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Seasonal Flu 2008 - 2009

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  • #271
    Re: Seasonal Flu 2008 - 2009

    Italy. 2008 / 2009 Influenza Season. Epidemiological Surveillance for Influenza-like Illness at Jan 7 2009 (Data from INFLUCIRI)

    Global Trend of Influenza-like Illness (ILI) Incidence among population.

    Manual Translation by IOH.

    Readers can find further informations and details about Italian epidemic surveillance done by CIRI (Centro Interuniversitario per lo Studio dell'Influenza) following this LINK. EDITED.

    Data reported below, showes the incidence of influenza-like illness among general population, from the data collected by sentinel (family) doctors participants to surveillance network.

    Figures are tabulated in relation to: surveillance season, week, class-age and are intended as per 1,000 inhabitants.

    <table style="width: auto;"><tbody><tr><td></td></tr><tr><td style="font-family: arial,sans-serif; font-size: 11px; text-align: right;">From TABLES</td></tr></tbody></table>

    <table style="width: auto;"><tbody><tr><td></td></tr><tr><td style="font-family: arial,sans-serif; font-size: 11px; text-align: right;">From TABLES</td></tr></tbody></table>

    Data Updated at Jan 7 2009 11:40:25 GMT+1

    [WEEK / Participant GPs / Outpatients / CASES: 0-4 / 5-14 / 15-65 / +65 / TOTAL INCIDENCE]

    2008-42 / 391 / 510721 / 141 / 0,59 / 0,2 / 0,3 / 0,16 / 0,28
    2008-43 / 386 / 509332 / 133 / 0,57 / 0,4 / 0,25 / 0,14 / 0,26
    2008-44 / 405 / 535482 / 147 / 0,7 / 0,22 / 0,29 / 0,16 / 0,27
    2008-45 / 409 / 537745 / 177 / 0,97 / 0,44 / 0,3 / 0,2 / 0,33
    2008-46 / 394 / 516856 / 177 / 0,51 / 0,49 / 0,36 / 0,16 / 0,34
    2008-47 / 411 / 541846 / 272 / 1,47 / 0,65 / 0,47 / 0,27 / 0,5
    2008-48 / 420 / 554658 / 337 / 1,39 / 0,81 / 0,6 / 0,32 / 0,61
    2008-49 / 415 / 548521 / 413 / 2,13 / 1,31 / 0,68 / 0,34 / 0,75
    2008-50 / 418 / 550474 / 487 / 2,66 / 1,49 / 0,81 / 0,32 / 0,88
    2008-51 / 397 / 526092 / 686 / 3,41 / 2,38 / 1,17 / 0,69 / 1,3
    2008-52 / 375 / 498870 / 711 / 3,97 / 2,85 / 1,24 / 0,67 / 1,43
    2009-01 / 299 / 395158 / 1048 / 5,23 / 2,85 / 2,76 / 1,55 / 2,65

    Highest Incidence of ILI is among 0-4 class-age population (523 x 100,000 inhab.) and sustained even among over 65 population despite extensive vaccination coverage.

    RED figures indicate an increasing incidence, whereas BLUE figures a decreasing one.
    -
    -----

    Comment

    • #272
      Re: Seasonal Flu 2008 - 2009

      Originally posted by niman View Post
      Colorado influenza summary - Week ending 12/27/08
      INFLUENZA ACTIVITY
      Gradually increasing level of influenza activity, especially in El Paso County, based on the number of hospitalizations and increasing sentinel laboratory positivity.
      Local activity was reported to CDC for the first time this season.
      INFLUENZA-LIKE ILLNESS SURVEILLANCE FROM KAISER PERMANENTE
      (DENVER METRO REGION)
      0.9% - week ending 12/13/08
      0.8% - week ending 12/20/08
      0.9% - week ending 12/27/08
      NOTE: The inter-season range from June through September was 0.4% - 0.8%.
      REPORTED INFLUENZA-ASSOCIATED HOSPITALIZATIONS
      1 - week ending 12/13/08
      1 - week ending 12/20/08
      3 - week ending 12/27/08
      7 (Cumulative 10/04/08 ? 12/27/08)
      TYPE AND STRAIN INFORMATION
      (CUMULATIVE 12/02/08 ? 12/27/08)
      Type A Influenza = 20

      <DIR><DIR>? Subtype H3 = 11
      ? Subtype H1 = 7

      </DIR></DIR>Type B Influenza = 1
      NOTE: Type and strain information is based on direct fluorescent antibody (DFA), RT-PCR and viral culture results. Results included in strain surveillance do not necessarily represent hospitalizations and should not be regarded as cases.
      SENTINEL LABORATORY SURVEILLANCE
      Based on 15 reporting labs, 386 specimens were tested for influenza of which 21 (5.4%) were positive for A.
      REPORTS OF OUTBREAKS OF INFLUENZA
      There were no influenza outbreaks reported in the past week.
      For additional information, please go to our web site at:
      http://www.cdphe.state.co.us/dc/Influenza/index.html


      http://www.cdphe.state.co.us/dc/Influenza/flu_sum.pdf

      TYPE AND STRAIN INFORMATION

      (CUMULATIVE 12/16/08 ? 01/03/09)
      Type A Influenza = 23
      <DIR><DIR>
      ? Subtype H3 = 9
      ? Subtype H1 = 8
      </DIR></DIR>Type B Influenza = 0

      Comment

      • #273
        Re: Seasonal Flu 2008 - 2009

        Influenza activity continues to be widespread across the UK. GP consultation rates remained above the threshold
        levels in England and Scotland in week 01/09. In England the rate has increased from week 52/08 to week 01/09 but
        is lower than the week 51/08 peak; data from week 01/09 is also incomplete due to the new year bank holiday so it is
        difficult to interpret. In Scotland the consultation rate has increased and in Wales it has decreased and has remained
        below baseline. In Northern Ireland the consultation rate has increased to a similar level to the peak of week 51/08
        but thresholds have not yet been set. No data was available from the Centre for Infections’ Respiratory Virus Unit
        (RVU) for week 01/09. So far this season (up to week 52/08) 726 influenza positive specimens have been reported
        from RVU; 45 (6.2&#37 influenza A (H1), 658 (90.6%) influenza A (H3) and 23 (3.2%) influenza B. Other NHS and HPA
        laboratories in England and Wales reported 200 influenza A, and one influenza B positive specimen in week 01/09.
        Fifty-five Scottish and 45 Northern Irish influenza positive specimens were reported in week 01/09. Eight outbreaks of
        respiratory illness were reported recently in care homes, a school and two hospital units in England. The proportion
        of people over 65 years who have received this season’s influenza vaccine was 72% in week 50/08, and 44.2% in
        those aged under 65 years in risk groups. Characterisation of 218 influenza viruses since week 40/08 by RVU have
        shown that the majority of circulating strains are well-matched by the current influenza vaccine. Influenza activity is
        reported to be increasing throughout the rest of Europe with one country reporting ‘ high’ level and six countries
        reporting ‘medium’ levels of influenza activity in week 51/08.
        England and Wales
        Royal College of General Practitioners
        (
        http://www.rcgp.org.uk/bru/index.asp)

        Covered in this report:
        Data, except that from ONS, MOSA and non-UK sources: 29/12/08 - 04/01/09 (Week 01, 2009 )
        Data from ONS, MOSA and non-UK sources: 22/12/08 - 28/12/08 (Week 52, 2008)
        ** RCGP incidence rates in this report only refer to first or new episodes of infection diagnosed by a GP.
        Forty influenza A (H1) specimens have been tested for anti-viral drug resistance since week 40/08, 39 of these were
        resistant to oseltamivir and all were sensitive to zanamivir and amantadine. One hundred and one influenza A (H3)
        specimens have been found resistant to amantadine, of these 74 have been tested and found sensitive to oseltamivir
        and zanamivir. Two influenza B specimens have been tested so far and were sensitive to oseltamivir and zanamivir.

        http://www.hpa.org.uk/web/HPAwebFile.../1231316146424
        Last edited by sharon sanders; January 8, 2009, 01:37 PM. Reason: format

        Comment

        • #274
          Re: Seasonal Flu 2008 - 2009

          Italy. 2008 / 2009 Influenza Season: Virologic Surveillance of Influenza (January 7, 2009 Update - Ministry of Health)

          VIROLOGIC SURVEILLANCE OF INFLUENZA

          January 7 2009

          Update, Week 1/09

          [Manual Translation by IOH. Readers can find original PDF document following this LINK. EDITED.]


          -- ITALY

          During this surveillance week, thirty-six samples have been collected by network laboratories.

          Among them, seventeen were influenza positive; of these 11 were A/H3N2 (4 isolated by Genoa University and 7 by Parma University) and 6 were type A unsubtyped, (by Lecce University).

          In the table below, cumulative virological data are reported since the strart of surveillance activities (week 46-08) to date (week 1-09).

          [SURVEILLANCE WEEK: 46 / 47 / 48 / 49 / 50 / 51 / 52 / 1 / TOT POSITIVE SAMPLES]

          - FLU A / 3 / 4 / 4 / 5 / 3 / 7 / 4 / 17 / 47
          - A (unsubtyped) / ... / ... / ... / 1 / ... / 1 / 1 / 6 / 9
          - A/H3N2 / 3 / 4 / 4 / 4 / 3 / 6 / 3 / 11 / 38
          - A/H1N1 / ... / ... / ... / ... / ... / ... / ... / ... / ...
          - FLU B / 0 / 0 / 2 / 0 / 1 / 0 / 0 / 0 / 3
          - TOT POSITIVE SAMPLES / 3 / 4 / 6 / 5 / 4 / 7 / 4 / 17 / 50


          -- FROM THE WORLD

          - Europe: Influenza virus circulation is reported increasing during this last surveillance week. The most higher incidence has been reported in the North East part of Europe. Of 658 samples collected, 447 were influenza positive. Of these, 429 were type A (154 H3, 8 H1 and 267 unsubtyped) whereas only 18 were type B.

          Preliminary antigenic characterization of circulating influenza A showed that they are closely related to seasonal influenza vaccines reference strains.

          Further information at:
          http://www.eiss.org/index.cgi

          Groupes Régionaux d'Observation de la Grippe
          http://www.grog.org/



          -- USA: Influenza virus circulation is increasing. This week 2,610 samples have been collected. Of these, 130 (5%) were influenza positive. 105 were influenza A (18 H1, 4 H3 and 83 unsubtyped). 25 were influenza B.

          All influenza viruses have been characterized as closely related to this year seasonal vaccines reference strains.

          Further information at:
          What you need to know about influenza (flu) from CDC
          http://www.cdc.gov/flu/
          Everything you need to know about flu viruses and flu illness, including symptoms, treatment and prevention.

          -
          -----

          Comment

          • #275
            Re: Seasonal Flu 2008 - 2009


            <?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /><st1:State w:st="on"><st1:place w:st="on">Pennsylvania</st1:place></st1:State> Influenza Cases confirmed by the Bureau of Laboratories
            (as of 01/03/2009)
            <TABLE style="BORDER-RIGHT: medium none; BORDER-TOP: medium none; MARGIN: auto 6.75pt; BORDER-LEFT: medium none; WIDTH: 6.45in; BORDER-BOTTOM: medium none; BORDER-COLLAPSE: collapse" cellSpacing=0 cellPadding=0 width=619 align=left border=1><TBODY><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>District (#)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>County
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>Subtype
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Oseltamivir Resistance (Yes or No)
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118 rowSpan=3>NW (3)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118><st1:City w:st="on"><st1:place w:st="on">Erie</st1:place></st1:City>
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A(H1N1)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: yellow; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=265>Yes
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118><st1:City w:st="on"><st1:place w:st="on">Warren</st1:place></st1:City>
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A(H3N2)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118><st1:City w:st="on"><st1:place w:st="on">Warren</st1:place></st1:City>
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A(H3N2)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>NE (1)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>Lehigh
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A (H3N2)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118 rowSpan=6>NC (6)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>Centre
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A(H1N1)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>Centre
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A(H1N1)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>Centre
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>Influenza B
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>Centre
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>Influenza B
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>Montour
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A (H1N1)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>Montour
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A (H1N1)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118 rowSpan=5>SE (5)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118><st1:City w:st="on"><st1:place w:st="on">Chester</st1:place></st1:City>
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A (H3N2)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>Berks
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A(H1N1)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>Berks
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A(H1N1)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>Bucks
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A(H1N1)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: yellow; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=265>Yes
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118><st1:City w:st="on"><st1:place w:st="on">Philadelphia</st1:place></st1:City>
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A(H1N1)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>SC (1)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>Blair
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A(H1N1)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118 rowSpan=2>SW (2)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118><st1:City w:st="on"><st1:place w:st="on">Butler</st1:place></st1:City>
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A(H1N1)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118><st1:City w:st="on"><st1:place w:st="on">Butler</st1:place></st1:City>
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 88.55pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=118>A(H1N1)
            </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 198.75pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=265>Results pending
            </TD></TR></TBODY></TABLE>



            http://www.dsf.health.state.pa.us/health/cwp/view.asp?a=171&q=246529

            Comment

            • #276
              Re: Seasonal Flu 2008 - 2009

              Preliminary

              <TABLE cellSpacing=0 cellPadding=0 width=782 border=0><TBODY><TR><TD align=middle width=780 bgColor=#0063c8 height=1>EISS - Weekly Electronic Bulletin </TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=#0063c8 height=1><TABLE border=0><TBODY><TR bgColor=white><TD noWrap width=254 bgColor=#0063c8>Week 1 : 29/12/2008-04/01/2009</TD><TD noWrap align=middle width=258 bgColor=#0063c8></TD><TD noWrap align=right width=254 bgColor=#0063c8>, Issue N? 287</TD></TR></TBODY></TABLE></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=#1d92ff height=3></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=white><TABLE><TBODY><TR><TD>

              </TD></TR></TBODY></TABLE></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width=782 border=0><TBODY><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=#1d92ff height=5></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=white><TABLE width=780 border=0><TBODY><TR><TD>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.

              <MAP name=area><AREA shape=POLY alt="Northern Ireland" coords=140,289,150,289,153,309,142,312,127,301 href="http://www.cdscni.org.uk/"><AREA shape=POLY alt=Iceland coords=88,61,88,60,83,50,72,50,59,60,56,71,56,95,6 6,106,79,120,101,118,136,105,136,84,135,69,116,65, 105,67 href="http://www.landspitali.is"><AREA shape=POLY alt=Denmark coords=173,161,176,165,171,173,170,180,169,182,163 ,181,162,176,162,167,161,164,168,160 href="http://www.ssi.dk/sw2796.asp"><AREA shape=POLY alt=Norway coords=332,79,328,90,322,100,314,114,312,120,302,1 42,296,152,288,153,279,166,257,185,255,238,266,258 ,282,259,297,245,305,238,310,240,313,240,314,227,3 22,220,322,213,318,209,322,198,318,188,314,171,318 ,153,324,148,329,149,331,145,328,137,333,130,333,1 17,345,89,341,85,347,78 href="http://www.fhi.no"><AREA shape=POLY alt=Norway coords=434,21,423,33,411,25,408,26,406,28,401,27,3 98,37,400,45,398,53,397,54,390,52,384,57,373,46,36 4,64,355,62,353,66,354,72,350,74,344,79,316,79,322 ,68,331,56,343,40,360,26,378,11,394,2,419,5,432,14 ,429,18 href="http://www.fhi.no"><AREA shape=POLY alt=Sweden coords=371,52,377,60,384,61,390,68,393,82,402,108, 390,111,310,239,314,238,315,227,322,221,321,213,31 8,209,319,206,323,199,319,192,314,171,316,167,316, 158,322,151,324,146,329,148,331,145,327,136,334,12 7,332,117,338,101,345,89,341,84,347,75,353,73,354, 69,354,62,359,62,365,63,369,52 href="http://www.smittskyddsinstitutet.se/SMItemplates/Article.aspx?id=3021"><AREA shape=POLY alt=Sweden coords=385,118,316,226,310,239,310,255,321,280,324 ,293,326,307,336,305,339,305,342,300,342,298,341,2 97,357,291,361,289,366,266,362,247,377,231,377,217 ,361,200,363,178,373,159,384,144,387,133 href="http://www.smittskyddsinstitutet.se/SMItemplates/Article.aspx?id=3021"><AREA shape=POLY alt=Denmark coords=307,260,311,273,305,279,310,286,307,295,308 ,300,314,293,323,290,326,300,325,310,326,310,319,3 19,310,319,300,314,288,314,281,311,286,305,281,302 ,281,296,272,297,273,278,284,278,285,274,294,271 href="http://www.ssi.dk/sw2796.asp"><AREA shape=POLY alt=Scotland coords=195,225,190,222,184,230,182,234,170,232,161 ,242,160,231,149,235,149,242,141,248,140,258,150,2 56,152,263,142,267,148,271,144,282,151,288,151,291 ,156,294,155,302,160,304,170,304,181,295,185,293,1 89,287,187,279,191,273,191,270,197,259,196,252,180 ,250,189,240,194,231,196,225 href="http://www.show.scot.nhs.uk/scieh/"><AREA shape=POLY alt=Scotland coords=210,199,204,206,202,209,204,217,209,217,210 ,210,211,206,214,199 href="http://www.show.scot.nhs.uk/scieh/"><AREA shape=POLY alt=Finland coords=380,209,379,213,380,216,386,215,388,212,385 ,209 href="http://www.ktl.fi"><AREA shape=POLY alt=Sweden coords=379,245,379,251,375,256,372,262,373,269,374 ,276,375,276,377,270,381,263,381,257,385,253,381,2 52,382,245 href="http://www.smittskyddsinstitutet.se/SMItemplates/Article.aspx?id=3021"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=England coords=159,307,158,311,157,314,163,314,164,310,164 ,306,163,306 href="/cgi-files/regional.cgi?year=2009&week=1&region=England"><ARE A onclick="return popup(this, 'notes')" shape=POLY alt=England coords=190,287,185,291,184,294,182,294,173,302,169 ,305,171,313,174,317,172,327,170,331,171,333,182,3 32,197,329,205,328,203,317,200,312,194,306,193,289 href="/cgi-files/regional.cgi?year=2009&week=1&region=England"><ARE A onclick="return popup(this, 'notes')" shape=POLY alt=England coords=204,328,192,331,182,331,175,333,169,332,167 ,342,166,353,165,362,178,359,192,358,193,359,209,3 59,214,361,218,354,221,348,219,344,209,340,206,341 ,207,330 href="/cgi-files/regional.cgi?year=2009&week=1&region=England"><ARE A onclick="return popup(this, 'notes')" shape=POLY alt=England coords=213,360,203,359,191,359,190,358,174,359,169 ,362,165,365,159,363,147,367,141,375,133,378,133,3 83,142,383,150,380,159,384,163,377,170,380,181,381 ,200,382,212,377,215,369,210,367 href="/cgi-files/regional.cgi?year=2009&week=1&region=England"><ARE A onclick="return popupregional(this, 'notes')" shape=POLY alt=Wales coords=171,328,170,328,168,337,168,344,167,350,165 ,357,167,362,163,364,158,362,154,358,147,357,144,3 52,146,348,151,346,156,343,159,336,155,337,152,336 ,152,333,155,331,155,323,158,324,166,326 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Wale s"><AREA shape=POLY alt=Ireland coords=141,287,138,284,126,285,126,290,121,292,123 ,297,123,300,114,296,107,296,105,306,103,313,108,3 18,101,328,93,331,95,345,100,348,120,346,127,343,1 36,344,142,337,145,319,143,312,137,307,136,306,134 ,307,129,303,128,300,134,293 href="http://www.ndsc.ie"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt="The Netherlands" coords=272,339,272,338,272,344,271,346,272,348,272 ,351,267,354,270,358,268,362,268,365,261,368,259,3 69,261,372,259,379,255,377,249,374,243,372,237,376 ,230,373,233,368,238,362,239,352,245,345,252,335,2 64,336 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Neth erlands"><AREA shape=POLY alt=Belgium coords=258,379,259,379,258,386,262,390,262,393,257 ,399,256,402,256,407,256,407,253,406,245,400,246,3 95,242,398,239,396,236,390,232,387,229,383,225,382 ,223,379,223,375,231,372,237,376,243,372,251,373 href="http://www.iph.fgov.be/flu/"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=France coords=223,376,212,378,211,391,195,396,192,401,182 ,399,181,393,172,394,174,413,164,409,159,405,144,4 05,138,408,139,422,151,428,153,434,161,435,162,442 ,168,454,174,453,178,451,179,448,177,444,180,441,1 92,442,200,448,200,452,217,453,221,450,229,450,236 ,456,244,454,248,451,252,454,262,451,268,445,272,4 43,274,431,276,424,280,419,277,416,266,413,261,407 ,254,407,246,400,246,396,242,400,240,395,235,390,2 28,383,223,382 href="/cgi-files/regional.cgi?year=2009&week=1&region=France"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=France coords=262,452,253,455,248,451,240,455,237,456,230 ,451,222,450,218,453,208,452,200,452,198,446,192,4 42,185,441,179,442,176,443,179,448,177,452,170,455 ,168,453,169,468,167,486,161,499,159,504,168,514,1 77,516,179,521,187,521,189,520,195,521,198,528,207 ,528,208,530,212,529,216,529,217,518,229,510,232,5 13,241,515,251,521,261,517,269,510,273,504,271,502 ,264,497,265,491,261,485,266,482,267,479,264,473,2 66,471,262,463,258,465,256,465,257,460,258,456 href="/cgi-files/regional.cgi?year=2009&week=1&region=France"><AREA shape=POLY alt=Switzerland coords=306,455,302,464,301,461,302,464,301,466,295 ,463,292,466,288,472,285,469,282,465,278,469,276,4 71,269,472,266,472,265,470,262,464,257,466,254,466 ,257,456,261,452,267,445,273,441,283,441,289,439,2 95,443,296,450,302,455 href="http://www.bag.admin.ch/sentinella"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Germany coords=300,313,302,320,314,320,311,330,315,327,325 ,320,295,443,290,440,285,440,280,442,273,442,274,4 31,277,423,280,419,277,417,268,414,261,407,261,402 ,260,397,262,391,259,386,259,379,261,375,261,374,2 59,368,263,366,266,365,269,359,268,355,265,354,270 ,351,272,347,270,345,273,343,270,338,269,337,271,3 34,279,331,282,335,286,330,286,327,284,321,282,311 ,290,314,296,314 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Germ any"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Germany coords=324,321,331,316,336,319,342,331,344,341,342 ,346,342,348,346,355,348,364,347,368,352,382,347,3 84,343,383,334,391,321,395,326,400,327,408,343,423 ,331,433,333,440,325,440,315,444,311,445,307,443,3 04,446,294,442 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Germ any"><AREA shape=POLY alt=Bulgaria coords=451,492,454,498,466,495,478,493,490,489,497 ,481,519,483,520,492,516,505,523,513,513,516,509,5 16,503,523,501,531,489,534,479,533,463,538,457,529 ,451,524,450,516,455,509 href=""><AREA shape=POLY alt="Czech Republic" coords=352,381,356,383,363,386,367,385,369,388,367 ,390,371,393,372,389,374,387,380,392,388,396,396,4 01,395,404,392,410,377,418,362,419,360,417,356,416 ,349,423,340,424,340,419,326,406,326,400,321,395,3 26,395,341,385,345,383,350,383 href="http://www.szu.cz/cema/aro/aro.htm"><AREA shape=POLY alt=Slovakia coords=435,406,434,406,430,405,425,401,419,400,417 ,404,412,403,410,406,403,404,400,402,394,404,387,4 12,378,417,374,421,377,428,378,432,384,435,389,435 ,395,434,398,429,406,425,411,424,415,417,421,417,4 28,418,429,420,431,419,433,417 href="http://www.sea.host.sk/chripka.htm"><AREA shape=POLY alt=Slovenia coords=371,452,371,458,369,461,368,466,365,466,363 ,467,364,472,363,476,354,477,352,477,346,480,340,4 79,340,475,341,467,338,464,340,461,345,461,353,461 ,358,457,363,458 href="http://www.ivz.si/ivz/"><AREA shape=POLY alt=Poland coords=344,340,340,328,359,321,362,315,375,308,385 ,315,397,315,418,313,424,311,431,315,439,340,432,3 46,439,353,441,365,448,378,438,390,435,400 href="http://www.pzh.gov.pl/aindex.html"><AREA shape=POLY alt=Poland coords=436,398,435,406,430,404,426,402,419,401,417 ,405,412,403,409,407,400,403,396,402,386,396,383,3 94,376,391,373,390,371,394,366,390,368,387,364,386 ,358,386,352,381,351,374,347,366,349,365,347,362,3 45,352,341,348,342,346,343,338 href="http://www.pzh.gov.pl/aindex.html"><AREA shape=POLY alt=Hungary coords=433,416,439,421,443,422,443,424,435,432,432 ,441,427,456,419,461,416,460,412,460,406,465,401,4 66,399,468,389,469,385,466,383,464,373,457,372,450 ,373,449,373,440,375,440,373,437,375,437,377,438,3 80,432,383,433,389,435,398,432,400,429,407,425,413 ,423,416,418,426,417,431,419 href="http://www.oek.hu"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=France coords=292,520,291,526,288,527,282,529,282,541,284 ,549,290,554,293,547,295,538,295,534,294,522 href="/cgi-files/regional.cgi?year=2009&week=1&region=France"><AREA shape=POLY alt=Italy coords=345,460,336,458,328,459,322,452,318,452,313 ,453,312,457,305,456,302,460,302,466,296,462,287,4 71,283,464,276,472,265,470,263,474,268,479,261,484 ,264,491,263,496,265,500,270,503,272,504,271,510,2 78,507,284,500,329,492,329,481,335,478,341,477,341 ,471,339,465,341,462 href="http://www.virologia.unimi.it/influenza"><AREA shape=POLY alt=Italy coords=364,537,376,537,378,542,375,547,393,555,405 ,560,409,568,406,574,405,575,390,564,385,574,393,5 82,394,590,379,611,372,610,372,603,374,595,378,586 ,369,575,360,571 href="http://www.virologia.unimi.it/influenza"><AREA shape=POLY alt=Italy coords=372,603,361,606,350,609,345,606,333,607,330 ,616,337,621,347,626,358,629,361,634,370,633,372,6 24,371,617 href="http://www.virologia.unimi.it/influenza"><AREA shape=POLY alt=Italy coords=328,491,291,497,293,504,301,509,301,527,303 ,532,334,551,350,565,363,571,365,539,350,527,345,5 11,331,501 href="http://www.virologia.unimi.it/influenza"><AREA shape=POLY alt=Italy coords=291,553,294,555,298,562,298,568,296,570,296 ,586,296,592,289,592,284,598,277,593,276,588,279,5 72,275,567,275,556,279,554,281,559,286,554 href="http://www.virologia.unimi.it/influenza"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Spain coords=204,528,207,530,219,529,219,536,214,543,202 ,549,185,554,182,560,170,574,171,588,174,589,166,5 96,157,609,148,610,135,622,116,618,100,620,93,625, 80,621,79,610,74,599,202,528 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Spai n"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Spain coords=75,600,206,528,197,526,196,523,191,519,187, 521,178,520,177,516,172,515,160,504,150,500,141,49 8,122,494,115,490,101,486,91,482,81,481,81,485,71, 485,67,491,69,512,73,512,76,510,78,510,80,515,84,5 15,87,517,91,517,93,516,94,518,98,518,97,522,101,5 25,98,529,95,529,90,533,90,538,86,550,86,553,83,55 5,81,555,80,561,81,565,81,570,77,571,76,577,78,582 ,79,583,73,586,70,590,70,599 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Spai n"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Spain coords=227,571,221,570,220,575,216,575,212,571,206 ,573,202,576,201,581,207,582,208,586,215,583,218,5 78,230,575 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Spai n"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Spain coords=193,583,189,582,185,586,187,591,191,594,193 ,589 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Spai n"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Spain coords=58,616,70,616,72,616,70,627,66,627,56,622 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Spai n"><AREA shape=POLY alt=Portugal coords=69,511,73,513,77,509,79,515,84,516,86,517,9 1,516,94,515,94,518,99,519,98,521,100,526,99,528,9 4,530,90,532,86,549,86,555,81,555,79,561,82,562,81 ,570,78,571,76,576,76,581,78,584,70,590,70,598,65, 600,53,598,48,596,33,591,34,587,38,587,44,592,49,5 94,51,587,54,573,50,570,47,564,51,553,59,542,65,53 0 href="http://www.dgsaude.pt/"><AREA shape=RECT alt="Portugal (Azores)" coords=2,544,22,559 href="http://www.dgsaude.pt/"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=Greece coords=500,525,505,526,505,529,502,531,503,538,501 ,543,503,548,504,564,502,567,511,581,521,598,528,6 02,539,604,540,609,546,608,543,618,528,639,518,644 ,493,652,480,642,453,621,434,594,425,577,421,571,4 25,569,428,577,431,569,438,553,442,549,446,549,452 ,543,461,538,472,534,480,531,482,534,494,532,499,5 31 href="/cgi-files/regional.cgi?year=2009&week=1&region=Greece"><AREA shape=POLY alt=Estonia coords=401,248,427,247,459,252,454,233,455,218,440 ,214,422,219,406,225 href="http://www.tervisekaitse.ee"><AREA shape=POLY alt=Albania coords=415,537,414,528,417,522,421,525,426,525,431 ,533,430,544,439,554,428,576,426,570,416,563,415,5 53,417,543><AREA shape=POLY alt=Macedonia coords=431,533,430,544,438,553,443,549,447,548,452 ,543,457,543,462,538,460,530,451,523,445,526><AREA shape=POLY alt=Turkey coords=679,464,671,464,663,479,653,478,642,489,621 ,490,613,486,603,481,595,483,629,583,634,578,643,5 79,652,581,658,576,660,573,657,566,663,562,667,562 ,679,554,679,554><AREA shape=POLY alt=Turkey coords=596,482,566,508,542,522,521,515,508,514,500 ,524,506,525,505,529,502,533,503,538,500,542,504,5 64,502,567,516,588,525,588,524,595,530,602,539,600 ,541,608,548,604,557,610,578,609,579,597,598,598,6 09,602,619,599,629,585><AREA shape=POLY alt=Finland coords=423,32,413,26,410,24,405,28,400,28,398,37,4 00,45,397,53,389,51,385,56,373,45,370,50,375,58,37 8,61,385,63,392,73,395,92,401,108,433,66,431,62,42 7,56,420,56,420,46,418,42,421,39 href="http://www.ktl.fi"><AREA shape=POLY alt=Finland coords=432,67,431,75,431,82,442,96,442,114,448,123 ,454,127,452,134,457,140,388,160,384,157,390,152,4 03,127,409,111,401,106 href="http://www.ktl.fi"><AREA shape=POLY alt=Finland coords=458,139,464,147,467,152,450,191,452,195,408 ,218,393,214,391,204,384,159 href="http://www.ktl.fi"><AREA shape=POLY alt=Romania coords=519,483,510,483,503,480,497,483,492,483,486 ,491,460,493,455,496,450,489,445,482,439,484,435,4 81,434,476,427,473,417,461,422,459,427,453,431,439 ,435,430,441,423 href="http://www.cantacuzino.ro"><AREA shape=POLY alt=Romania coords=516,482,520,482,520,466,528,460,528,450,520 ,450,515,456,513,457,504,447,503,431,488,418,486,4 10,481,408,473,417,464,423,460,421,441,421,441,424 href="http://www.cantacuzino.ro"><AREA shape=POLY alt=Malta coords=355,644,357,648,357,651,364,649,364,646,360 ,643 href="http://www.sahha.gov.mt"><AREA shape=POLY alt=Cyprus coords=635,595,626,604,614,607,614,612,607,617,611 ,624,624,620,629,616,636,611,631,607,639,597><AREA shape=POLY alt=Austria coords=375,419,374,422,379,432,380,435,375,438,373 ,436,372,438,373,441,372,450,361,458,358,457,352,4 61,342,460,331,458,327,457,324,453,314,453,311,458 ,297,453,295,449,294,443,298,443,303,445,308,442,3 12,445,320,441,326,439,331,441,333,438,330,433,339 ,424,344,422,348,424,357,415,360,416,363,419,372,4 18><AREA shape=POLY alt=Croatia coords=406,464,409,472,409,478,408,479,398,476,389 ,476,379,478,371,476,368,478,377,501,390,518,396,5 24,387,526,372,521,358,506,341,487,340,478,345,481 ,351,477,355,478,364,474,364,467,367,466,370,459,3 72,458,383,465,391,470,400,468 href="http://www.hzjz.hr"><AREA shape=POLY alt="Boznia and Herzegovina" coords=407,478,412,477,414,479,410,490,415,496,414 ,500,416,503,413,509,405,516,404,524,394,524,378,5 05,373,494,368,482,369,476,376,478,392,476,400,475 ><AREA shape=POLY alt=Montenegro coords=413,511,424,527,418,525,416,539,397,525><AR EA shape=POLY alt=Serbia coords=418,461,418,462,425,469,434,477,435,482,441 ,484,447,482,450,491,448,495,453,504,455,509,451,5 15,452,524,431,533,426,525,427,524,427,524,424,523 ,422,521,419,517,414,510,414,504,412,498,414,496,4 10,488,413,479,409,477,407,463,412,460 href="http://www.batut.org.yu/"><AREA shape=POLY alt="" coords=434,20,444,20,458,23,467,24,500,35,514,50,5 30,48,519,38,508,14,528,9,540,17,545,16,555,0,679, 0,679,177,451,193,452,182,459,170,466,151,461,140, 452,134,452,129,454,126,451,124,442,113,440,94,431 ,81,431,72,433,67,427,57,422,57,419,50,419,44,419, 41,423,33,424,31><AREA shape=POLY alt="" coords=452,194,457,203,448,212,456,224,451,234,457 ,245,459,253,466,270,451,282,456,293,452,309,436,3 20,440,339,434,347,448,378,680,373,680,172><AREA shape=POLY alt="" coords=449,376,437,390,434,398,434,406,432,415,441 ,423,460,421,465,423,480,411,487,410,490,420,504,4 32,504,448,514,457,521,451,527,451,536,427,543,375 ><AREA shape=POLY alt="" coords=671,463,667,453,636,442,615,434,596,429,587 ,441,573,454,560,443,552,437,535,424,541,374,679,3 71,679,465><AREA shape=POLY alt=Lithuania coords=414,278,401,286,402,300,417,300,421,304,421 ,312,428,314,433,323,439,321,450,309,452,302,456,2 92,452,283,446,279,437,275,434,278 href="http://www.aids.lt"><AREA shape=POLY alt="" coords=394,306,391,317,412,314,418,314,422,305,417 ,299,398,300><AREA shape=POLY alt=Luxembourg coords=255,400,254,407,260,408,263,402,261,395 href="http://www.ms.etat.lu/"><AREA shape=POLY alt=Latvia coords=398,283,430,279,449,281,464,270,457,251,439 ,247,423,250,396,250 href="http://www.sva.lv"><AREA shape=CIRCLE alt=Denmark coords=347,310,5 href="http://www.ssi.dk/sw2796.asp"><AREA shape=RECT alt=Norway coords=290,8,326,41 href="http://www.fhi.no"></MAP><FORM name=form1 action="" method=post>You may select the type of map :</B> Intensity <INPUT onclick="movepic('button','/bulletin_maps/2009_01_int_v2.png')" type=radio CHECKED value=radiobutton name=radiobutton> Geographical spread <INPUT onclick="movepic('button','/bulletin_maps/2009_01_v2.png')" type=radio value=radiobutton name=radiobutton> </FORM><CENTER> </CENTER>
              <CENTER><TABLE cellSpacing=5><TBODY><TR><TD vAlign=top noWrap>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

              </TD><TD></TD><TD vAlign=top>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.

              Finland : Where available, the epidemiological data are provided by a health-care district in
              South-Western Finland (the health-care district serves 54,000 inhabitants i.e. approximately one
              percent of the Finnish population).
              </TD></TR></TBODY></TABLE></CENTER>              </TD></TR></TBODY></TABLE></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width=782 border=0><TBODY><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=#1d92ff height=5></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=white><TABLE><TBODY><TR><TD>Network comments (where available)

              <TABLE><TBODY><TR><TD width=20> </TD><TD width=700>Estonia
              The first influenzaviruses of this season have been detected from non-sentinel specimens (inflA&B) in Estonia.
              Italy
              A total of 11 A/H3N2 influenza isolates have been reported during this week. Furthermore, 6 A viruses, still not subtyped, have been identified.
              Sweden
              Only a few helth units have reported due to Christmas holidays.
              Switzerland
              An increase of the activity has been observed. Influenza A (H3N2) viruses have been detected in majority until now. 4 influenza A (H3N2) have been characterized as antigenically related to the vaccine strain influenza A/Brisbane/10/2007.
              </TD></TR></TBODY></TABLE>              </TD></TR></TBODY></TABLE></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width=782 border=0><TBODY><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=#1d92ff height=5></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=white><TABLE width=780><TBODY><TR><TD>Table and graphs (where available)

              <CENTER><TABLE cellSpacing=0 cellPadding=2 bgColor=white border=0><TBODY><TR><TD bgColor=#808080 colSpan=14></TD></TR><TR><TD vAlign=top bgColor=white></TD><TD vAlign=top bgColor=white>Intensity</TD><TD vAlign=top bgColor=white>Geographic
              Spread              </TD><TD vAlign=top bgColor=white>Sentinel
              swabs              </TD><TD vAlign=top bgColor=white>Percentage
              positive              </TD><TD vAlign=top bgColor=white>Dominant
              type              </TD><TD vAlign=top align=middle bgColor=white colSpan=2>ILI per
              100,000              </TD><TD vAlign=top align=middle bgColor=white colSpan=2>ARI per
              100,000              </TD><TD vAlign=top noWrap bgColor=white>Virology graph
              and pie chart              </TD></TR><TR><TD bgColor=#808080 colSpan=13></TD></TR><TR id=r1c0><TD class=relative id=r1c1 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>Austria</TD><TD class=relative id=r1c2 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>Medium</TD><TD class=relative id=r1c3 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>Sporadic</TD><TD class=relative id=r1c4 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>100</TD><TD class=relative id=r1c5 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>9.0%</TD><TD class=relative id=r1c6 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11) noWrap>Type A</TD><TD class=relative id=r1c7 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11) align=right>1004.2</TD><TD class=relative id=r1c8 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>(graphs)</TD><TD class=relative id=r1c9 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11) align=right>0.0</TD><TD class=relative id=r1c10 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>(graphs)</TD><TD class=relative id=r1c11 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>Click here</TD><TR id=r2c0><TD class=relative id=r2c1 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>Belgium</TD><TD class=relative id=r2c2 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>Low</TD><TD class=relative id=r2c3 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>Sporadic</TD><TD class=relative id=r2c4 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>32</TD><TD class=relative id=r2c5 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>46.9%</TD><TD class=relative id=r2c6 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11) noWrap>Type A, Subtype H3</TD><TD class=relative id=r2c7 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11) align=right>121.1</TD><TD class=relative id=r2c8 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>(graphs)</TD><TD class=relative id=r2c9 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11) align=right>1534.6</TD><TD class=relative id=r2c10 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>(graphs)</TD><TD class=relative id=r2c11 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>Click here</TD><TR id=r3c0><TD class=relative id=r3c1 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>Bulgaria</TD><TD class=relative id=r3c2 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>Low</TD><TD class=relative id=r3c3 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>None</TD><TD class=relative id=r3c4 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)></TD><TD class=relative id=r3c5 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)></TD><TD class=relative id=r3c6 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11) noWrap></TD><TD class=relative id=r3c7 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11) align=right>0.0 </TD><TD class=relative id=r3c8 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>(graphs)</TD><TD class=relative id=r3c9 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11) align=right>453.9 </TD><TD class=relative id=r3c10 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>(graphs)</TD><TD class=relative id=r3c11 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>Click here</TD><TR id=r4c0><TD class=relative id=r4c1 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>Czech Republic</TD><TD class=relative id=r4c2 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>Low</TD><TD class=relative id=r4c3 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>Sporadic</TD><TD class=relative id=r4c4 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>24</TD><TD class=relative id=r4c5 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>0%</TD><TD class=relative id=r4c6 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11) noWrap>None</TD><TD class=relative id=r4c7 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11) align=right>15.5 </TD><TD class=relative id=r4c8 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>(graphs)</TD><TD class=relative id=r4c9 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11) align=right>597.4 </TD><TD class=relative id=r4c10 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>(graphs)</TD><TD class=relative id=r4c11 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>Click here</TD><TR id=r5c0><TD class=relative id=r5c1 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>Denmark</TD><TD class=relative id=r5c2 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>Medium</TD><TD class=relative id=r5c3 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>Widespread</TD><TD class=relative id=r5c4 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>18</TD><TD class=relative id=r5c5 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>77.8%</TD><TD class=relative id=r5c6 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r5c7 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11) align=right>90.7 </TD><TD class=relative id=r5c8 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>(graphs)</TD><TD class=relative id=r5c9 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11) align=right>0.0 </TD><TD class=relative id=r5c10 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>(graphs)</TD><TD class=relative id=r5c11 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>Click here</TD><TR id=r6c0><TD class=relative id=r6c1 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>England</TD><TD class=relative id=r6c2 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>Medium</TD><TD class=relative id=r6c3 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>Widespread</TD><TD class=relative id=r6c4 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>136</TD><TD class=relative id=r6c5 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>48.5%</TD><TD class=relative id=r6c6 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11) noWrap>Type A, Subtype H3</TD><TD class=relative id=r6c7 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11) align=right>51.0 </TD><TD class=relative id=r6c8 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>(graphs)</TD><TD class=relative id=r6c9 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11) align=right>954.6 </TD><TD class=relative id=r6c10 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>(graphs)</TD><TD class=relative id=r6c11 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>Click here</TD><TR id=r7c0><TD class=relative id=r7c1 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>Estonia</TD><TD class=relative id=r7c2 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>Low</TD><TD class=relative id=r7c3 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>Sporadic</TD><TD class=relative id=r7c4 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>0</TD><TD class=relative id=r7c5 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>0%</TD><TD class=relative id=r7c6 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11) noWrap>None</TD><TD class=relative id=r7c7 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11) align=right>1.3</TD><TD class=relative id=r7c8 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>(graphs)</TD><TD class=relative id=r7c9 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11) align=right>251.4</TD><TD class=relative id=r7c10 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>(graphs)</TD><TD class=relative id=r7c11 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>Click here</TD><TR id=r8c0><TD class=relative id=r8c1 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>France</TD><TD class=relative id=r8c2 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>Medium</TD><TD class=relative id=r8c3 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>Widespread</TD><TD class=relative id=r8c4 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>51</TD><TD class=relative id=r8c5 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>27.5%</TD><TD class=relative id=r8c6 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r8c7 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11) align=right>0.0 </TD><TD class=relative id=r8c8 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>(graphs)</TD><TD class=relative id=r8c9 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11) align=right>2722.6 </TD><TD class=relative id=r8c10 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>(graphs)</TD><TD class=relative id=r8c11 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>Click here</TD><TR id=r9c0><TD class=relative id=r9c1 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>Germany</TD><TD class=relative id=r9c2 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>Medium</TD><TD class=relative id=r9c3 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>Regional</TD><TD class=relative id=r9c4 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>39</TD><TD class=relative id=r9c5 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>59.0%</TD><TD class=relative id=r9c6 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11) noWrap>Type A, Subtype H3</TD><TD class=relative id=r9c7 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11) align=right>0.0 </TD><TD class=relative id=r9c8 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>(graphs)</TD><TD class=relative id=r9c9 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11) align=right>1183.0 </TD><TD class=relative id=r9c10 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>(graphs)</TD><TD class=relative id=r9c11 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>Click here</TD><TR id=r10c0><TD class=relative id=r10c1 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>Greece</TD><TD class=relative id=r10c2 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>Low</TD><TD class=relative id=r10c3 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>None</TD><TD class=relative id=r10c4 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>6</TD><TD class=relative id=r10c5 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>0%</TD><TD class=relative id=r10c6 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11) noWrap>None</TD><TD class=relative id=r10c7 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11) align=right>57.3</TD><TD class=relative id=r10c8 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>(graphs)</TD><TD class=relative id=r10c9 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11) align=right>0.0</TD><TD class=relative id=r10c10 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>(graphs)</TD><TD class=relative id=r10c11 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>Click here</TD><TR id=r11c0><TD class=relative id=r11c1 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>Hungary</TD><TD class=relative id=r11c2 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>Low</TD><TD class=relative id=r11c3 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>None</TD><TD class=relative id=r11c4 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>2</TD><TD class=relative id=r11c5 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>0%</TD><TD class=relative id=r11c6 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11) noWrap>None</TD><TD class=relative id=r11c7 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11) align=right>40.9</TD><TD class=relative id=r11c8 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>(graphs)</TD><TD class=relative id=r11c9 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11) align=right>0.0</TD><TD class=relative id=r11c11 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>(graphs)</TD><TD class=relative id=r11c11 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>Click here</TD><TR id=r12c0><TD class=relative id=r12c1 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>Ireland</TD><TD class=relative id=r12c2 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>High</TD><TD class=relative id=r12c3 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>Sporadic</TD><TD class=relative id=r12c4 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>24</TD><TD class=relative id=r12c5 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>25.0%</TD><TD class=relative id=r12c6 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11) noWrap>Type A</TD><TD class=relative id=r12c7 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11) align=right>100.6 </TD><TD class=relative id=r12c8 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>(graphs)</TD><TD class=relative id=r12c9 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11) align=right>0.0 </TD><TD class=relative id=r12c10 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>(graphs)</TD><TD class=relative id=r12c11 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>Click here</TD><TR id=r13c0><TD class=relative id=r13c1 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>Italy</TD><TD class=relative id=r13c2 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>Medium</TD><TD class=relative id=r13c3 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>Widespread</TD><TD class=relative id=r13c4 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>27</TD><TD class=relative id=r13c5 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>48.2%</TD><TD class=relative id=r13c6 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r13c7 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11) align=right>265.2 </TD><TD class=relative id=r13c8 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>(graphs)</TD><TD class=relative id=r13c9 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11) align=right>0.0 </TD><TD class=relative id=r13c10 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>(graphs)</TD><TD class=relative id=r13c11 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>Click here</TD><TR id=r14c0><TD class=relative id=r14c1 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>Latvia</TD><TD class=relative id=r14c2 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>Low</TD><TD class=relative id=r14c3 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>Sporadic</TD><TD class=relative id=r14c4 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>3</TD><TD class=relative id=r14c5 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>33.3%</TD><TD class=relative id=r14c6 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11) noWrap>Type A</TD><TD class=relative id=r14c7 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11) align=right>0.0 </TD><TD class=relative id=r14c8 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>(graphs)</TD><TD class=relative id=r14c9 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11) align=right>523.0 </TD><TD class=relative id=r14c10 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>(graphs)</TD><TD class=relative id=r14c11 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>Click here</TD><TR id=r15c0><TD class=relative id=r15c1 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>Lithuania</TD><TD class=relative id=r15c2 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>Low</TD><TD class=relative id=r15c3 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>None</TD><TD class=relative id=r15c4 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>0</TD><TD class=relative id=r15c5 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>0%</TD><TD class=relative id=r15c6 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11) noWrap>None</TD><TD class=relative id=r15c7 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11) align=right>0.3 </TD><TD class=relative id=r15c8 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>(graphs)</TD><TD class=relative id=r15c9 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11) align=right>252.3 </TD><TD class=relative id=r15c10 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>(graphs)</TD><TD class=relative id=r15c11 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>Click here</TD><TR id=r16c0><TD class=relative id=r16c1 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>Luxembourg</TD><TD class=relative id=r16c2 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>Medium</TD><TD class=relative id=r16c3 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>Local</TD><TD class=relative id=r16c4 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>11</TD><TD class=relative id=r16c5 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>36.4%</TD><TD class=relative id=r16c6 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r16c7 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11) align=right>259.2 </TD><TD class=relative id=r16c8 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>(graphs)</TD><TD class=relative id=r16c9 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11) align=right>4578.8 </TD><TD class=relative id=r16c10 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>(graphs)</TD><TD class=relative id=r16c11 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>Click here</TD><TR id=r18c0><TD class=relative id=r18c1 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>Netherlands</TD><TD class=relative id=r18c2 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>Medium</TD><TD class=relative id=r18c3 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>Regional</TD><TD class=relative id=r18c4 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>7</TD><TD class=relative id=r18c5 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>57.1%</TD><TD class=relative id=r18c6 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r18c7 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11) align=right>62.5 </TD><TD class=relative id=r18c8 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>(graphs)</TD><TD class=relative id=r18c9 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11) align=right>0.0 </TD><TD class=relative id=r18c10 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>(graphs)</TD><TD class=relative id=r18c11 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>Click here</TD><TR id=r19c0><TD class=relative id=r19c1 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>Northern Ireland</TD><TD class=relative id=r19c2 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>Medium</TD><TD class=relative id=r19c3 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>Widespread</TD><TD class=relative id=r19c4 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>32</TD><TD class=relative id=r19c5 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>71.9%</TD><TD class=relative id=r19c6 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11) noWrap>None</TD><TD class=relative id=r19c7 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11) align=right>192.1 </TD><TD class=relative id=r19c8 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>(graphs)</TD><TD class=relative id=r19c9 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11) align=right>0.0 </TD><TD class=relative id=r19c10 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>(graphs)</TD><TD class=relative id=r19c11 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>Click here</TD><TR id=r20c0><TD class=relative id=r20c1 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>Norway</TD><TD class=relative id=r20c2 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)></TD><TD class=relative id=r20c3 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)></TD><TD class=relative id=r20c4 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>6</TD><TD class=relative id=r20c5 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>83.3%</TD><TD class=relative id=r20c6 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r20c7 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11) align=right></TD><TD class=relative id=r20c8 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>(graphs)</TD><TD class=relative id=r20c9 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11) noWrap></TD><TD class=relative id=r20c10 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)></TD><TD class=relative id=r20c11 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>Click here</TD><TR id=r21c0><TD class=relative id=r21c1 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>Poland</TD><TD class=relative id=r21c2 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>Low</TD><TD class=relative id=r21c3 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>None</TD><TD class=relative id=r21c4 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>6</TD><TD class=relative id=r21c5 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>0%</TD><TD class=relative id=r21c6 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11) noWrap>None</TD><TD class=relative id=r21c7 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11) align=right>27.5 </TD><TD class=relative id=r21c8 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>(graphs)</TD><TD class=relative id=r21c9 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11) align=right>0.0 </TD><TD class=relative id=r21c10 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>(graphs)</TD><TD class=relative id=r21c11 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>Click here</TD><TR id=r22c0><TD class=relative id=r22c1 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>Portugal</TD><TD class=relative id=r22c2 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>High</TD><TD class=relative id=r22c3 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>Widespread</TD><TD class=relative id=r22c4 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>29</TD><TD class=relative id=r22c5 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>41.4%</TD><TD class=relative id=r22c6 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11) noWrap>Type A, Subtype H3</TD><TD class=relative id=r22c7 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11) align=right>124.0 </TD><TD class=relative id=r22c8 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>(graphs)</TD><TD class=relative id=r22c9 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11) align=right>0.0 </TD><TD class=relative id=r22c10 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>(graphs)</TD><TD class=relative id=r22c11 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>Click here</TD><TR id=r23c0><TD class=relative id=r23c1 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>Romania</TD><TD class=relative id=r23c2 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>Low</TD><TD class=relative id=r23c3 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>None</TD><TD class=relative id=r23c4 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>0</TD><TD class=relative id=r23c5 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>0%</TD><TD class=relative id=r23c6 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11) noWrap>None</TD><TD class=relative id=r23c7 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11) align=right>0.0 </TD><TD class=relative id=r23c8 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>(graphs)</TD><TD class=relative id=r23c9 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11) align=right>654.9 </TD><TD class=relative id=r23c10 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>(graphs)</TD><TD class=relative id=r23c11 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>Click here</TD><TR id=r24c0><TD class=relative id=r24c1 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>Scotland</TD><TD class=relative id=r24c2 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>Low</TD><TD class=relative id=r24c3 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>Sporadic</TD><TD class=relative id=r24c4 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)></TD><TD class=relative id=r24c5 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)></TD><TD class=relative id=r24c6 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11) noWrap></TD><TD class=relative id=r24c7 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11) align=right>0.0 </TD><TD class=relative id=r24c8 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>(graphs)</TD><TD class=relative id=r24c9 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11) align=right>0.0 </TD><TD class=relative id=r24c10 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>(graphs)</TD><TD class=relative id=r24c11 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>Click here</TD><TR id=r25c0><TD class=relative id=r25c1 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>Serbia</TD><TD class=relative id=r25c2 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>Low</TD><TD class=relative id=r25c3 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>None</TD><TD class=relative id=r25c4 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)></TD><TD class=relative id=r25c5 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)></TD><TD class=relative id=r25c6 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11) noWrap></TD><TD class=relative id=r25c7 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11) align=right>37.3</TD><TD class=relative id=r25c8 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>(graphs)</TD><TD class=relative id=r25c9 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11) align=right>0.0</TD><TD class=relative id=r25c10 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>(graphs)</TD><TD class=relative id=r25c11 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>Click here</TD><TR id=r26c0><TD class=relative id=r26c1 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>Slovakia</TD><TD class=relative id=r26c2 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>Low</TD><TD class=relative id=r26c3 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>Sporadic</TD><TD class=relative id=r26c4 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>0</TD><TD class=relative id=r26c5 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>0%</TD><TD class=relative id=r26c6 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11) noWrap>None</TD><TD class=relative id=r26c7 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11) align=right>91.8 </TD><TD class=relative id=r26c8 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>(graphs)</TD><TD class=relative id=r26c9 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11) align=right>924.3 </TD><TD class=relative id=r26c10 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>(graphs)</TD><TD class=relative id=r26c11 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>Click here</TD><TR id=r27c0><TD class=relative id=r27c1 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>Slovenia</TD><TD class=relative id=r27c2 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>Low</TD><TD class=relative id=r27c3 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>Sporadic</TD><TD class=relative id=r27c4 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>3</TD><TD class=relative id=r27c5 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>33.3%</TD><TD class=relative id=r27c6 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r27c7 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11) align=right>14.2 </TD><TD class=relative id=r27c8 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>(graphs)</TD><TD class=relative id=r27c9 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11) align=right>669.2 </TD><TD class=relative id=r27c10 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>(graphs)</TD><TD class=relative id=r27c11 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>Click here</TD><TR id=r28c0><TD class=relative id=r28c1 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>Spain</TD><TD class=relative id=r28c2 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>Medium</TD><TD class=relative id=r28c3 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>Regional</TD><TD class=relative id=r28c4 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>75</TD><TD class=relative id=r28c5 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>29.3%</TD><TD class=relative id=r28c6 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r28c7 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11) align=right>191.0 </TD><TD class=relative id=r28c8 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>(graphs)</TD><TD class=relative id=r28c9 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11) align=right>0.0 </TD><TD class=relative id=r28c10 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>(graphs)</TD><TD class=relative id=r28c11 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>Click here</TD><TR id=r29c0><TD class=relative id=r29c1 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>Sweden</TD><TD class=relative id=r29c2 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>Medium</TD><TD class=relative id=r29c3 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>Widespread</TD><TD class=relative id=r29c4 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>0</TD><TD class=relative id=r29c5 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>0%</TD><TD class=relative id=r29c6 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11) noWrap>Type A</TD><TD class=relative id=r29c7 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11) align=right>7.9 </TD><TD class=relative id=r29c8 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>(graphs)</TD><TD class=relative id=r29c9 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11) align=right>0.0 </TD><TD class=relative id=r29c10 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>(graphs)</TD><TD class=relative id=r29c11 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>Click here</TD><TR id=r30c0><TD class=relative id=r30c1 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>Switzerland</TD><TD class=relative id=r30c2 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>Medium</TD><TD class=relative id=r30c3 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>Local</TD><TD class=relative id=r30c4 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>13</TD><TD class=relative id=r30c5 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>53.9%</TD><TD class=relative id=r30c6 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11) noWrap>Type A, Subtype H3</TD><TD class=relative id=r30c7 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11) align=right>62.9 </TD><TD class=relative id=r30c8 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>(graphs)</TD><TD class=relative id=r30c9 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11) noWrap></TD><TD class=relative id=r30c10 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)></TD><TD class=relative id=r30c11 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>Click here</TD><TR id=r31c0><TD class=relative id=r31c1 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>Wales</TD><TD class=relative id=r31c2 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>Low</TD><TD class=relative id=r31c3 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>Regional</TD><TD class=relative id=r31c4 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)></TD><TD class=relative id=r31c5 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)></TD><TD class=relative id=r31c6 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11) noWrap></TD><TD class=relative id=r31c7 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11) align=right>18.8 </TD><TD class=relative id=r31c8 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>(graphs)</TD><TD class=relative id=r31c9 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11) align=right>0.0 </TD><TD class=relative id=r31c10 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>(graphs)</TD><TD class=relative id=r31c11 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>Click here</TD><TR id=r32c0><TD class=relative id=r32c1 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)>Europe</TD><TD class=relative id=r32c2 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)></TD><TD class=relative id=r32c3 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)></TD><TD class=relative id=r32c4 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)>662</TD><TD class=relative id=r32c5 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)>36.1%</TD><TD class=relative id=r32c6 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11) noWrap></TD><TD class=relative id=r32c7 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11) align=right></TD><TD class=relative id=r32c8 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)></TD><TD class=relative id=r32c9 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11) noWrap></TD><TD class=relative id=r32c10 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)></TD><TD class=relative id=r32c11 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)>Click here</TD><TR><TD bgColor=#808080 colSpan=14></TD></TR><TR><TD colSpan=14>Preliminary data</TD><TR><TD colSpan=14>
              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
              </TD></TR></TBODY></TABLE></CENTER>
              </TD></TR></TBODY></TABLE></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width=782 border=0><TBODY><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=#1d92ff height=5></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=white><TABLE><TBODY><TR><TD><TABLE><TBODY><TR><TD>The bulletin text was written by an editorial team at the European Centre for Disease Prevention and Control (ECDC) and the Community Network of Reference Laboratories for Human Influenza in Europe (CNRL). Team members are Flaviu Plata, Phillip Zucs and Bruno Ciancio from ECDC, and Adam, Meijer Rod Daniels Alan Hay and Maria Zambon from CNRL. The bulletin text was reviewed by Olav Hungnes (Norwegian Institute of Public Health, Oslo, Norway), and Anne Mazick (Statens Serum Institut, Copenhagen, Denmark) on behalf of the EISS members.

              Neither the European Centre for Disease Prevention and Control (ECDC), nor any person acting on his behalf is liable for the use that may be made of the information contained in this bulletin. Maps and commentary used in this Bulletin do not imply any opinions whatsoever of ECDC or its partners on the legal status of the countries and territories shown or concerning their borders.               </TD></TR></TBODY></TABLE>              </TD></TR></TBODY></TABLE></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD align=middle width=780 bgColor=#0063c8>EISS : Weekly Electronic Bulletin</TD></TR></TBODY></TABLE>

              Comment

              • #277
                Re: Seasonal Flu 2008 - 2009

                <TABLE cellSpacing=0 cellPadding=0 width=782 border=0><TBODY><TR><TD align=middle width=780 bgColor=#0063c8 height=1>EISS - Weekly Electronic Bulletin </TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=#0063c8 height=1><TABLE border=0><TBODY><TR bgColor=white><TD noWrap width=254 bgColor=#0063c8>Week 1 : 29/12/2008-04/01/2009</TD><TD noWrap align=middle width=258 bgColor=#0063c8></TD><TD noWrap align=right width=254 bgColor=#0063c8>09 January 2009, Issue N? 287</TD></TR></TBODY></TABLE></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=#1d92ff height=3></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=white><TABLE><TBODY><TR><TD>
                Influenza activity increasing across Western/Central Europe.

                Summary: In week 01/2009, influenza activity continued to increase with most countries in western and central Europe reporting influenza activity of medium intensity. The majority of the viruses typed/subtyped were influenza A (H3) which continue to be the predominant influenza viruses circulating in Europe. Given the continuing increase in influenza activity, vaccination of those designated as ?at risk? remains recommended.

                Epidemiological situation - week 01/2009: For the intensity indicator, the national network levels of influenza-like illness (ILI) and/or acute respiratory infection (ARI) were high in Portugal and Ireland. Medium intensity activity was reported in 11 countries (Austria, Denmark, France, Germany, Italy, Luxembourg, Spain, Sweden, Switzerland, the Netherlands and UK (England and Northern Ireland)), with all except UK reporting increasing trends. The remaining 15 countries providing data reported low intensity. For the geographical spread indicator, widespread influenza activity occurred in Denmark, France, Italy, Portugal, Sweden and UK (England and Northern Ireland), while regional activity was reported in Germany, Spain, the Netherlands and the UK (Wales). Local activity was observed in Luxembourg and Switzerland, and sporadic activity was reported in nine countries (Austria, Belgium, Czech Republic, Estonia, Ireland, Latvia, Slovakia, Slovenia and UK (Scotland)) while no activity was apparent in the other seven countries reporting for week 01/2009. Definitions for the epidemiological indicators can be found here.

                Cumulative epidemiological situation ? 2008-2009 season (weeks 40/2008-01/2009): The majority of western and central European countries participating in influenza surveillance are now reporting medium intensity of influenza with increasing trends and regional/widespread activity. The first countries to report high intensity of influenza activity were Portugal (since week 51/2008) and Ireland (since week 52/2008). Medium intensity activity has been reported in the UK (England and Northern Ireland) (since week 49/2008), Spain (since week 51/2008), France and Italy (since week 52/2008) and Austria, Denmark, Germany, Sweden, Switzerland and the Netherlands (in week 01/2009). All other countries are reporting influenza activity of low intensity. Generally, the highest consultation rates have been reported for the 0-4 age group, but Ireland, Switzerland and UK (Scotland) have reported high ILI consultation rates in the 15-64 age group, whilst Portugal and UK (England, Northern Ireland and Wales) have reported their highest rates amongst both the 15-64 age group and those aged 65 years and over.

                Virological situation - week 01/2009: The total number of respiratory specimens collected by sentinel physicians in week 01/2009 was 662, of which 239 (36.1%) were positive for influenza virus: 221 type A (141 subtype H3, five subtype H1 and 75 not subtyped) and 18 type B. In addition, 531 non-sentinel source specimens (e.g. specimens collected for diagnostic purposes in hospitals) were reported positive for influenza virus: 522 type A (52 subtype H3, three subtype H1 and 467 not subtyped) and nine type B. Overall, across Europe detection of influenza viruses was reported from 19 of 26 countries providing virological data for week 01/2009 and included the first influenza detections in Estonia this season.

                Cumulative virological situation ? 2008-2009 season (weeks 40/2008-01/2009): Of 3918 virus detections (sentinel and non-sentinel) since week 40/2008, 3754 were type A (1534 subtype H3, 117 subtype H1 and 2103 not subtyped) and 164 were type B. Based on the antigenic and/or genetic characterisation of 362 influenza viruses, 313 were reported as A/Brisbane/10/2007 (H3N2)-like, 27 as A/Brisbane/59/2007 (H1N1)-like, 12 as B/Florida/4/2006-like (B/Yamagata/16/88 lineage) and 10 as B/Malaysia/2506/2004-like (B/Victoria/2/87 lineage) (click here). Available data indicate that, with the exception of the B/Victoria lineage, the circulating viruses are similar to the three components (A/H1N1, A/H3N2 and B/Yamagata lineage) in the current influenza vaccine.
                Data relating to influenza antiviral-susceptibility testing is unchanged compared to week 52/2008.

                Comment: Two countries are now reporting influenza activity of high intensity. Eleven are reporting medium intensity with all except one of these reporting an increasing trend in week 01/2009. These 13 countries are located predominantly in western/central Europe. Most eastern European countries have continued to report influenza activity of low intensity. The proportion of sentinel specimens testing positive for influenza virus has declined from 51.5% in week 52/2008 to 36.1% in week 01/2009. Consultation rates for week 01/2009 should, however, be interpreted with caution since this week spans the New Year holiday period when access to primary care and patient swabbing procedures is likely to have been sub-optimal.

                Background: The Weekly Electronic Bulletin presents and comments on influenza activity in the 30 European countries that are members of EISS. Of these countries, 25 reported both clinical and virological data, four reported clinical data only and one reported virological data only to EISS in week 01/2009. The spread of influenza virus strains and their epidemiological impact in Europe are being monitored by EISS under the aegis of the European Centre for Disease Prevention and Control in Stockholm (Sweden) in collaboration with the WHO Collaborating Centre in London (UK).

                Other bulletins: The EISS bulletin is prepared using reports from GP consultations and other sources, depending on individual country arrangements. It is important to recognise that different health care systems and types of measurement should also be considered when assessing the impact of influenza. To view national/regional bulletins in Europe and other bulletins from around the world, please click here.

                </TD></TR></TBODY></TABLE></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width=782 border=0><TBODY><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=#1d92ff height=5></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=white><TABLE width=780 border=0><TBODY><TR><TD>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.

                <MAP name=area><AREA shape=POLY alt="Northern Ireland" coords=140,289,150,289,153,309,142,312,127,301 href="http://www.cdscni.org.uk/"><AREA shape=POLY alt=Iceland coords=88,61,88,60,83,50,72,50,59,60,56,71,56,95,6 6,106,79,120,101,118,136,105,136,84,135,69,116,65, 105,67 href="http://www.landspitali.is"><AREA shape=POLY alt=Denmark coords=173,161,176,165,171,173,170,180,169,182,163 ,181,162,176,162,167,161,164,168,160 href="http://www.ssi.dk/sw2796.asp"><AREA shape=POLY alt=Norway coords=332,79,328,90,322,100,314,114,312,120,302,1 42,296,152,288,153,279,166,257,185,255,238,266,258 ,282,259,297,245,305,238,310,240,313,240,314,227,3 22,220,322,213,318,209,322,198,318,188,314,171,318 ,153,324,148,329,149,331,145,328,137,333,130,333,1 17,345,89,341,85,347,78 href="http://www.fhi.no"><AREA shape=POLY alt=Norway coords=434,21,423,33,411,25,408,26,406,28,401,27,3 98,37,400,45,398,53,397,54,390,52,384,57,373,46,36 4,64,355,62,353,66,354,72,350,74,344,79,316,79,322 ,68,331,56,343,40,360,26,378,11,394,2,419,5,432,14 ,429,18 href="http://www.fhi.no"><AREA shape=POLY alt=Sweden coords=371,52,377,60,384,61,390,68,393,82,402,108, 390,111,310,239,314,238,315,227,322,221,321,213,31 8,209,319,206,323,199,319,192,314,171,316,167,316, 158,322,151,324,146,329,148,331,145,327,136,334,12 7,332,117,338,101,345,89,341,84,347,75,353,73,354, 69,354,62,359,62,365,63,369,52 href="http://www.smittskyddsinstitutet.se/SMItemplates/Article.aspx?id=3021"><AREA shape=POLY alt=Sweden coords=385,118,316,226,310,239,310,255,321,280,324 ,293,326,307,336,305,339,305,342,300,342,298,341,2 97,357,291,361,289,366,266,362,247,377,231,377,217 ,361,200,363,178,373,159,384,144,387,133 href="http://www.smittskyddsinstitutet.se/SMItemplates/Article.aspx?id=3021"><AREA shape=POLY alt=Denmark coords=307,260,311,273,305,279,310,286,307,295,308 ,300,314,293,323,290,326,300,325,310,326,310,319,3 19,310,319,300,314,288,314,281,311,286,305,281,302 ,281,296,272,297,273,278,284,278,285,274,294,271 href="http://www.ssi.dk/sw2796.asp"><AREA shape=POLY alt=Scotland coords=195,225,190,222,184,230,182,234,170,232,161 ,242,160,231,149,235,149,242,141,248,140,258,150,2 56,152,263,142,267,148,271,144,282,151,288,151,291 ,156,294,155,302,160,304,170,304,181,295,185,293,1 89,287,187,279,191,273,191,270,197,259,196,252,180 ,250,189,240,194,231,196,225 href="http://www.show.scot.nhs.uk/scieh/"><AREA shape=POLY alt=Scotland coords=210,199,204,206,202,209,204,217,209,217,210 ,210,211,206,214,199 href="http://www.show.scot.nhs.uk/scieh/"><AREA shape=POLY alt=Finland coords=380,209,379,213,380,216,386,215,388,212,385 ,209 href="http://www.ktl.fi"><AREA shape=POLY alt=Sweden coords=379,245,379,251,375,256,372,262,373,269,374 ,276,375,276,377,270,381,263,381,257,385,253,381,2 52,382,245 href="http://www.smittskyddsinstitutet.se/SMItemplates/Article.aspx?id=3021"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=England coords=159,307,158,311,157,314,163,314,164,310,164 ,306,163,306 href="/cgi-files/regional.cgi?year=2009&week=1&region=England"><ARE A onclick="return popup(this, 'notes')" shape=POLY alt=England coords=190,287,185,291,184,294,182,294,173,302,169 ,305,171,313,174,317,172,327,170,331,171,333,182,3 32,197,329,205,328,203,317,200,312,194,306,193,289 href="/cgi-files/regional.cgi?year=2009&week=1&region=England"><ARE A onclick="return popup(this, 'notes')" shape=POLY alt=England coords=204,328,192,331,182,331,175,333,169,332,167 ,342,166,353,165,362,178,359,192,358,193,359,209,3 59,214,361,218,354,221,348,219,344,209,340,206,341 ,207,330 href="/cgi-files/regional.cgi?year=2009&week=1&region=England"><ARE A onclick="return popup(this, 'notes')" shape=POLY alt=England coords=213,360,203,359,191,359,190,358,174,359,169 ,362,165,365,159,363,147,367,141,375,133,378,133,3 83,142,383,150,380,159,384,163,377,170,380,181,381 ,200,382,212,377,215,369,210,367 href="/cgi-files/regional.cgi?year=2009&week=1&region=England"><ARE A onclick="return popupregional(this, 'notes')" shape=POLY alt=Wales coords=171,328,170,328,168,337,168,344,167,350,165 ,357,167,362,163,364,158,362,154,358,147,357,144,3 52,146,348,151,346,156,343,159,336,155,337,152,336 ,152,333,155,331,155,323,158,324,166,326 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Wale s"><AREA shape=POLY alt=Ireland coords=141,287,138,284,126,285,126,290,121,292,123 ,297,123,300,114,296,107,296,105,306,103,313,108,3 18,101,328,93,331,95,345,100,348,120,346,127,343,1 36,344,142,337,145,319,143,312,137,307,136,306,134 ,307,129,303,128,300,134,293 href="http://www.ndsc.ie"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt="The Netherlands" coords=272,339,272,338,272,344,271,346,272,348,272 ,351,267,354,270,358,268,362,268,365,261,368,259,3 69,261,372,259,379,255,377,249,374,243,372,237,376 ,230,373,233,368,238,362,239,352,245,345,252,335,2 64,336 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Neth erlands"><AREA shape=POLY alt=Belgium coords=258,379,259,379,258,386,262,390,262,393,257 ,399,256,402,256,407,256,407,253,406,245,400,246,3 95,242,398,239,396,236,390,232,387,229,383,225,382 ,223,379,223,375,231,372,237,376,243,372,251,373 href="http://www.iph.fgov.be/flu/"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=France coords=223,376,212,378,211,391,195,396,192,401,182 ,399,181,393,172,394,174,413,164,409,159,405,144,4 05,138,408,139,422,151,428,153,434,161,435,162,442 ,168,454,174,453,178,451,179,448,177,444,180,441,1 92,442,200,448,200,452,217,453,221,450,229,450,236 ,456,244,454,248,451,252,454,262,451,268,445,272,4 43,274,431,276,424,280,419,277,416,266,413,261,407 ,254,407,246,400,246,396,242,400,240,395,235,390,2 28,383,223,382 href="/cgi-files/regional.cgi?year=2009&week=1&region=France"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=France coords=262,452,253,455,248,451,240,455,237,456,230 ,451,222,450,218,453,208,452,200,452,198,446,192,4 42,185,441,179,442,176,443,179,448,177,452,170,455 ,168,453,169,468,167,486,161,499,159,504,168,514,1 77,516,179,521,187,521,189,520,195,521,198,528,207 ,528,208,530,212,529,216,529,217,518,229,510,232,5 13,241,515,251,521,261,517,269,510,273,504,271,502 ,264,497,265,491,261,485,266,482,267,479,264,473,2 66,471,262,463,258,465,256,465,257,460,258,456 href="/cgi-files/regional.cgi?year=2009&week=1&region=France"><AREA shape=POLY alt=Switzerland coords=306,455,302,464,301,461,302,464,301,466,295 ,463,292,466,288,472,285,469,282,465,278,469,276,4 71,269,472,266,472,265,470,262,464,257,466,254,466 ,257,456,261,452,267,445,273,441,283,441,289,439,2 95,443,296,450,302,455 href="http://www.bag.admin.ch/sentinella"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Germany coords=300,313,302,320,314,320,311,330,315,327,325 ,320,295,443,290,440,285,440,280,442,273,442,274,4 31,277,423,280,419,277,417,268,414,261,407,261,402 ,260,397,262,391,259,386,259,379,261,375,261,374,2 59,368,263,366,266,365,269,359,268,355,265,354,270 ,351,272,347,270,345,273,343,270,338,269,337,271,3 34,279,331,282,335,286,330,286,327,284,321,282,311 ,290,314,296,314 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Germ any"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Germany coords=324,321,331,316,336,319,342,331,344,341,342 ,346,342,348,346,355,348,364,347,368,352,382,347,3 84,343,383,334,391,321,395,326,400,327,408,343,423 ,331,433,333,440,325,440,315,444,311,445,307,443,3 04,446,294,442 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Germ any"><AREA shape=POLY alt=Bulgaria coords=451,492,454,498,466,495,478,493,490,489,497 ,481,519,483,520,492,516,505,523,513,513,516,509,5 16,503,523,501,531,489,534,479,533,463,538,457,529 ,451,524,450,516,455,509 href=""><AREA shape=POLY alt="Czech Republic" coords=352,381,356,383,363,386,367,385,369,388,367 ,390,371,393,372,389,374,387,380,392,388,396,396,4 01,395,404,392,410,377,418,362,419,360,417,356,416 ,349,423,340,424,340,419,326,406,326,400,321,395,3 26,395,341,385,345,383,350,383 href="http://www.szu.cz/cema/aro/aro.htm"><AREA shape=POLY alt=Slovakia coords=435,406,434,406,430,405,425,401,419,400,417 ,404,412,403,410,406,403,404,400,402,394,404,387,4 12,378,417,374,421,377,428,378,432,384,435,389,435 ,395,434,398,429,406,425,411,424,415,417,421,417,4 28,418,429,420,431,419,433,417 href="http://www.sea.host.sk/chripka.htm"><AREA shape=POLY alt=Slovenia coords=371,452,371,458,369,461,368,466,365,466,363 ,467,364,472,363,476,354,477,352,477,346,480,340,4 79,340,475,341,467,338,464,340,461,345,461,353,461 ,358,457,363,458 href="http://www.ivz.si/ivz/"><AREA shape=POLY alt=Poland coords=344,340,340,328,359,321,362,315,375,308,385 ,315,397,315,418,313,424,311,431,315,439,340,432,3 46,439,353,441,365,448,378,438,390,435,400 href="http://www.pzh.gov.pl/aindex.html"><AREA shape=POLY alt=Poland coords=436,398,435,406,430,404,426,402,419,401,417 ,405,412,403,409,407,400,403,396,402,386,396,383,3 94,376,391,373,390,371,394,366,390,368,387,364,386 ,358,386,352,381,351,374,347,366,349,365,347,362,3 45,352,341,348,342,346,343,338 href="http://www.pzh.gov.pl/aindex.html"><AREA shape=POLY alt=Hungary coords=433,416,439,421,443,422,443,424,435,432,432 ,441,427,456,419,461,416,460,412,460,406,465,401,4 66,399,468,389,469,385,466,383,464,373,457,372,450 ,373,449,373,440,375,440,373,437,375,437,377,438,3 80,432,383,433,389,435,398,432,400,429,407,425,413 ,423,416,418,426,417,431,419 href="http://www.oek.hu"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=France coords=292,520,291,526,288,527,282,529,282,541,284 ,549,290,554,293,547,295,538,295,534,294,522 href="/cgi-files/regional.cgi?year=2009&week=1&region=France"><AREA shape=POLY alt=Italy coords=345,460,336,458,328,459,322,452,318,452,313 ,453,312,457,305,456,302,460,302,466,296,462,287,4 71,283,464,276,472,265,470,263,474,268,479,261,484 ,264,491,263,496,265,500,270,503,272,504,271,510,2 78,507,284,500,329,492,329,481,335,478,341,477,341 ,471,339,465,341,462 href="http://www.virologia.unimi.it/influenza"><AREA shape=POLY alt=Italy coords=364,537,376,537,378,542,375,547,393,555,405 ,560,409,568,406,574,405,575,390,564,385,574,393,5 82,394,590,379,611,372,610,372,603,374,595,378,586 ,369,575,360,571 href="http://www.virologia.unimi.it/influenza"><AREA shape=POLY alt=Italy coords=372,603,361,606,350,609,345,606,333,607,330 ,616,337,621,347,626,358,629,361,634,370,633,372,6 24,371,617 href="http://www.virologia.unimi.it/influenza"><AREA shape=POLY alt=Italy coords=328,491,291,497,293,504,301,509,301,527,303 ,532,334,551,350,565,363,571,365,539,350,527,345,5 11,331,501 href="http://www.virologia.unimi.it/influenza"><AREA shape=POLY alt=Italy coords=291,553,294,555,298,562,298,568,296,570,296 ,586,296,592,289,592,284,598,277,593,276,588,279,5 72,275,567,275,556,279,554,281,559,286,554 href="http://www.virologia.unimi.it/influenza"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Spain coords=204,528,207,530,219,529,219,536,214,543,202 ,549,185,554,182,560,170,574,171,588,174,589,166,5 96,157,609,148,610,135,622,116,618,100,620,93,625, 80,621,79,610,74,599,202,528 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Spai n"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Spain coords=75,600,206,528,197,526,196,523,191,519,187, 521,178,520,177,516,172,515,160,504,150,500,141,49 8,122,494,115,490,101,486,91,482,81,481,81,485,71, 485,67,491,69,512,73,512,76,510,78,510,80,515,84,5 15,87,517,91,517,93,516,94,518,98,518,97,522,101,5 25,98,529,95,529,90,533,90,538,86,550,86,553,83,55 5,81,555,80,561,81,565,81,570,77,571,76,577,78,582 ,79,583,73,586,70,590,70,599 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Spai n"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Spain coords=227,571,221,570,220,575,216,575,212,571,206 ,573,202,576,201,581,207,582,208,586,215,583,218,5 78,230,575 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Spai n"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Spain coords=193,583,189,582,185,586,187,591,191,594,193 ,589 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Spai n"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Spain coords=58,616,70,616,72,616,70,627,66,627,56,622 href="/cgi-files/regional_comments.cgi?year=2009&week=1&region=Spai n"><AREA shape=POLY alt=Portugal coords=69,511,73,513,77,509,79,515,84,516,86,517,9 1,516,94,515,94,518,99,519,98,521,100,526,99,528,9 4,530,90,532,86,549,86,555,81,555,79,561,82,562,81 ,570,78,571,76,576,76,581,78,584,70,590,70,598,65, 600,53,598,48,596,33,591,34,587,38,587,44,592,49,5 94,51,587,54,573,50,570,47,564,51,553,59,542,65,53 0 href="http://www.dgsaude.pt/"><AREA shape=RECT alt="Portugal (Azores)" coords=2,544,22,559 href="http://www.dgsaude.pt/"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=Greece coords=500,525,505,526,505,529,502,531,503,538,501 ,543,503,548,504,564,502,567,511,581,521,598,528,6 02,539,604,540,609,546,608,543,618,528,639,518,644 ,493,652,480,642,453,621,434,594,425,577,421,571,4 25,569,428,577,431,569,438,553,442,549,446,549,452 ,543,461,538,472,534,480,531,482,534,494,532,499,5 31 href="/cgi-files/regional.cgi?year=2009&week=1&region=Greece"><AREA shape=POLY alt=Estonia coords=401,248,427,247,459,252,454,233,455,218,440 ,214,422,219,406,225 href="http://www.tervisekaitse.ee"><AREA shape=POLY alt=Albania coords=415,537,414,528,417,522,421,525,426,525,431 ,533,430,544,439,554,428,576,426,570,416,563,415,5 53,417,543><AREA shape=POLY alt=Macedonia coords=431,533,430,544,438,553,443,549,447,548,452 ,543,457,543,462,538,460,530,451,523,445,526><AREA shape=POLY alt=Turkey coords=679,464,671,464,663,479,653,478,642,489,621 ,490,613,486,603,481,595,483,629,583,634,578,643,5 79,652,581,658,576,660,573,657,566,663,562,667,562 ,679,554,679,554><AREA shape=POLY alt=Turkey coords=596,482,566,508,542,522,521,515,508,514,500 ,524,506,525,505,529,502,533,503,538,500,542,504,5 64,502,567,516,588,525,588,524,595,530,602,539,600 ,541,608,548,604,557,610,578,609,579,597,598,598,6 09,602,619,599,629,585><AREA shape=POLY alt=Finland coords=423,32,413,26,410,24,405,28,400,28,398,37,4 00,45,397,53,389,51,385,56,373,45,370,50,375,58,37 8,61,385,63,392,73,395,92,401,108,433,66,431,62,42 7,56,420,56,420,46,418,42,421,39 href="http://www.ktl.fi"><AREA shape=POLY alt=Finland coords=432,67,431,75,431,82,442,96,442,114,448,123 ,454,127,452,134,457,140,388,160,384,157,390,152,4 03,127,409,111,401,106 href="http://www.ktl.fi"><AREA shape=POLY alt=Finland coords=458,139,464,147,467,152,450,191,452,195,408 ,218,393,214,391,204,384,159 href="http://www.ktl.fi"><AREA shape=POLY alt=Romania coords=519,483,510,483,503,480,497,483,492,483,486 ,491,460,493,455,496,450,489,445,482,439,484,435,4 81,434,476,427,473,417,461,422,459,427,453,431,439 ,435,430,441,423 href="http://www.cantacuzino.ro"><AREA shape=POLY alt=Romania coords=516,482,520,482,520,466,528,460,528,450,520 ,450,515,456,513,457,504,447,503,431,488,418,486,4 10,481,408,473,417,464,423,460,421,441,421,441,424 href="http://www.cantacuzino.ro"><AREA shape=POLY alt=Malta coords=355,644,357,648,357,651,364,649,364,646,360 ,643 href="http://www.sahha.gov.mt"><AREA shape=POLY alt=Cyprus coords=635,595,626,604,614,607,614,612,607,617,611 ,624,624,620,629,616,636,611,631,607,639,597><AREA shape=POLY alt=Austria coords=375,419,374,422,379,432,380,435,375,438,373 ,436,372,438,373,441,372,450,361,458,358,457,352,4 61,342,460,331,458,327,457,324,453,314,453,311,458 ,297,453,295,449,294,443,298,443,303,445,308,442,3 12,445,320,441,326,439,331,441,333,438,330,433,339 ,424,344,422,348,424,357,415,360,416,363,419,372,4 18><AREA shape=POLY alt=Croatia coords=406,464,409,472,409,478,408,479,398,476,389 ,476,379,478,371,476,368,478,377,501,390,518,396,5 24,387,526,372,521,358,506,341,487,340,478,345,481 ,351,477,355,478,364,474,364,467,367,466,370,459,3 72,458,383,465,391,470,400,468 href="http://www.hzjz.hr"><AREA shape=POLY alt="Boznia and Herzegovina" coords=407,478,412,477,414,479,410,490,415,496,414 ,500,416,503,413,509,405,516,404,524,394,524,378,5 05,373,494,368,482,369,476,376,478,392,476,400,475 ><AREA shape=POLY alt=Montenegro coords=413,511,424,527,418,525,416,539,397,525><AR EA shape=POLY alt=Serbia coords=418,461,418,462,425,469,434,477,435,482,441 ,484,447,482,450,491,448,495,453,504,455,509,451,5 15,452,524,431,533,426,525,427,524,427,524,424,523 ,422,521,419,517,414,510,414,504,412,498,414,496,4 10,488,413,479,409,477,407,463,412,460 href="http://www.batut.org.yu/"><AREA shape=POLY alt="" coords=434,20,444,20,458,23,467,24,500,35,514,50,5 30,48,519,38,508,14,528,9,540,17,545,16,555,0,679, 0,679,177,451,193,452,182,459,170,466,151,461,140, 452,134,452,129,454,126,451,124,442,113,440,94,431 ,81,431,72,433,67,427,57,422,57,419,50,419,44,419, 41,423,33,424,31><AREA shape=POLY alt="" coords=452,194,457,203,448,212,456,224,451,234,457 ,245,459,253,466,270,451,282,456,293,452,309,436,3 20,440,339,434,347,448,378,680,373,680,172><AREA shape=POLY alt="" coords=449,376,437,390,434,398,434,406,432,415,441 ,423,460,421,465,423,480,411,487,410,490,420,504,4 32,504,448,514,457,521,451,527,451,536,427,543,375 ><AREA shape=POLY alt="" coords=671,463,667,453,636,442,615,434,596,429,587 ,441,573,454,560,443,552,437,535,424,541,374,679,3 71,679,465><AREA shape=POLY alt=Lithuania coords=414,278,401,286,402,300,417,300,421,304,421 ,312,428,314,433,323,439,321,450,309,452,302,456,2 92,452,283,446,279,437,275,434,278 href="http://www.aids.lt"><AREA shape=POLY alt="" coords=394,306,391,317,412,314,418,314,422,305,417 ,299,398,300><AREA shape=POLY alt=Luxembourg coords=255,400,254,407,260,408,263,402,261,395 href="http://www.ms.etat.lu/"><AREA shape=POLY alt=Latvia coords=398,283,430,279,449,281,464,270,457,251,439 ,247,423,250,396,250 href="http://www.sva.lv"><AREA shape=CIRCLE alt=Denmark coords=347,310,5 href="http://www.ssi.dk/sw2796.asp"><AREA shape=RECT alt=Norway coords=290,8,326,41 href="http://www.fhi.no"></MAP><FORM name=form1 action="" method=post>You may select the type of map :</B> Intensity <INPUT onclick="movepic('button','/bulletin_maps/2009_01_int_v2.png')" type=radio CHECKED value=radiobutton name=radiobutton> Geographical spread <INPUT onclick="movepic('button','/bulletin_maps/2009_01_v2.png')" type=radio value=radiobutton name=radiobutton> </FORM><CENTER> </CENTER>
                <CENTER><TABLE cellSpacing=5><TBODY><TR><TD vAlign=top noWrap>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

                </TD><TD></TD><TD vAlign=top>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.

                Finland : Where available, the epidemiological data are provided by a health-care district in
                South-Western Finland (the health-care district serves 54,000 inhabitants i.e. approximately one
                percent of the Finnish population).
                </TD></TR></TBODY></TABLE></CENTER>                </TD></TR></TBODY></TABLE></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width=782 border=0><TBODY><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=#1d92ff height=5></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=white><TABLE><TBODY><TR><TD>Network comments (where available)

                <TABLE><TBODY><TR><TD width=20> </TD><TD width=700>Estonia
                The first influenzaviruses of this season have been detected from non-sentinel specimens (inflA&B) in Estonia.
                Italy
                A total of 11 A/H3N2 influenza isolates have been reported during this week. Furthermore, 6 A viruses, still not subtyped, have been identified.
                Sweden
                Only a few helth units have reported due to Christmas holidays.
                Switzerland
                An increase of the activity has been observed. Influenza A (H3N2) viruses have been detected in majority until now. 4 influenza A (H3N2) have been characterized as antigenically related to the vaccine strain influenza A/Brisbane/10/2007.
                </TD></TR></TBODY></TABLE>                </TD></TR></TBODY></TABLE></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width=782 border=0><TBODY><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=#1d92ff height=5></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=white><TABLE width=780><TBODY><TR><TD>Table and graphs (where available)

                <CENTER><TABLE cellSpacing=0 cellPadding=2 bgColor=white border=0><TBODY><TR><TD bgColor=#808080 colSpan=14></TD></TR><TR><TD vAlign=top bgColor=white></TD><TD vAlign=top bgColor=white>Intensity</TD><TD vAlign=top bgColor=white>Geographic
                Spread                </TD><TD vAlign=top bgColor=white>Sentinel
                swabs                </TD><TD vAlign=top bgColor=white>Percentage
                positive                </TD><TD vAlign=top bgColor=white>Dominant
                type                </TD><TD vAlign=top align=middle bgColor=white colSpan=2>ILI per
                100,000                </TD><TD vAlign=top align=middle bgColor=white colSpan=2>ARI per
                100,000                </TD><TD vAlign=top noWrap bgColor=white>Virology graph
                and pie chart                </TD></TR><TR><TD bgColor=#808080 colSpan=13></TD></TR><TR id=r1c0><TD class=relative id=r1c1 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>Austria</TD><TD class=relative id=r1c2 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>Medium</TD><TD class=relative id=r1c3 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>Sporadic</TD><TD class=relative id=r1c4 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>100</TD><TD class=relative id=r1c5 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>9.0%</TD><TD class=relative id=r1c6 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11) noWrap>Type A</TD><TD class=relative id=r1c7 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11) align=right>1004.2</TD><TD class=relative id=r1c8 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>(graphs)</TD><TD class=relative id=r1c9 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11) align=right>0.0</TD><TD class=relative id=r1c10 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>(graphs)</TD><TD class=relative id=r1c11 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>Click here</TD><TR id=r2c0><TD class=relative id=r2c1 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>Belgium</TD><TD class=relative id=r2c2 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>Low</TD><TD class=relative id=r2c3 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>Sporadic</TD><TD class=relative id=r2c4 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>32</TD><TD class=relative id=r2c5 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>46.9%</TD><TD class=relative id=r2c6 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11) noWrap>Type A, Subtype H3</TD><TD class=relative id=r2c7 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11) align=right>121.1</TD><TD class=relative id=r2c8 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>(graphs)</TD><TD class=relative id=r2c9 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11) align=right>1534.6</TD><TD class=relative id=r2c10 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>(graphs)</TD><TD class=relative id=r2c11 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>Click here</TD><TR id=r3c0><TD class=relative id=r3c1 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>Bulgaria</TD><TD class=relative id=r3c2 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>Low</TD><TD class=relative id=r3c3 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>None</TD><TD class=relative id=r3c4 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)></TD><TD class=relative id=r3c5 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)></TD><TD class=relative id=r3c6 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11) noWrap></TD><TD class=relative id=r3c7 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11) align=right>0.0 </TD><TD class=relative id=r3c8 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>(graphs)</TD><TD class=relative id=r3c9 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11) align=right>453.9 </TD><TD class=relative id=r3c10 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>(graphs)</TD><TD class=relative id=r3c11 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>Click here</TD><TR id=r4c0><TD class=relative id=r4c1 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>Czech Republic</TD><TD class=relative id=r4c2 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>Low</TD><TD class=relative id=r4c3 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>Sporadic</TD><TD class=relative id=r4c4 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>24</TD><TD class=relative id=r4c5 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>0%</TD><TD class=relative id=r4c6 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11) noWrap>None</TD><TD class=relative id=r4c7 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11) align=right>15.5 </TD><TD class=relative id=r4c8 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>(graphs)</TD><TD class=relative id=r4c9 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11) align=right>597.4 </TD><TD class=relative id=r4c10 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>(graphs)</TD><TD class=relative id=r4c11 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>Click here</TD><TR id=r5c0><TD class=relative id=r5c1 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>Denmark</TD><TD class=relative id=r5c2 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>Medium</TD><TD class=relative id=r5c3 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>Widespread</TD><TD class=relative id=r5c4 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>18</TD><TD class=relative id=r5c5 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>77.8%</TD><TD class=relative id=r5c6 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r5c7 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11) align=right>90.7 </TD><TD class=relative id=r5c8 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>(graphs)</TD><TD class=relative id=r5c9 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11) align=right>0.0 </TD><TD class=relative id=r5c10 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>(graphs)</TD><TD class=relative id=r5c11 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>Click here</TD><TR id=r6c0><TD class=relative id=r6c1 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>England</TD><TD class=relative id=r6c2 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>Medium</TD><TD class=relative id=r6c3 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>Widespread</TD><TD class=relative id=r6c4 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>136</TD><TD class=relative id=r6c5 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>48.5%</TD><TD class=relative id=r6c6 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11) noWrap>Type A, Subtype H3</TD><TD class=relative id=r6c7 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11) align=right>51.0 </TD><TD class=relative id=r6c8 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>(graphs)</TD><TD class=relative id=r6c9 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11) align=right>954.6 </TD><TD class=relative id=r6c10 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>(graphs)</TD><TD class=relative id=r6c11 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>Click here</TD><TR id=r7c0><TD class=relative id=r7c1 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>Estonia</TD><TD class=relative id=r7c2 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>Low</TD><TD class=relative id=r7c3 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>Sporadic</TD><TD class=relative id=r7c4 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>0</TD><TD class=relative id=r7c5 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>0%</TD><TD class=relative id=r7c6 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11) noWrap>None</TD><TD class=relative id=r7c7 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11) align=right>1.3</TD><TD class=relative id=r7c8 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>(graphs)</TD><TD class=relative id=r7c9 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11) align=right>251.4</TD><TD class=relative id=r7c10 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>(graphs)</TD><TD class=relative id=r7c11 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>Click here</TD><TR id=r8c0><TD class=relative id=r8c1 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>France</TD><TD class=relative id=r8c2 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>Medium</TD><TD class=relative id=r8c3 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>Widespread</TD><TD class=relative id=r8c4 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>51</TD><TD class=relative id=r8c5 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>27.5%</TD><TD class=relative id=r8c6 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r8c7 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11) align=right>0.0 </TD><TD class=relative id=r8c8 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>(graphs)</TD><TD class=relative id=r8c9 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11) align=right>2722.6 </TD><TD class=relative id=r8c10 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>(graphs)</TD><TD class=relative id=r8c11 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>Click here</TD><TR id=r9c0><TD class=relative id=r9c1 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>Germany</TD><TD class=relative id=r9c2 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>Medium</TD><TD class=relative id=r9c3 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>Regional</TD><TD class=relative id=r9c4 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>39</TD><TD class=relative id=r9c5 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>59.0%</TD><TD class=relative id=r9c6 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11) noWrap>Type A, Subtype H3</TD><TD class=relative id=r9c7 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11) align=right>0.0 </TD><TD class=relative id=r9c8 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>(graphs)</TD><TD class=relative id=r9c9 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11) align=right>1183.0 </TD><TD class=relative id=r9c10 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>(graphs)</TD><TD class=relative id=r9c11 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>Click here</TD><TR id=r10c0><TD class=relative id=r10c1 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>Greece</TD><TD class=relative id=r10c2 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>Low</TD><TD class=relative id=r10c3 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>None</TD><TD class=relative id=r10c4 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>6</TD><TD class=relative id=r10c5 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>0%</TD><TD class=relative id=r10c6 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11) noWrap>None</TD><TD class=relative id=r10c7 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11) align=right>57.3</TD><TD class=relative id=r10c8 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>(graphs)</TD><TD class=relative id=r10c9 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11) align=right>0.0</TD><TD class=relative id=r10c10 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>(graphs)</TD><TD class=relative id=r10c11 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>Click here</TD><TR id=r11c0><TD class=relative id=r11c1 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>Hungary</TD><TD class=relative id=r11c2 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>Low</TD><TD class=relative id=r11c3 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>None</TD><TD class=relative id=r11c4 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>2</TD><TD class=relative id=r11c5 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>0%</TD><TD class=relative id=r11c6 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11) noWrap>None</TD><TD class=relative id=r11c7 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11) align=right>40.9</TD><TD class=relative id=r11c8 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>(graphs)</TD><TD class=relative id=r11c9 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11) align=right>0.0</TD><TD class=relative id=r11c11 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>(graphs)</TD><TD class=relative id=r11c11 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>Click here</TD><TR id=r12c0><TD class=relative id=r12c1 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>Ireland</TD><TD class=relative id=r12c2 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>High</TD><TD class=relative id=r12c3 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>Sporadic</TD><TD class=relative id=r12c4 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>24</TD><TD class=relative id=r12c5 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>25.0%</TD><TD class=relative id=r12c6 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11) noWrap>Type A</TD><TD class=relative id=r12c7 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11) align=right>100.6 </TD><TD class=relative id=r12c8 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>(graphs)</TD><TD class=relative id=r12c9 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11) align=right>0.0 </TD><TD class=relative id=r12c10 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>(graphs)</TD><TD class=relative id=r12c11 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>Click here</TD><TR id=r13c0><TD class=relative id=r13c1 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>Italy</TD><TD class=relative id=r13c2 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>Medium</TD><TD class=relative id=r13c3 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>Widespread</TD><TD class=relative id=r13c4 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>27</TD><TD class=relative id=r13c5 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>48.2%</TD><TD class=relative id=r13c6 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r13c7 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11) align=right>265.2 </TD><TD class=relative id=r13c8 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>(graphs)</TD><TD class=relative id=r13c9 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11) align=right>0.0 </TD><TD class=relative id=r13c10 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>(graphs)</TD><TD class=relative id=r13c11 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>Click here</TD><TR id=r14c0><TD class=relative id=r14c1 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>Latvia</TD><TD class=relative id=r14c2 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>Low</TD><TD class=relative id=r14c3 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>Sporadic</TD><TD class=relative id=r14c4 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>3</TD><TD class=relative id=r14c5 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>33.3%</TD><TD class=relative id=r14c6 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11) noWrap>Type A</TD><TD class=relative id=r14c7 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11) align=right>0.0 </TD><TD class=relative id=r14c8 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>(graphs)</TD><TD class=relative id=r14c9 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11) align=right>523.0 </TD><TD class=relative id=r14c10 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>(graphs)</TD><TD class=relative id=r14c11 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>Click here</TD><TR id=r15c0><TD class=relative id=r15c1 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>Lithuania</TD><TD class=relative id=r15c2 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>Low</TD><TD class=relative id=r15c3 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>None</TD><TD class=relative id=r15c4 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>0</TD><TD class=relative id=r15c5 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>0%</TD><TD class=relative id=r15c6 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11) noWrap>None</TD><TD class=relative id=r15c7 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11) align=right>0.3 </TD><TD class=relative id=r15c8 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>(graphs)</TD><TD class=relative id=r15c9 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11) align=right>252.3 </TD><TD class=relative id=r15c10 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>(graphs)</TD><TD class=relative id=r15c11 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>Click here</TD><TR id=r16c0><TD class=relative id=r16c1 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>Luxembourg</TD><TD class=relative id=r16c2 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>Medium</TD><TD class=relative id=r16c3 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>Local</TD><TD class=relative id=r16c4 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>11</TD><TD class=relative id=r16c5 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>36.4%</TD><TD class=relative id=r16c6 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r16c7 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11) align=right>259.2 </TD><TD class=relative id=r16c8 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>(graphs)</TD><TD class=relative id=r16c9 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11) align=right>4578.8 </TD><TD class=relative id=r16c10 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>(graphs)</TD><TD class=relative id=r16c11 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>Click here</TD><TR id=r18c0><TD class=relative id=r18c1 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>Netherlands</TD><TD class=relative id=r18c2 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>Medium</TD><TD class=relative id=r18c3 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>Regional</TD><TD class=relative id=r18c4 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>7</TD><TD class=relative id=r18c5 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>57.1%</TD><TD class=relative id=r18c6 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r18c7 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11) align=right>62.5 </TD><TD class=relative id=r18c8 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>(graphs)</TD><TD class=relative id=r18c9 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11) align=right>0.0 </TD><TD class=relative id=r18c10 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>(graphs)</TD><TD class=relative id=r18c11 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>Click here</TD><TR id=r19c0><TD class=relative id=r19c1 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>Northern Ireland</TD><TD class=relative id=r19c2 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>Medium</TD><TD class=relative id=r19c3 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>Widespread</TD><TD class=relative id=r19c4 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>32</TD><TD class=relative id=r19c5 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>71.9%</TD><TD class=relative id=r19c6 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11) noWrap>None</TD><TD class=relative id=r19c7 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11) align=right>192.1 </TD><TD class=relative id=r19c8 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>(graphs)</TD><TD class=relative id=r19c9 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11) align=right>0.0 </TD><TD class=relative id=r19c10 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>(graphs)</TD><TD class=relative id=r19c11 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>Click here</TD><TR id=r20c0><TD class=relative id=r20c1 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>Norway</TD><TD class=relative id=r20c2 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)></TD><TD class=relative id=r20c3 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)></TD><TD class=relative id=r20c4 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>6</TD><TD class=relative id=r20c5 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>83.3%</TD><TD class=relative id=r20c6 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r20c7 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11) align=right></TD><TD class=relative id=r20c8 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>(graphs)</TD><TD class=relative id=r20c9 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11) noWrap></TD><TD class=relative id=r20c10 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)></TD><TD class=relative id=r20c11 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>Click here</TD><TR id=r21c0><TD class=relative id=r21c1 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>Poland</TD><TD class=relative id=r21c2 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>Low</TD><TD class=relative id=r21c3 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>None</TD><TD class=relative id=r21c4 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>6</TD><TD class=relative id=r21c5 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>0%</TD><TD class=relative id=r21c6 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11) noWrap>None</TD><TD class=relative id=r21c7 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11) align=right>27.5 </TD><TD class=relative id=r21c8 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>(graphs)</TD><TD class=relative id=r21c9 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11) align=right>0.0 </TD><TD class=relative id=r21c10 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>(graphs)</TD><TD class=relative id=r21c11 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>Click here</TD><TR id=r22c0><TD class=relative id=r22c1 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>Portugal</TD><TD class=relative id=r22c2 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>High</TD><TD class=relative id=r22c3 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>Widespread</TD><TD class=relative id=r22c4 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>29</TD><TD class=relative id=r22c5 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>41.4%</TD><TD class=relative id=r22c6 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11) noWrap>Type A, Subtype H3</TD><TD class=relative id=r22c7 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11) align=right>124.0 </TD><TD class=relative id=r22c8 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>(graphs)</TD><TD class=relative id=r22c9 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11) align=right>0.0 </TD><TD class=relative id=r22c10 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>(graphs)</TD><TD class=relative id=r22c11 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>Click here</TD><TR id=r23c0><TD class=relative id=r23c1 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>Romania</TD><TD class=relative id=r23c2 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>Low</TD><TD class=relative id=r23c3 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>None</TD><TD class=relative id=r23c4 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>0</TD><TD class=relative id=r23c5 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>0%</TD><TD class=relative id=r23c6 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11) noWrap>None</TD><TD class=relative id=r23c7 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11) align=right>0.0 </TD><TD class=relative id=r23c8 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>(graphs)</TD><TD class=relative id=r23c9 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11) align=right>654.9 </TD><TD class=relative id=r23c10 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>(graphs)</TD><TD class=relative id=r23c11 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>Click here</TD><TR id=r24c0><TD class=relative id=r24c1 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>Scotland</TD><TD class=relative id=r24c2 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>Low</TD><TD class=relative id=r24c3 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>Sporadic</TD><TD class=relative id=r24c4 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)></TD><TD class=relative id=r24c5 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)></TD><TD class=relative id=r24c6 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11) noWrap></TD><TD class=relative id=r24c7 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11) align=right>0.0 </TD><TD class=relative id=r24c8 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>(graphs)</TD><TD class=relative id=r24c9 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11) align=right>0.0 </TD><TD class=relative id=r24c10 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>(graphs)</TD><TD class=relative id=r24c11 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>Click here</TD><TR id=r25c0><TD class=relative id=r25c1 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>Serbia</TD><TD class=relative id=r25c2 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>Low</TD><TD class=relative id=r25c3 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>None</TD><TD class=relative id=r25c4 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)></TD><TD class=relative id=r25c5 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)></TD><TD class=relative id=r25c6 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11) noWrap></TD><TD class=relative id=r25c7 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11) align=right>37.3</TD><TD class=relative id=r25c8 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>(graphs)</TD><TD class=relative id=r25c9 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11) align=right>0.0</TD><TD class=relative id=r25c10 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>(graphs)</TD><TD class=relative id=r25c11 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>Click here</TD><TR id=r26c0><TD class=relative id=r26c1 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>Slovakia</TD><TD class=relative id=r26c2 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>Low</TD><TD class=relative id=r26c3 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>Sporadic</TD><TD class=relative id=r26c4 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>0</TD><TD class=relative id=r26c5 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>0%</TD><TD class=relative id=r26c6 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11) noWrap>None</TD><TD class=relative id=r26c7 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11) align=right>91.8 </TD><TD class=relative id=r26c8 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>(graphs)</TD><TD class=relative id=r26c9 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11) align=right>924.3 </TD><TD class=relative id=r26c10 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>(graphs)</TD><TD class=relative id=r26c11 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>Click here</TD><TR id=r27c0><TD class=relative id=r27c1 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>Slovenia</TD><TD class=relative id=r27c2 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>Low</TD><TD class=relative id=r27c3 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>Sporadic</TD><TD class=relative id=r27c4 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>3</TD><TD class=relative id=r27c5 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>33.3%</TD><TD class=relative id=r27c6 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r27c7 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11) align=right>14.2 </TD><TD class=relative id=r27c8 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>(graphs)</TD><TD class=relative id=r27c9 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11) align=right>669.2 </TD><TD class=relative id=r27c10 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>(graphs)</TD><TD class=relative id=r27c11 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>Click here</TD><TR id=r28c0><TD class=relative id=r28c1 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>Spain</TD><TD class=relative id=r28c2 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>Medium</TD><TD class=relative id=r28c3 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>Regional</TD><TD class=relative id=r28c4 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>75</TD><TD class=relative id=r28c5 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>29.3%</TD><TD class=relative id=r28c6 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r28c7 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11) align=right>191.0 </TD><TD class=relative id=r28c8 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>(graphs)</TD><TD class=relative id=r28c9 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11) align=right>0.0 </TD><TD class=relative id=r28c10 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>(graphs)</TD><TD class=relative id=r28c11 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>Click here</TD><TR id=r29c0><TD class=relative id=r29c1 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>Sweden</TD><TD class=relative id=r29c2 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>Medium</TD><TD class=relative id=r29c3 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>Widespread</TD><TD class=relative id=r29c4 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>0</TD><TD class=relative id=r29c5 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>0%</TD><TD class=relative id=r29c6 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11) noWrap>Type A</TD><TD class=relative id=r29c7 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11) align=right>7.9 </TD><TD class=relative id=r29c8 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>(graphs)</TD><TD class=relative id=r29c9 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11) align=right>0.0 </TD><TD class=relative id=r29c10 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>(graphs)</TD><TD class=relative id=r29c11 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>Click here</TD><TR id=r30c0><TD class=relative id=r30c1 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>Switzerland</TD><TD class=relative id=r30c2 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>Medium</TD><TD class=relative id=r30c3 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>Local</TD><TD class=relative id=r30c4 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>13</TD><TD class=relative id=r30c5 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>53.9%</TD><TD class=relative id=r30c6 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11) noWrap>Type A, Subtype H3</TD><TD class=relative id=r30c7 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11) align=right>62.9 </TD><TD class=relative id=r30c8 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>(graphs)</TD><TD class=relative id=r30c9 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11) noWrap></TD><TD class=relative id=r30c10 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)></TD><TD class=relative id=r30c11 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>Click here</TD><TR id=r31c0><TD class=relative id=r31c1 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>Wales</TD><TD class=relative id=r31c2 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>Low</TD><TD class=relative id=r31c3 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>Regional</TD><TD class=relative id=r31c4 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)></TD><TD class=relative id=r31c5 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)></TD><TD class=relative id=r31c6 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11) noWrap></TD><TD class=relative id=r31c7 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11) align=right>18.8 </TD><TD class=relative id=r31c8 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>(graphs)</TD><TD class=relative id=r31c9 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11) align=right>0.0 </TD><TD class=relative id=r31c10 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>(graphs)</TD><TD class=relative id=r31c11 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>Click here</TD><TR id=r32c0><TD class=relative id=r32c1 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)>Europe</TD><TD class=relative id=r32c2 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)></TD><TD class=relative id=r32c3 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)></TD><TD class=relative id=r32c4 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)>662</TD><TD class=relative id=r32c5 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)>36.1%</TD><TD class=relative id=r32c6 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11) noWrap></TD><TD class=relative id=r32c7 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11) align=right></TD><TD class=relative id=r32c8 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)></TD><TD class=relative id=r32c9 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11) noWrap></TD><TD class=relative id=r32c10 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)></TD><TD class=relative id=r32c11 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)>Click here</TD><TR><TD bgColor=#808080 colSpan=14></TD></TR><TR><TD colSpan=14>Preliminary data</TD><TR><TD colSpan=14>
                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
                </TD></TR></TBODY></TABLE></CENTER>
                </TD></TR></TBODY></TABLE></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width=782 border=0><TBODY><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=#1d92ff height=5></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=white><TABLE><TBODY><TR><TD><TABLE><TBODY><TR><TD>The bulletin text was written by an editorial team at the European Centre for Disease Prevention and Control (ECDC) and the Community Network of Reference Laboratories for Human Influenza in Europe (CNRL). Team members are Flaviu Plata, Phillip Zucs and Bruno Ciancio from ECDC, and Adam, Meijer Rod Daniels Alan Hay and Maria Zambon from CNRL. The bulletin text was reviewed by Olav Hungnes (Norwegian Institute of Public Health, Oslo, Norway), and Anne Mazick (Statens Serum Institut, Copenhagen, Denmark) on behalf of the EISS members.

                Neither the European Centre for Disease Prevention and Control (ECDC), nor any person acting on his behalf is liable for the use that may be made of the information contained in this bulletin. Maps and commentary used in this Bulletin do not imply any opinions whatsoever of ECDC or its partners on the legal status of the countries and territories shown or concerning their borders.                 </TD></TR></TBODY></TABLE>                </TD></TR></TBODY></TABLE></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD align=middle width=780 bgColor=#0063c8>EISS : Weekly Electronic Bulletin</TD></TD><TD width=1 bgColor=black height=1></TD></TR><TR><TD width=1 bgColor=black height=1></TD><TD width=780 bgColor=black height=1></TD><TD width=1 bgColor=black height=1></TD></TR></TBODY></TABLE><SCRIPT type=text/javascript>var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www.");document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E"));</SCRIPT><SCRIPT src="http://www.google-analytics.com/ga.js" type=text/javascript></SCRIPT><SCRIPT type=text/javascript>var pageTracker = _gat._getTracker("UA-5778150-1");pageTracker._trackPageview();</SCRIPT>

                Comment

                • #278
                  Re: Seasonal Flu 2008 - 2009

                  ECDC concludes that vaccination of risk groups and health care workers should be further strengthened as seasonal influenza spreads across the European Union (1/9/2009)

                  Stockholm, 8 January 2009

                  ECDC concludes that vaccination of risk groups and health care workers should be further strengthened as seasonal influenza spreads across the European Union

                  [Original PDF Document at LINK. EDITED.]


                  ECDC Technical Statement

                  Up to the last week of December a number of countries in Western and Southern Europe reported consultation rates per 100,000 population for influenza like illness (ILI) or acute respiratory infections (ARI) above threshold levels usually seen outside the winter period.

                  In three of these countries: Ireland, Portugal and UK consultations rates were higher than those observed at the peak of the previous two seasons[1]

                  Most of the viruses identified so far this season are influenza A(H3N2), the subtype associated with moderately severe epidemics last season (2007/8) in North America and in parts the Southern Hemisphere in their winter season in 2008[2, 3]. Experience from previous epidemics indicates that on a case by case basis influenza A(H3N2) subtype causes more severe illness than A(H1N1) subtype or influenza B viruses[4].

                  Based on the antigenic and/or genetic characterisation data available so far the reports indicate a good match of the viruses tested to the strains included in the current influenza vaccine[1]. Hence the current vaccine is likely to work well in protecting those immunised this year or at least reducing the severity of the influenza they experience.

                  A west to east spread of influenza epidemics in Europe has been seen in most, though not all recent winters [5]. Hence it is more likely than not that in the coming weeks influenza will continue to spread to, or intensify in Central, Eastern and Northern European countries. Weekly updates are available on the ECDC and EISS websites.

                  In the light of the early experience of influenza epidemics and the assumed spread across Europe in the coming weeks, ECDC is advising authorities to consider further strengthening their immunisation campaigns with a view to ensuring vaccination is offered to all those for whom they recommend it, notably people with chronic diseases, elderly people (in line with WHO recommendations) and health care workers. [6-9].

                  Background:
                  Surveillance of seasonal influenza in Europe is based on reporting of influenza viruses detected by laboratories and networks of sentinel doctors (mostly general practitioners) reporting rates of people consulting with influenza like illness (ILI) or acute respiratory infections (ARI). The latter clinical surveillance takes place each winter between week 40 of one year and week 20 of the following year. From a subset of ILI/ARI cases clinical specimens are also collected for virological testing for influenza virus and some other viruses. This surveillance was developed in Europe as the European Influenza Surveillance Scheme (now overseen by ECDC) [10] and contribute to the Global Influenza Surveillance Network of WHO[11].

                  References
                  [1] EISS. Weekly Electronic Bulletin: Influenza season started in seven countries of Western/Southern Europe. 2009 1st January 2009;Week 52 : 22/12/2008-28/12/2008.
                  [2] Australian Department of Health and Ageing. Australian influenza report - all reports for 2008.
                  [3] Influenza activity--United States and worldwide, 2007-08 season. MMWR. 2008 Jun 27;57(25):692-7. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5725a5.htm
                  [4] Nicholson KG, Wood JM, Zambon M. Influenza. Lancet. 2003 Nov 22;362(9397):1733-45.
                  [5] Paget J, Marquet R, Meijer A, van der Velden K. Influenza activity in Europe during eight seasons (1999-2007): an evaluation of the indicators used to measure activity and an assessment of the timing, length and course of peak activity (spread) across Europe. BMC infectious diseases. 2007;7:141. http://www.biomedcentral.com/1471-2334/7/141
                  [6] World Health Assembly Resolution Prevention and control of influenza pandemics and annual epidemics WHA 2003.56:19.
                  [7] Mereckiene J, Cotter S, Weber JT, Nicoll A, Levy-Bruhl D, Ferro A, et al. Low coverage of seasonal influenza vaccination in the elderly in many European countries. Euro Surveill. 2008 Oct 9;13(41).
                  [8] VENICE & ECDC National Seasonal Influenza Vaccination Survey in Europe, 2007 VENICE Project April 2008 http://venice.cineca.org/Influenza_S...eport_v1.0.pdf
                  [9] Nicoll A, Ciancio B, Tsolova S, Blank P, Yilmaz C. The scientific basis for offering seasonal influenza immunisation to risk groups in Europe. Euro Surveill. 2008 Oct 23;13(43). http://www.eurosurveillance.org/View...rticleId=19018
                  [10] European Influenza Surveillance Scheme (EISS).
                  [11] WHO Global Influenza Surveillance Network.
                  -
                  ------

                  Comment

                  • #279
                    Re: Seasonal Flu 2008 - 2009

                    2008-2009 Influenza Season Week 53 ending January 3, 2009
                    (All data are preliminary and may change as more reports are received.)
                    Synopsis:

                    During week 53 (December 28, 2008 ? January 3, 2009), influenza activity in the United States remained at approximately the same level as in the previous week.
                    • Seventy-nine (3.2%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
                    • The proportion of deaths attributed to pneumonia and influenza (P&I) was below the epidemic threshold.
                    • The proportion of outpatient visits for influenza-like illness (ILI) was below national and region-specific baseline levels.
                    • Four states reported regional activity; 11 states reported local influenza activity; the District of Columbia and 30 states reported sporadic influenza activity; and five states reported no influenza activity.
                    <TABLE class=table cellSpacing=0 cellPadding=3 align=center border=0><CAPTION>National and Regional Summary of Select Surveillance Components

                    </CAPTION><TBODY><TR vAlign=top><TH vAlign=bottom width=85 rowSpan=2>
                    Region
                    </TH><TH noWrap align=middle width=300 colSpan=3>Data for current week</STRONG></TH><TH noWrap align=middle width=276 colSpan=5>Data cumulative for the season</TH></TR><TR vAlign=top><TH align=middle width=72>Out-patient ILI*</TH><TH align=middle width=72>% positive for flu?</TH><TH align=middle width=96>Number of jurisdictions reporting regional or widespread activity?</TH><TH noWrap align=middle width=48>A (H1)</TH><TH noWrap align=middle width=48>A (H3)</TH><TH align=middle width=60>A Unsub-typed</TH><TH noWrap align=middle width=48>B</TH><TH align=middle width=72>Pediatric Deaths</TH></TR><TR><TD align=left width=85>Nation</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>3.2 % </TD><TD noWrap align=middle width=96>4 of 51 </TD><TD noWrap align=middle width=48>368</TD><TD noWrap align=middle width=48>42</TD><TD noWrap align=middle width=60>542</TD><TD noWrap align=middle width=48>221</TD><TD noWrap align=middle width=72>1</TD></TR><TR><TD align=left width=85>New England</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>2.0 % </TD><TD noWrap align=middle width=96>1 of 6</TD><TD noWrap align=middle width=48>6</TD><TD noWrap align=middle width=48>2</TD><TD noWrap align=middle width=60>19</TD><TD noWrap align=middle width=48>5</TD><TD noWrap align=middle width=72>0</TD></TR><TR><TD align=left width=85>Mid-Atlantic</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>2.3 % </TD><TD noWrap align=middle width=96>1 of 3</TD><TD noWrap align=middle width=48>20</TD><TD noWrap align=middle width=48>4</TD><TD noWrap align=middle width=60>30</TD><TD noWrap align=middle width=48>15</TD><TD noWrap align=middle width=72>0</TD></TR><TR><TD align=left width=85>East North Central</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>5.6 % </TD><TD noWrap align=middle width=96>0 of 5</TD><TD noWrap align=middle width=48>13</TD><TD noWrap align=middle width=48>2</TD><TD noWrap align=middle width=60>17</TD><TD noWrap align=middle width=48>8</TD><TD noWrap align=middle width=72>0</TD></TR><TR><TD align=left width=85>West North Central</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>1.7 % </TD><TD noWrap align=middle width=96>0 of 7</TD><TD noWrap align=middle width=48>15</TD><TD noWrap align=middle width=48>3</TD><TD noWrap align=middle width=60>26</TD><TD noWrap align=middle width=48>10</TD><TD noWrap align=middle width=72>1</TD></TR><TR><TD align=left width=85>South Atlantic</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>3.9 % </TD><TD noWrap align=middle width=96>2 of 9</TD><TD noWrap align=middle width=48>23</TD><TD noWrap align=middle width=48>1</TD><TD noWrap align=middle width=60>126</TD><TD noWrap align=middle width=48>85</TD><TD noWrap align=middle width=72>0</TD></TR><TR><TD align=left width=85>East South Central</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>1.3 % </TD><TD noWrap align=middle width=96>0 of 4</TD><TD noWrap align=middle width=48>1</TD><TD noWrap align=middle width=48>0</TD><TD noWrap align=middle width=60>0</TD><TD noWrap align=middle width=48>4</TD><TD noWrap align=middle width=72>0</TD></TR><TR><TD align=left width=85>West South Central</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>6.4 % </TD><TD noWrap align=middle width=96>0 of 4</TD><TD noWrap align=middle width=48>64</TD><TD noWrap align=middle width=48>1</TD><TD noWrap align=middle width=60>198</TD><TD noWrap align=middle width=48>71</TD><TD noWrap align=middle width=72>0</TD></TR><TR><TD align=left width=85>Mountain</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>4.4 % </TD><TD noWrap align=middle width=96>0 of 8</TD><TD noWrap align=middle width=48>15</TD><TD noWrap align=middle width=48>22</TD><TD noWrap align=middle width=60>51</TD><TD noWrap align=middle width=48>6</TD><TD noWrap align=middle width=72>0</TD></TR><TR><TD align=left width=85>Pacific</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>3.3 % </TD><TD noWrap align=middle width=96>0 of 5</TD><TD noWrap align=middle width=48>211</TD><TD noWrap align=middle width=48>7</TD><TD noWrap align=middle width=60>75</TD><TD noWrap align=middle width=48>17</TD><TD noWrap align=middle width=72>0</TD></TR></TBODY></TABLE>
                    * Elevated means the % of visits for ILI is at or above the national or region-specific baseline
                    ? National data is for current week; regional data is for the most recent three weeks.
                    ? Includes all 50 states and the District of Columbia
                    U.S. Virologic Surveillance:

                    WHO and NREVSS collaborating laboratories located in all 50 states and Washington D.C. report to CDC the number of respiratory specimens tested for influenza each week. The results of tests performed during the current week and cumulative totals for the season are summarized in the table below.
                    <TABLE class=table cellSpacing=0 cellPadding=3 align=center border=0><TBODY><TR><TH align=left width=200></TH><TH noWrap align=middle width=140>Week 53</TH><TH noWrap align=middle width=140>Cumulative for the Season</TH></TR><TR><TD align=left width=200>No. of specimens tested</TD><TD noWrap align=middle width=140>2,488</TD><TD noWrap align=middle width=140>52,199</TD></TR><TR><TD align=left width=200>No. of positive specimens (%)</TD><TD noWrap align=middle width=140>79 (3.2%)</TD><TD noWrap align=middle width=140>1,173 (2.3%)</TD></TR><TR><TD align=left colSpan=3>Positive specimens by type/subtype</TD></TR><TR><TD align=left width=170> Influenza A</TD><TD noWrap align=middle width=140>70 (88.6%)</TD><TD noWrap align=middle width=140>952 (81.2%)</TD></TR><TR><TD align=left width=170> A (H1)</TD><TD noWrap align=middle width=140>10 (14.3%)</TD><TD noWrap align=middle width=140>368 (38.7%)</TD></TR><TR><TD align=left width=170> A (H3)</TD><TD noWrap align=middle width=140>5 (7.1%)</TD><TD noWrap align=middle width=140>42 (4.4%)</TD></TR><TR><TD align=left width=170> A (unsubtyped)</TD><TD noWrap align=middle width=140>55 (78.6%)</TD><TD noWrap align=middle width=140>542 (56.9%)</TD></TR><TR><TD align=left width=170> Influenza B</TD><TD noWrap align=middle width=140>9 (11.4%)</TD><TD noWrap align=middle width=140>221 (18.8%)</TD></TR></TBODY></TABLE>
                    The District of Columbia and 42 states from all nine surveillance regions have reported laboratory-confirmed influenza this season. Three states account for 794 (67.7%) of the 1,173 reported influenza viruses.
                    <CENTER>
                    View WHO-NREVSS Regional Bar Charts| View Chart Data | View Full Screen </CENTER>Antigenic Characterization:

                    CDC has antigenically characterized 110 influenza viruses [68 influenza A (H1), 13 influenza A (H3) and 29 influenza B viruses] collected by U.S. laboratories since October 1, 2008.
                    All 68 influenza A (H1) viruses are related to the influenza A (H1N1) component of the 2008-09 influenza vaccine (A/Brisbane/59/2007). All 13 influenza A (H3N2) viruses are related to the A (H3N2) vaccine component (A/Brisbane/10/2007).
                    Influenza B viruses currently circulating can be divided into two distinct lineages represented by the B/Yamagata/16/88 and B/Victoria/02/87 viruses. Nine influenza B viruses tested belong to the B/Yamagata lineage and are related to the vaccine strain (B/Florida/04/2006). The remaining 20 viruses belong to the B/Victoria lineage and are not related to the vaccine strain. Seventeen of the 20 viruses belonging to the B/Victoria lineage were from two states.
                    Data on antigenic characterization should be interpreted with caution given that:
                    1. Few U.S. isolates are available for testing because of limited influenza activity thus far.
                    2. The majority of viruses antigenically characterized to date come from only three states and may not be nationally representative.
                    3. Antigenic characterization data is based on hemagglutination inhibition (HI) testing using a panel of reference ferret antisera and results may not correlate with clinical protection against circulating viruses provided by influenza vaccination.
                    Annual influenza vaccination is expected to provide the best protection against those virus strains that are related to the vaccine strains, but limited to no protection may be expected when the vaccine and circulating virus strains are so different as to be from different lineages, as is seen with the two lineages of influenza B viruses.
                    Antiviral Resistance:

                    Since October 1, 2008, 88 influenza A (H1N1), 14 influenza A (H3N2), and 40 influenza B viruses from 25 states have been tested for resistance to the neuraminidase inhibitors (oseltamivir and zanamivir). Eighty-eight influenza A (H1N1) and 14 influenza A (H3N2) viruses from 23 states have been tested for resistance to the adamantanes (amantadine and rimantadine). The results of antiviral resistance testing performed on these viruses are summarized in the table below.
                    <TABLE class=table cellSpacing=0 cellPadding=3 align=center border=0><TBODY><TR><TH align=left width=160></TH><TH noWrap align=middle width=100>Isolates tested (n)</TH><TH noWrap align=middle width=200 colSpan=2>Resistant Viruses,
                    Number (%)                    </TH><TH noWrap align=middle width=100>Isolates tested (n)</TH><TH noWrap align=middle width=120>Resistant Viruses, Number (%)</TH></TR><TR><TH align=left width=160></TH><TH noWrap align=middle width=100></TH><TH noWrap align=middle width=100>Oseltamivir</TH><TH noWrap align=middle width=100>Zanamivir</TH><TH noWrap align=middle width=100></TH><TH noWrap align=middle width=120>Adamantanes</TH></TR><TR><TD noWrap align=left width=160>Influenza A (H1N1)</TD><TD noWrap align=middle width=100>88</TD><TD noWrap align=middle width=100>86 (98%)</TD><TD noWrap align=middle width=100>0 (0)</TD><TD noWrap align=middle width=100>88</TD><TD noWrap align=middle width=120>0 (0%)</TD></TR><TR><TD noWrap align=left width=160>Influenza A (H3N2)</TD><TD noWrap align=middle width=100>14</TD><TD noWrap align=middle width=100>0 (0)</TD><TD noWrap align=middle width=100>0 (0)</TD><TD noWrap align=middle width=100>14</TD><TD noWrap align=middle width=120>14 (100%)</TD></TR><TR><TD noWrap align=left width=160>Influenza B</TD><TD noWrap align=middle width=100>40</TD><TD noWrap align=middle width=100>0 (0)</TD><TD noWrap align=middle width=100>0 (0)</TD><TD noWrap align=middle width=100>N/A*</TD><TD noWrap align=middle width=120>N/A*</TD></TR></TBODY></TABLE><SUP>*The adamantanes (amantadine and rimantadine) are not effective against influenza B viruses.</SUP>


                    With low levels of influenza activity thus far in the 2008-09 season in the United States, overall numbers of virus specimens and the number of states that have submitted specimens for testing is limited. The limited number and geographic diversity of specimens tested for antiviral resistance, as well as the uncertainty regarding which influenza virus types or subtypes will predominate during the season, make it too early to make an accurate determination of the prevalence of influenza viruses resistant to oseltamivir nationally or regionally at this time. CDC has solicited a representative sample of viruses from WHO collaborating laboratories in the United States, and more specimens are expected as influenza activity increases.
                    Pneumonia and Influenza (P&I) Mortality Surveillance

                    During week 53, 7.0% of all deaths reported through the 122-Cities Mortality Reporting System were due to P&I. This percentage is below the epidemic threshold of 7.6% for week 53.
                    <CENTER>
                    View Full Screen</CENTER>Influenza-Associated Pediatric Mortality

                    No influenza-associated pediatric deaths were reported during week 53. A total of one influenza-associated pediatric death occurring during the 2008-09 season has been reported.
                    <CENTER>
                    View Full Screen</CENTER>Influenza-Associated Hospitalizations

                    Laboratory-confirmed influenza-associated hospitalizations are monitored in two population-based surveillance networks: the Emerging Infections Program (EIP) and the New Vaccine Surveillance Network (NVSN).
                    No influenza-associated hospitalizations have been reported from the New Vaccine Surveillance Network this season.
                    During October 1, 2008 ? January 3, 2009, preliminary laboratory-confirmed influenza-associated hospitalization rates reported by the EIP for children aged 0-4 years and 5-17 years were 0.3 per 10,000 and 0.01 per 10,000, respectively. For adults aged 18-49 years, 50-64 years, and = 65 years, the rates were 0.03 per 10,000, 0.05 per 10,000, and 0.2 per 10,000, respectively.
                    <CENTER>
                    View Full Screen</CENTER>Outpatient Illness Surveillance:

                    During week 53, 1.8% of patient visits reported through the U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) were due to influenza-like illness (ILI). This percentage is less than the national baseline of 2.4%. On a regional level, the percentage of visits for ILI ranged from 0.2% to 4.6%. All nine surveillance regions reported percentages of visits for ILI below their respective region-specific baselines.
                    <CENTER>
                    View Sentinel Providers Regional Charts | View Chart Data |View Full Screen
                    </CENTER>Geographic Spread of Influenza as Assessed by State and Territorial Epidemiologists:


                    During week 53, the following influenza activity was reported:
                    • Regional influenza activity was reported by four states (Maryland, New Hampshire, New Jersey, and North Carolina).
                    • Local influenza activity was reported by 11 states (Arizona, Colorado, Connecticut, Florida, Hawaii, Maine, Massachusetts, Pennsylvania, Texas, Virginia, and Wisconsin).
                    • Sporadic activity was reported in the District of Columbia and 30 states (Alaska, California, Delaware, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New York, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Washington, West Virginia, and Wyoming).
                    • No influenza activity was reported in five states (Alabama, Arkansas, Kentucky, New Mexico, and Oklahoma).

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                    --------------------------------------------------------------------------------
                    A description of surveillance methods is available at: http://www.cdc.gov/flu/weekly/fluactivity.htm
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                    Comment

                    • #280
                      Re: Seasonal Flu 2008 - 2009

                      Flu (influenza): FluWatch surveillance - Canada.ca
                      http://www.phac-aspc.gc.ca/fluwatch/08-09/w53_08/index-eng.php
                      Weekly data on flu in Canada, and systems that monitor flu: FluWatch and Respiratory Virus Detection Surveillance System.

                      Overall influenza activity in Canada remains low; an influenza outbreak in a hospital was reported in Ontario
                      During week 53, influenza activity in Canada remained low overall with the majority of the influenza surveillance regions still reporting no activity. Sixteen regions (in BC, AB, ON & QC) reported sporadic influenza activity and localized activity was reported in 2 regions (central region in AB and in Toronto, ON) (see map). Note that no data for 2 regions in SK were received this week. Eighty-seven specimens tested positive for influenza in Canada this week (percentage positive = 3.3%; 87/2,633) (see table). The majority of influenza virus detections to date this season were influenza A viruses (54% or 165/304); however influenza B detections have slowly increased over the last several weeks. In week 53, the ILI consultation rate increased to 23 ILI consultations per 1,000 patient visits (see ILI graph), however it remains below the expected range for this week. The sentinel response rate was low at 37%. An outbreak of influenza in a hospital in ON was reported in week 53.
                      Other Respiratory Viruses: RSV detections for Canada as a whole continue to increase while detections for adenoviruses and parainfluenza viruses remain at fairly low levels (see graph).
                      Antigenic Characterization:
                      Since 1 September 2008, the NML has antigenically characterized 33 influenza viruses: 10 influenza A/Brisbane/59/2007(H1N1)-like (from BC, AB, ON & NS), 1 influenza A/Brisbane/10/2007(H3N2)-like (from BC), 3 influenza B/Florida/4/2006-like (from ON and AB) and 19 B/Malaysia/2506/2004-like (from ON and AB). A/Brisbane/59/2007(H1N1), A/Brisbane/10/2007(H3N2) and B/Florida/4/2006 are the influenza A and influenza B components recommended for the 2008-09 influenza vaccine. B/Malaysia/2506/2004 was the influenza B component for the 2007-2008 season vaccine (see pie chart).
                      Antiviral Resistance:
                      Results from the NML:
                      Since the start of the season, the NML has tested 11 influenza A isolates (6 H1N1 and 5 H3N2) for amantadine resistance. All of the H1N1 isolates were susceptible; however all of the H3N2 isolates were resistant to amantadine (resistance = 100% or 5/5). The resistant isolates were from ON, AB and BC.
                      The NML has also tested 24 influenza isolates (5 A/H1N1, 2 A/H3N2 & 17 B) for oseltamivir (Tamiflu) resistance. All of the A/H3N2 and B isolates were sensitive; however all of the A/H1N1 isolates were resistant to oseltamivir due to the H274Y mutation (resistance = 100% or 5/5). The resistant isolates were from NS, ON and BC.
                      All 22 influenza isolates (3 A/H1N1, 2 A/H3N2 & 17 B) tested for zanamivir resistance to date were sensitive to zanamivir.
                      Oseltamivir resistance findings from Provincial laboratories:
                      To date this season, 24 influenza isolates in BC have been sub-typed as A/H1 and were assessed genotypically for oseltamivir resistance using an SNP assay. Eighteen isolates tested positive for the H274Y mutation (resistance = 100% or 18/18), with the other 6 specimens still pending confirmatory testing.
                      Influenza-associated Paediatric Hospitalizations:
                      No laboratory-confirmed influenza-associated paediatric hospitalizations have been reported through the Immunization Monitoring Program Active (IMPACT) network for the 2008-09 season.
                      International:

                      WHO: During the weeks 51 to 52, the overall level of influenza activity in the world began to increase in some countries in Europe. Activity in many other countries remained low. The majority of viruses identified this season have been influenza A (H3N2).
                      • <A href="http://www.who.int/csr/disease/influenza/update/en/" target=_blank rel=x><ACRONYM title="World Health Organization">WHO</ACRONYM>
                      EISS: Influenza activity continued to increase with most countries in western and central Europe reporting influenza activity of medium intensity. Most of the influenza virus detections so far have been for influenza A viruses of which the majority were A(H3). Of the 56 A(H3N2) isolates that were also tested for adamantanes susceptibility, all were resistant. Of the 30 A(H1N1) virus isolates tested for resistance against neuraminidase inhibitors, 29 were resistant to oseltamivir (resistance=97%), but all were sensitive to zanamivir.
                      • <A href="http://www.eiss.org/cgi-files/bulletin_v2.cgi" target=_blank rel=x><ACRONYM title=" European Influenza Surveillance Scheme">EISS</ACRONYM>
                      Human Avian Influenza: Since 6 January 2009, the WHO has reported two new cases of human H5N1 avian influenza infection. The first case was an 8-year-old female from Thanh Hoa province, Vietnam who developed symptoms on 27 December 2008, was hospitalized on 2 January 2009 and is currently in a stable condition. The second case was a 19-year-old female from Chaoyang District, Beijing, China who developed symptoms on 24 December 2008, was hospitalized and died on 5 January 2009. Both cases had contact with poultry prior to their illness.
                      • <A href="http://www.who.int/csr/disease/avian_influenza/en/index.html" target=_blank rel=x><ACRONYM title="World Health Organization">WHO</ACRONYM>
                      <HR>Total number of influenza tests performed and number of positive tests by province/territory of testing laboratory, Canada, 2008-2009

                      <TABLE id=fluwatchtable cellSpacing=0 cellPadding=2 width="100%" border=1><TBODY><TR class=bg-colour-blue vAlign=top><TD class=alignCenter rowSpan=3>Province of
                      reporting
                      laboratories                       </TD><TD class=alignCenter vAlign=bottom colSpan=4>Report Period:
                      December 28, 2008 to January 3, 2009                       </TD><TD class=alignCenter vAlign=bottom colSpan=4>Season to Date:
                      August 24, 2008 to January 3, 2009                      </TD></TR><TR class=bg-colour-blue><TD class=alignCenter rowSpan=2>Total #
                      Influenza
                      Tests                       </TD><TD class=alignCenter colSpan=3># of Positive Tests </TD><TD class=alignCenter rowSpan=2>Total #
                      Influenza
                      Tests                      </TD><TD class=alignCenter colSpan=3># of Positive Tests </TD></TR><TR class=bg-colour-blue vAlign=top><TD class=alignCenter vAlign=center>Influenza A</TD><TD class=alignCenter vAlign=center>Influenza B</TD><TD class=alignCenter vAlign=center>Total </TD><TD class=alignCenter vAlign=center>Influenza A</TD><TD class=alignCenter vAlign=center>Influenza B</TD><TD class=alignCenter vAlign=center>Total </TD></TR><TR><TD class=bg-colour-blue>NL
                      </TD><TD class=alignCenter>21</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>183</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD></TR><TR><TD class=bg-colour-blue>PE
                      </TD><TD class=alignCenter>7</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>67</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD></TR><TR><TD class=bg-colour-blue>NS
                      </TD><TD class=alignCenter>18</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>288</TD><TD class=alignCenter>1</TD><TD class=alignCenter>0</TD><TD class=alignCenter>1</TD></TR><TR><TD class=bg-colour-blue>NB
                      </TD><TD class=alignCenter>20</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>196</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD></TR><TR><TD class=bg-colour-blue>QC
                      </TD><TD class=alignCenter>763</TD><TD class=alignCenter>9</TD><TD class=alignCenter>1</TD><TD class=alignCenter>10</TD><TD class=alignCenter>7081</TD><TD class=alignCenter>52</TD><TD class=alignCenter>4</TD><TD class=alignCenter>56</TD></TR><TR><TD class=bg-colour-blue>ON
                      </TD><TD class=alignCenter>919</TD><TD class=alignCenter>5</TD><TD class=alignCenter>37</TD><TD class=alignCenter>42</TD><TD class=alignCenter>9002</TD><TD class=alignCenter>23</TD><TD class=alignCenter>73</TD><TD class=alignCenter>96</TD></TR><TR><TD class=bg-colour-blue>MB
                      </TD><TD class=alignCenter>49</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>840</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD></TR><TR><TD class=bg-colour-blue>SK
                      </TD><TD class=alignCenter>128</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>1402</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD></TR><TR><TD class=bg-colour-blue>AB
                      </TD><TD class=alignCenter>654</TD><TD class=alignCenter>20</TD><TD class=alignCenter>6</TD><TD class=alignCenter>26</TD><TD class=alignCenter>8074</TD><TD class=alignCenter>42</TD><TD class=alignCenter>61</TD><TD class=alignCenter>103</TD></TR><TR><TD class=bg-colour-blue>BC
                      </TD><TD class=alignCenter>54</TD><TD class=alignCenter>9</TD><TD class=alignCenter>0</TD><TD class=alignCenter>9</TD><TD class=alignCenter>699</TD><TD class=alignCenter>47</TD><TD class=alignCenter>1</TD><TD class=alignCenter>48</TD></TR><TR><TD class=bg-colour-blue>Canada
                      </TD><TD class=alignCenter>2633</TD><TD class=alignCenter>43</TD><TD class=alignCenter>44</TD><TD class=alignCenter>87</TD><TD class=alignCenter>27832</TD><TD class=alignCenter>165</TD><TD class=alignCenter>139</TD><TD class=alignCenter>304</TD></TR></TBODY></TABLE>

                      Specimens from NT, YT, and NU are sent to reference laboratories in other provinces.
                      Note: Cumulative data includes updates to previous weeks; due to reporting delays, the sum of weekly report totals do not add up to cumulative totals.
                      Abbreviations: Newfoundland/Labrador (NL), Prince Edward Island (PE), New Brunswick (NB), Nova Scotia (NS), Quebec (QC), Ontario (ON), Manitoba (MB), Saskatchewan (SK), Alberta (AB), British Columbia (BC), Yukon (YT), Northwest Territories (NT), Nunavut (NU)
                      Respiratory virus laboratory detections in Canada, by geographic regions, are available weekly on the following website:
                      <http://www.phac-aspc.gc.ca/bid-bmi/dsd-dsm/rvdi-divr/index-eng.php>


                      Number of influenza surveillance regions? reporting widespread or localized influenza activity, Canada, by report week, 2008-2009 (N=54)



                      ? sub-regions within the province or territory as defined by the provincial/territorial epidemiologist. Graph may change as late returns come in.


                      <TABLE width="100%"><TBODY><TR vAlign=top align=middle><TD colSpan=2>Influenza Activity Level by Provincial and Territorial
                      Influenza Surveillance Regions, Canada,
                      December 28, 2008 to January 3, 2009 (Week 53)

                      </TD></TR><TR vAlign=top align=middle><TD class=alignCenter>
                      </TD><TD><TABLE cellSpacing=0 cellPadding=1 border=0><TBODY><TR><TD align=middle><TABLE class=border-lite cellSpacing=1 cellPadding=1><TBODY><TR align=middle><TD>No Data </TD><TD></TD></TR><TR align=middle><TD>No Activity</TD><TD></TD></TR><TR align=middle><TD>Sporadic Activity</TD><TD></TD></TR><TR align=middle><TD>Localized Activity</TD><TD></TD></TR><TR align=middle><TD>Widespread
                      Activity                      </TD><TD></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
                      Note: Influenza activity levels, as represented on this map, are assigned and reported by Provincial and Territorial Ministries of Health, based on laboratory confirmations, sentinel ILI rates (see graphs and tables) and outbreaks. Please refer to detailed definitions. For areas where no data is reported, late reports from these provinces and territories will appear on the FluWatch website. Select single maps by report week to get this updated information.
                      <http://dsol-smed.phac-aspc.gc.ca/dsol-smed/fluwatch/fluwatch.phtml?lang=e>
                      Click on the map to view provinces/territories and maps for other weeks.


                      Influenza tests reported and percentage of tests positive, Canada, by report week, 2008-2009




                      Percent positive influenza tests, compared to other respiratory viruses, Canada, by reporting week, 2008-2009







                      Influenza strain characterization, Canada, cumulative, 2008-2009 influenza season by the Respiratory Viruses Section at the National Microbiology Laboratory
                      [N=33]


                      {Strain characterization, number identified, per cent of total number}
                      NACI recommends that the trivalent vaccine for the 2008-2009 season in Canada contain
                      A/Brisbane/59/2007 (H1N1)-like virus; an A/Brisbane/10/2007 (H3N2)-like virus; and a B/Florida/4/2006-like virus.


                      Influenza-like illness (ILI) consultation rates, Canada, by report week,
                      2008-2009 compared to 1996/97 through to 2007/08 seasons



                      Note: No data available for mean rate in previous years for weeks 19 to 39 (1996-1997 through 2002-2003 seasons).


                      Number of New Outbreaks in Long Term Care Facilities, Canada, by Report Week, 2008-2009



                      Please note that the above graphs may change as late returns come in.
                      Single Maps | Dual Maps | Animated Maps | FluWatch Reports

                      Comment

                      • #281
                        Re: Seasonal Flu 2008 - 2009

                        95 influenza viruses were isolated until the 50
                        th week in 2008-2009 season.
                        82 viruses were identified as A/H1 type and 13 viruses were identified as A/H3

                        type.

                        http://dis.cdc.go.kr/Influenza/download/200850%20Influenza%20Weekly%20Report.pdf

                        Comment

                        • #282
                          Re: Seasonal Flu 2008 - 2009

                          322 influenza viruses were isolated until the 51
                          th week in 2008-2009 season.
                          296 viruses were identified as A/H1 type and 26 viruses were identified as A/H3

                          type.

                          http://dis.cdc.go.kr/Influenza/download/200851%20Influenza%20Weekly%20Report.pdf

                          Comment

                          • #283
                            Re: Seasonal Flu 2008 - 2009

                            815 influenza viruses were isolated until the 52
                            th week in 2008-2009 season.
                            767 viruses were identified as A/H1 type, 46 viruses were identified as A/H3

                            type and 2 viruses were identified as B type.

                            http://dis.cdc.go.kr/Influenza/download/200852%20Influenza%20Weekly%20Report.pdf


                            The graph at the above site shows the explosion of H1N1 in South Korea in December.

                            Comment

                            • #284
                              Re: Seasonal Flu 2008 - 2009

                              Commentary

                              http://www.recombinomics.com/News/01100901/H274Y_Korea_Explodes.html

                              Comment

                              • #285
                                Re: Seasonal Flu 2008 - 2009

                                Originally posted by niman View Post
                                Commentary

                                http://www.recombinomics.com/News/01..._Explodes.html
                                Commentary

                                Explosion of H1N1 Cases in South Korea

                                Recombinomics Commentary 18:47
                                January 10, 2009


                                95 influenza viruses were isolated until the 50th week in 2008-2009 season.
                                82 viruses were identified as A/H1 type and 13 viruses were identified as A/H3 type

                                322 influenza viruses were isolated until the 51th week in 2008-2009 season.
                                296 viruses were identified as A/H1 type and 26 viruses were identified as A/H3 type

                                815 influenza viruses were isolated until the 52th week in 2008-2009 season.
                                767 viruses were identified as A/H1 type, 46 viruses were identified as A/H3 type and 2 viruses were identified as B type.

                                The above comments are from the Korean CDC reports for weeks 50, 51, and 52. The proportion of patients visiting sentinel physicians for influenza like illness rose to 15.39%, which was significantly above the 2.6% baseline. The levels for this season and last season are graphically represented in the week 52 report.

                                Although the reports do not indicate the frequency of Tamiflu resistance, recent reports from Japan describe influenza forced closing of elementary schools in October and November due to Tamiflu resistant H1N1. A recent WHO report on H274Y frequencies in initial weeks of the influenza season in the northern hemisphere indicated that 13/14 H1N1 in Japan were Tamiflu resistant and all isolates from the school closings were Tamiflu resistant. Three isolates from Sendai, Japan matched each other as well as the dominant sub-clade circulating the United States (HI, TX, PA), and all had H274Y in NA and A193T on HA. In the United States, Tamiflu resistance levels in H1N1 are at 98%, indicating most isolates are from the same sub-clade, as seen in the HA and NA sequences released by the CDC in the United States.

                                The school closing sin Japan and the explosion of cases in South Korea support an aggressive H1N1 that is resistant to Tamiflu.

                                More information on resistance and sequences from the isolates in South Korea would be useful.

                                .
                                "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

                                Comment

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