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2024-4-28 19:50:13


EISS. EISS Weekly Report: Week 42, 2005. EISS
submited by kickingbird at Oct, 28, 2005 21:47 PM from EISS

Summary: The intensity of influenza activity in Europe is low. Only two countries, Poland and Hungary, reported an increase in clinical activity in week 42/2005, but in both countries the incidence of influenza-like illness was low and remained at baseline levels. There have only been eight laboratory confirmed cases of influenza virus detected since week 36/2005: four in Wales, two in Poland, one in Czech Republic and one in England. No human cases of influenza A(H5N1) have been reported in Europe.

Epidemiological situation - week 42/2005: The intensity of clinical influenza activity was low in all countries reporting data to the European Influenza Surveillance Scheme (EISS). Only two countries, Poland and Hungary, reported an increase in clinical activity compared to week 41/2005, but in both countries the incidence of influenza-like illness was low and at baseline levels.

For the geographical spread of influenza (click here for the definitions), all countries reported no activity, meaning there was no evidence of influenza virus activity.

Virological situation - week 42/2005 and the 2005-2006 season: The total number of respiratory specimens collected by sentinel physicians in week 42/2005 was 223, of which two (0.9%) were influenza virus positive. The two positive specimens were influenza B and both were detected in Poland. In addition, 789 non-sentinel specimens (e.g. specimens collected in hospitals) were analyzed and none of these were positive for the influenza virus.

So far this season (week 36-42/2005), there have been eight influenza virus detections reported to EISS: four cases of influenza A (unsubtyped) and four cases of influenza B. The four cases of influenza A (unsubtyped) were reported in Wales (two), the Czech Republic (one) and England (one) and the four cases of influenza B were reported in Wales (two) and Poland (two). One case was from a sentinel physician (in the Czech Republic) and all other cases were from non-sentinel sources. No viruses have been antigenically and/or genetically characterized.

Comment: Based on data reported to EISS, influenza activity in Europe is at low (baseline) levels and there have only been sporadic laboratory confirmed cases of influenza since the start of the season. Among cases of influenza-like illness or acute respiratory infection from which a respiratory specimen (sentinel and non-sentinel sources) was taken between week 36 and week 42/2005 (N=3069), there have been only 8 (0.3%) reports of laboratory confirmed influenza.

As the highly pathogenic avian influenza virus A(H5N1) has been detected in birds in Europe (Croatia, Romania and Turkey) (click here), EISS started to collect data on the detection of the A(H5N1) virus in humans as of 14 October 2005. Up to week 42/2005 no human cases have been reported in Europe.

Background: The Weekly Electronic Bulletin presents and comments influenza activity in the 28 European countries that are members of EISS. In week 42/2005, 24 countries reported clinical data and 23 countries reported virological data to EISS. The spread of influenza virus strains and their epidemiological impact in Europe is being carefully monitored by EISS in collaboration with the WHO Collaborating Centre in London, UK.

Other bulletins: To view national/regional bulletins in Europe and other bulletins from around the world, please click here. For a global update on the influenza A(H5N1) situation, please click here.

Map

The map presents the intensity of influenza activity and the geographical spread as assessed by each of the networks in EISS.

Clicking on the map will, if available, take you through to the national web site. If ´regional´ activity is reported, a pop-up text box will appear which describes the activity in greater detail.

Clicking on England and France will provide you with regional data.

Northern IrelandIceland / EuroGROGDenmarkNorwayNorwaySwedenSwedenDenmarkScotlandScotlandFinland / EuroGROGSwedenEnglandEnglandEnglandEnglandWalesIrelandThe NetherlandsBelgiumFranceFranceSwitzerlandGermanyGermanyCzech RepublicSlovakiaSloveniaPolandPolandHungaryFranceItalyItalyItalyItalyItalySpainSpainSpainSpainSpainPortugalPortugal (Azores)GreeceEstoniaAlbania / EuroGROGMacedonia / EuroGROGBulgaria / EuroGROGTurkey / EuroGROGTurkey / EuroGROGFinland / EuroGROGFinland / EuroGROGFinland / EuroGROGRomaniaRomaniaMaltaCyprus / EuroGROGAustriaCroatia / EuroGROGBoznia and Herzegovina / EuroGROGYugoslaviaEuroGROGEuroGROGEuroGROGEuroGROGLithuaniaEuroGROGLuxembourgLatviaDenmarkNorway
You may select the type of map :      Intensity     Geographical spread
Europe Year 2005 / Week 42

A = Dominant virus A
H1N1 = Dominant virus A(H1N1)
H3N2 = Dominant virus A(H3N2)
H1N2 = Dominant virus A(H1N2)
B = Dominant virus B
A & B = Dominant virus A & B

= : stable clinical activity
+ : increasing clinical activity
- : decreasing clinical activity
Low = no influenza activity or influenza at baseline levels
Medium = usual levels of influenza activity
High = higher than usual levels of influenza activity
Very high = particularly severe levels of influenza activity

No activity = no evidence of influenza virus activity (clinical activity remains at baseline levels)
Sporadic = isolated cases of laboratory confirmed influenza infection
Local outbreak = increased influenza activity in local areas (e.g. a city) within a region,
or outbreaks in two or more institutions (e.g. schools) within a region. Laboratory confirmed.
Regional activity = influenza activity above baseline levels in one or more regions with
a population comprising less than 50% of the country´s total population. Laboratory confirmed.
Widespread = influenza activity above baseline levels in one or more regions with a population
comprising 50% or more of the country´s population. Laboratory confirmed.
Network comments (where available)

  Latvia
No influenza virus isolation nor detection so far. ARI cases due to Parainf 1 and Parainf 3 and adenovirus circulation with sporadc cases of RSV.
Table and graphs (where available)

Intensity Geographic
Spread
Sentinel
swabs
Percentage
positive
Dominant
type
ILI per
100,000
ARI per
100,000
Virology graph
and pie chart
Austria Low None 32 0% None 1011.6 (graphs) Click here
Belgium Low None 2 0% None 42.5 (graphs) 1217.0 (graphs) Click here
Czech Republic Low None 9 0% None 36.8 (graphs) 1092.1 (graphs) Click here
Denmark Low None 0 0% None 13.6 (graphs) Click here
England Low None 22 0% None 10.9 (graphs) 528.1 (graphs) Click here
Estonia 5 0% None (graphs) Click here
France Low None 54 0% None 1530.7 (graphs) Click here
Germany Low None 22 0% None 1366.0 (graphs) Click here
Hungary Low None 139.9 (graphs) Click here
Ireland Low None 5 0% None 8.1 (graphs) Click here
Italy Low None 39.1 (graphs) Click here
Latvia None 1 0% None (graphs) 1269.4 (graphs) Click here
Lithuania Low None 0 0% None 0.8 (graphs) 452.3 (graphs) Click here
Luxembourg Low None 5 0% None 93.0 (graphs) Click here
Netherlands Low None 4 0% None 23.9 (graphs) Click here
Northern Ireland Low None 2 0% None 35.8 (graphs) Click here
Poland Low None 13 15.4% None 91.6 (graphs) Click here
Portugal Low None 2 0% None 7.5 (graphs) Click here
Romania None 26 0% None 2.3 (graphs) 1157.0 (graphs) Click here
Scotland Low None 0 0% None 9.0 (graphs) Click here
Slovakia Low None 0 0% None 439.8 (graphs) Click here
Slovenia Low None 1 0% None (graphs) 1249.7 (graphs) Click here
Spain Low None 28 0% None 11.0 (graphs) Click here
Sweden Low None 0 0% None (graphs) Click here
Wales Low None 0 0% None 1.8 (graphs) Click here
Europe 233 0.9% Click here
Preliminary data

Intensity: Low = no influenza activity or influenza activity at baseline level; Medium= usual levels of influenza activity; High = higher than usual levels of influenza activity; Very high = particularly severe levels of influenza activity.
Percentage positive: percentage of sentinel swabs that tested positive for influenza A or B
Dominant type: this assessment is based on data from sentinel and non-sentinel sources
ARI: acute respiratory infection
ILI: influenza-like illness
Population: per 100,000 population

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