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Some A&E units in Australia had 'standing room only' after being swamped by more than 100,000 cases of the H3N2 strain.

Professor Robert Dingwall, a public health expert at Nottingham Trent University, said it is 'inevitable' it will reach Britain.

In a letter to GPs, PHE suggested only adults given the quadrivalent vaccine would face protection from the emerging B strain.

GPs in the south west were told: 'It is possible that flu will be seen among individuals, both staff and patients, who have accepted this vaccination.'The trivalent vaccines, which protect against one strain of B and two of A, are most commonly used in NHS surgeries because they are cheaper, The Times reports.

Usually, just one subtype, either influenza A or B, is responsible for the majority of cases. PHE figures released earlier this week revealed 1,649 people were struck down with flu in England and Wales over the week of Christmas.

The dreaded Aussie flu outbreak that the NHS is preparing for will be the worst in 50 years, experts warned in September.

He said it could claim as many lives as the Hong Kong flu outbreak in 1968, which killed at least one million people.

GP surgeries have been overwhelmed with the influx of patients amid the winter flu epidemic, made worse by an aggressive strain of influenza A that rocked Australia.

Doctors are cancelling holidays and working late into the night to try to manage the demand after being told to keep patients out of hospitals as the NHS struggles.

The soaring cases, which jumped by 48 per cent over the space of a week, has been blamed for adding extra pressure onto an already stretched health service.

Dr Richard Pebody, of Public Health England, said: 'As we would expect at this time of year, flu levels have increased.

'For most people flu is generally mild but in certain groups, for example people who are elderly and those with weakened immune systems, it can be more serious resulting in hospitalisation and in extreme cases can be fatal.




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