach to measuring resident involvement in making decisions about, and provisions, for their care. Although the original PELI research measure focuses on 55 preferences, the AE PCC narrowed the focus to 16 personal care and recreational activity items from the MDS 3.0–Section F (Figure 1). The decision to use the 16 MDS 3.0 items was made with an eye toward minimizing the burden of additional data collection, as NH staff are already familiar with these items and assess them on a regular basis. A modification to the response options was also needed because the MDS 3.0 section F items use a 5-point scale of importance instead of the 3-point scale of more colloquial “likes.” Finally, in addition to the previous color coding system for reporting preference congruence levels (eg, green, yellow, red), grey was added to indicate that the resident had used the response category “important, but can’t do,” which requires staff, per regulation, to create a care plan.

This fact is usually not mentioned in literature regarding headac

This fact is usually not mentioned in literature regarding headache research (Fig. 2). In a group of children with headaches caused by cerebral venous dysfunction, 88 children had different structural abnormalities (confirmed by

MRI): 46 of them had abnormalities of craniovertebral junction (Chiari abnormalities I). 42 children www.selleckchem.com/products/Trichostatin-A.html had abnormalities of deep brain veins. Hypoplasia of transverse sinuses combined with hypoplasia of sigmoid sinuses was revealed in 36 children, hypoplasia of the superior sagittal sinus in 3 children, and Chiari abnormality in 5 children (Fig. 3). The clinical picture of children with structure abnormalities was characterized by headaches (100%), nasal bleeding (60%), sickness and vomiting (40%), noise in ears (35%), dizziness (30%), vegetative dysfunction, 1% of children had relative deafness, and 8% of children had tics Selleckchem Ibrutinib (mostly of face muscles). All examined children complained of headaches localized in cervical and parietal regions, that arised while or after night/day sleeping. Increase of headaches occured after physical exercises, and lessons at school. 60% of children had typical nasal bleeding, mostly abundant and spontaneous

as a “fountain” (Fig. 4). As a result of the research we revealed an increase of velocity in deep brain veins (peak systolic velocity—VPS): in the straight sinus 56 ± 5.6 cm/s, and in the great cerebral vein of Galen 57 ± 9.4 cm/s (our

normal values were 26 and 22 cm/s, respectively). An increase of blood flow velocity in vertebral venous plexus was also registered (not registered regularly) (Fig. 5). Considering the difficulties of localizing the cavernous sinus using the transorbital access in children (especially in younger ones), we applied a new technology of evaluating the cavernous sinus by transcranial duplex scanning. This allows to determine the structure and features of the cavernous sinus and blood flow in eye veins. Disturbances of venous outflow in the cavernous sinus have been revealed in 68% of children by TCCD (Fig. 6). Ultrasonic data in children with structural cerebral abnormalities was in accordance with MRI findings (Fig. 7). The conservative treatment which has been second performed under ultrasonographic control (TCD, TCCD) in children with disturbances of cerebral hemodynamics, led to subjective and objective improvement in 85% of children. We recommend ultrasonic methods not only for diagnostics of cerebral venous disturbances, but also for follow-up of the therapy. Clinically, the frequency and intensity of headache, nasal bleeding, dizziness, nausea and vomiting were reduced after the treatment (up to total disappearance of symptoms) (Fig. 8). Features of cerebral hemodynamics causing disturbances of venous outflow are described in cases of abnormalities of craniovertebral junction and deep brain veins.

Kaplan–Meier estimates for median time until viral RNA was undete

Kaplan–Meier estimates for median time until viral RNA was undetectable (<5 copies per reaction) were determined using right censoring at the last positive sample day, and compared for cases who took timely Oseltamivir versus late or no Oseltamivir by Log Rank (Mantel–Cox) test. Continuous variables are presented as median and interquartile ranges and compared using Rank sum test. Undetectable viral RNA levels were assigned a value of one to facilitate Log 10 transformation. Chi-squared or Fisher's exact test were used for proportions. All statistical tests were 2 sided, and probability less than 0.05 was considered significant. Univariate and multivariate

logistic regression was performed to determine factors

associated with A(H1N1)pdm09 infection among contacts. Generalized AZD1208 estimating equations were used to account for household clustering in the logistic regression model. Predictor variables included the age and sex of the contact and of the index case, number of people in the household and index case peak viral load, sum of daily scores for symptoms and antiviral treatment. Variables with a univariate P value <0.10 were included in multivariate analysis. The Box–Tidwell test was used to assess KU-60019 price the assumption of linearity. 5 and 6 Index cases were detected in 20 (7.4%) of 270 households (Table 1). Two households had two separate index case episodes resulting in 22 index cases. The second episode was excluded from analysis of transmission. The households contained 81 people including the 22 index cases with the remaining 59 classified as contacts. Households comprising four people were significantly more common than amongst all 270 cohort

next households (p = 0.009). Accordingly, most households comprised nuclear families with similar numbers of mothers, sons and daughters whereas some households lacked fathers. 25% of sons and daughters were older than 15 years. The median age of people in index case households was 23.3 years (IQR 12.2–39.3) with significantly fewer in the youngest and oldest age categories compared to all 270 households in the cohort. Pre-pandemic blood was collected from 69 (85%) of the index case household members ( Table S1). HI titres against A(H1N1)pdm09-like virus were <10 in all but one who had a titre of 20 and was not infected. None reported ever having received influenza vaccine. Eleven of 59 contacts were infected, giving a household secondary infection risk (SIR) of 18.6% (95%CI 10.7–30.4%). The secondary cases were from eight (40%) of the index case households. Five households had one secondary case, three households had two and twelve households had none. Six of the secondary cases were symptomatic giving a household secondary confirmed influenza illness risk of 10.2% (95%CI 4.8–20.5%). Five were asymptomatic, representing 45% of secondary infections.