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This rapid spread has led WHO to recommend that the A/California strain will replace the H 3 N 2 component of the vaccine; i.e. the A/Fujian/411/2002(H 3 N 2) virus. These recommendations are used by pharmaceutical manufacturers to update the composition of the influenza vaccines they produce.Helicobacter Pylori Infection Treatment & Management Oct 10, 2019 · Helicobacter pylori (see the image below) is a ubiquitous organism that is present in about 50% of the global population. Chronic infection with H pylori causes atrophic and even metaplastic changes in the stomach, and it has a known association with peptic ulcer disease.