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Seasonal Flu 2008 - 2009

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  • Re: Seasonal Flu 2008 - 2009



    Situation in Hong Kong
    (As of 8 Jan 2009)
    The influenza activity in Hong Kong
    remained at low level.
    For the week ending 3 Jan 2009
    (week 1), the average consultation rates for
    ILI among sentinel private doctors (Figure
    1) and general outpatient clinics (Figure 2)
    were 28.1 and 2.9 (per 1,000 consultations)
    respectively. In the same week, 0.68% of
    children in the sentinel child care centres
    (Figure 3) and 0.14% of residents in the
    sentinel residential care homes for the
    elderly (Figure 4) had fever. The
    consultation rate for ILI among chinese
    medicine practitioners (Figure 5) was 6.19
    per 1,000 consultations.
    Influenza detection was 30 in week 1.
    Laboratory surveillance detected 15
    influenza A (H1N1) viruses, 5 influenza A
    (H3N2) viruses and 9 influenza B viruses
    (Figure 6).
    In week 1, there were no influenza
    outbreaks (Figure 7). In the first 5 days of
    week 2 (as of 8 Jan 2009), there were no
    confirmed influenza outbreaks.
    In week 1, hospital admission rate due
    to influenza for the elderly 65 years old or
    above was 0.05 (per 10,000 people in the
    age group) (blue line in Figure 8) and that
    for children aged 0 to 4 years was 0.41 (per
    10,000 people in the age group) (red line in
    Figure 8).
    For the week ending 3 Jan 2009, no
    children aged 12 years or below were
    reported to have severe complications
    related to
    influenza.

    Comment


    • Re: Seasonal Flu 2008 - 2009

      From INFLU CIRI (Centro Interuniversitario per lo Studio dell'Influenza):

      Influenza virus subtype A/H3N2, Italian recent isolates phylogenetic tree


      <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>[To see all the details about current influenza season virologic surveillance in Italy performed by CIRI, please follow this link: http://www.influciri.it/frlato1_1.html - IOH]

      Comment


      • Re: Seasonal Flu 2008 - 2009

        Italy. 2008/2009 Influenza Season. Influenza-like Illness Incidence Trend, Updated at Jan 14, 2009 (From Influ CIRI)

        Global Trend for Influenza-like Illness and Acute Respiratory Illness Incidence - 2008/2009 Influenza Season.

        [Full DataSet at LINK.]

        More details and background information about epidemiological and virological surveillance activities performed by CIRI (Centro Interuniversitario per lo Studio dell'Influenza) are available following the above URL address.

        Graphs and tables are based upon data elaborated from informations collected by family doctors' participants to epidemiological surveillance.

        Curves indicate ILI and ARI incidence among population tabulated for epidemic season, surveillance week and classes of age.

        <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>
        Updated at 14-01-2009 10:47:33 GMT+1


        [SURVEILLANCE WEEK / Participant GPs / Outpatients / CASES: 0-4 / 5-14 / 15-65 / +65 / TOTAL INCIDENCEx1,000]


        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 / 416 / 550130 / 413 / 2,13 / 1,31 / 0,68 / 0,34 / 0,75
        2008-50 / 420 / 553598 / 491 / 2,66 / 1,49 / 0,82 / 0,32 / 0,89
        2008-51 / 402 / 532626 / 692 / 3,28 / 2,34 / 1,18 / 0,68 / 1,3
        2008-52 / 393 / 522534 / 735 / 3,79 / 2,81 / 1,23 / 0,66 / 1,41
        2009-01 / 388 / 514045 / 1342 / 4,87 / 2,68 / 2,77 / 1,53 / 2,61
        2009-02 / 371 / 490149 / 1823 / 6,04 / 4,38 / 4,03 / 1,82 / 3,72

        Incidence of ILIs continue to grow and it is at highest rate in 0-4 class-age (6,04 per 1,000), followed by 5-14 (4.38x1,000) and young adults (4.03x1,000).

        Since the start of surveillance activities, the overwhelming majority of viruses collected were Type A subytpe H3N2, lineage Brisbane/10/07, reference strain for current influenza vaccines.
        -
        -----

        Comment


        • 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 01/10/2009)
          <TABLE style="MARGIN: auto auto auto 5.4pt; BORDER-COLLAPSE: collapse" cellSpacing=0 cellPadding=0 border=0><THEAD><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=96>District (#)
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108>County
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>Subtype
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>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: 1in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=96 rowSpan=3>NW (4)
          </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: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=108><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: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=120>1, 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: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>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: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=108><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: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=120>2, 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: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=252>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: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=108><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: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=120>1 A(not typed)
          </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: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=252>Results pending
          </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 1in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=96 rowSpan=7>NE (15)
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108>Lehigh
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, 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: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Yes
          </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108>Luzerne
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, Influenza B
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
          </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108><st1:place w:st="on"><st1:City w:st="on">Bethlehem</st1:City></st1:place>
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>4, A(H3N2)
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
          </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108><st1:place w:st="on"><st1:City w:st="on">Bethlehem</st1:City></st1:place>
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, A(H1N1)
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
          </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108><st1:City w:st="on"><st1:place w:st="on">Allentown</st1:place></st1:City>
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>2, A(H3N2)
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
          </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108><st1:place w:st="on"><st1:City w:st="on">Northampton</st1:City></st1:place>
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>5, A(H1N1)
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
          </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108><st1:City w:st="on"><st1:place w:st="on">Northampton</st1:place></st1:City>
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, A(H3N2)
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>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: 1in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=96 rowSpan=3>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: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=108>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: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=120>2, 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: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=252>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: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=108>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: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=120>2, 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: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=252>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: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=108>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: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=120>2, 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: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=252>Results pending
          </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 1in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=96 rowSpan=3>SE (6)
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108><st1:place w:st="on"><st1:City w:st="on">Chester</st1:City></st1:place>
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, A (H3N2)
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
          </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108>Berks
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>3, A(H1N1)
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
          </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108>Bucks
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, 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: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>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: windowtext 1pt solid; WIDTH: 1in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=96>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: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=108>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: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=120>1, 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: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=252>Results pending
          </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 1in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=96 rowSpan=2>SW (2)
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108><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; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, A(H1N1)
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
          </TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108>Allegheny
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, A(H1N1)
          </TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
          </TD></TR></THEAD><TBODY></TBODY></TABLE>


          Results in the table above are based on tests done on a few specimens that are submitted to the State lab by physicians, hospitals and nursing homes. The State lab sends subtyped flu isolates to CDC for further testing.

          <HR id=main style="WIDTH: 510px; HEIGHT: 2px" SIZE=2>
          Useful Links
          US Centers for Disease Control and Prevention Weekly Influenza Surveillance Report:
          http://www.cdc.gov/flu/weekly
          /

          US Influenza Sentinel Provider Surveillance submission login page:
          http://www2.ncid.cdc.gov/flu/

          PA Department of Health, Focus on Flu:
          http://www.health.state.pa.us/flu

          Pennsylvania Pandemic Influenza Preparedness:
          http://www.pandemicflu.state.pa.us



          </DSFCONTENTBODY>

          Comment


          • Re: Seasonal Flu 2008 - 2009

            ITALY: VIROLOGICAL SURVEILLANCE FOR INFLUENZA, 2008/2009 SEASON, UPDATE [Min. of Health]

            VIROLOGICAL SURVEILLANCE FOR INFLUENZA

            Januray, 14 2009

            Update - Week 2/09

            [Original PDF Document (in Italian) at LINK. EDITED. Manually Translated by IOH]


            -- ITALY

            During this latest surveillance week, a steep increase in samples collection has been reported, compared to previous weeks.

            Among at least 100 samples collected and analyzed, 35 influenza viruses have been isolated, the majority type A subtype H3.

            Five viruses are not yet characterized.

            <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>
            In the table below are represented cumulative virological results of the initial surveillance weeks since the start of season (week 46-08) to date (week 2-09).

            [SURVEILLANCE WEEK 46 / 47 / 48 / 49 / 50 / 51 / 52 / 1 / 2 / TOT POSITIVE SAMPLES]

            - FLU A / 3 / 4 / 4 / 5 / 3 / 7 / 5 / 21 / 30 / 82
            - A (unsubtyped) / ... / ... / ... / 1 / ... / 1 / 2 / 10 / 19 / 33
            - A/H3N2 / 3 / 4 / 4 / 4 / 3 / 6 / 3 / 11 / 11/ 49
            - A/H1N1 / ... / ... / ... / ... / ... / ... / ... / ... / ... / ...
            - FLU B / 0 / 0 / 2 / 0 / 1 / 0 / 0 / 1 / 0 / 4
            - TOT POSITIVE SAMPLES / 3 / 4 / 6 / 5 / 4 / 7 / 4 / 22 / 30 / 86


            -- From the World

            - Europe
            The circulation of influenza viruses continues to rise in this latest surveillance week; more intense activity has been reported in the Central and Western EU Member States.

            Of 1193 collected samples
            , 743 were influenza A positive (193 H3, 8 H1 and 542 unsubtyped); 27 were influenza B positive.

            Influenza A(H3N2) viruses are to date the predominant strains.


            Further information at:



            - USA
            Influenza viruses circulation remains at the level of the previous surveillance week.

            2488 samples have been collected; of these 79 (3.2&#37 were positive.

            Of these, 70 were type A (10 H1, 5 H3 and 55 unsubtyped); 9 were influenza B positive.

            Further informations at:
            Everything you need to know about flu viruses and flu illness, including symptoms, treatment and prevention.

            -
            ------

            Comment


            • Re: Seasonal Flu 2008 - 2009



              Public Health Agency of Canada
              Twenty-three influenza A (H1N1) isolates have been tested
              and found to be resistant to oseltamivir.

              Comment


              • Re: Seasonal Flu 2008 - 2009

                Preliminary

                <TABLE cellSpacing=0 cellPadding=0 width=782 border=0><TBODY><TR><TD width=1 bgColor=#0063c8 height=3></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 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 2 : 05/01/2009-11/01/2009</TD><TD noWrap align=middle width=258 bgColor=#0063c8></TD><TD noWrap align=right width=254 bgColor=#0063c8>, Issue N? 288</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=2&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=2&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=2&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=2&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=2&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 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="http://www.virology.nl/research/influenza.asp"><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=2&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=2&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=2&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=2&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=2&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 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="http://vgripe.isciii.es/gripe/inicio.do"><AREA 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="http://vgripe.isciii.es/gripe/inicio.do"><AREA 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="http://vgripe.isciii.es/gripe/inicio.do"><AREA shape=POLY alt=Spain coords=193,583,189,582,185,586,187,591,191,594,193 ,589 href="http://vgripe.isciii.es/gripe/inicio.do"><AREA shape=POLY alt=Spain coords=58,616,70,616,72,616,70,627,66,627,56,622 href="http://vgripe.isciii.es/gripe/inicio.do"><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=2&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 onclick="return popupregional(this, 'notes')" 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 href="/cgi-files/regional_comments.cgi?year=2009&week=2&region=Aust ria"><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_02_int_v2.png')" type=radio CHECKED value=radiobutton name=radiobutton> Geographical spread <INPUT onclick="movepic('button','/bulletin_maps/2009_02_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>Italy
                During this last week, a slight increase in the number of collected samples has been observed. Out of 100 samples tested, 30 resulted positive for influenza A (11 subtyped as H3N2).
                Sweden
                We had a medium level of inluenza actvity among ILI cases BUT a hig level of non-sentinel laboratory diagnoses during the week 2.
                Switzerland
                Medical consultations and influenza virus detection rate increased a lot this week.
                </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)>Regional</TD><TD class=relative id=r1c4 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>90</TD><TD class=relative id=r1c5 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>30.0%</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>1320.9</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)>Medium</TD><TD class=relative id=r2c3 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>Widespread</TD><TD class=relative id=r2c4 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>50</TD><TD class=relative id=r2c5 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>22.0%</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>257.2</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>1915.3</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)>Medium</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)>9</TD><TD class=relative id=r3c5 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>0%</TD><TD class=relative id=r3c6 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11) noWrap>None</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>1078.2 </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)>Local</TD><TD class=relative id=r4c4 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>68</TD><TD class=relative id=r4c5 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>10.3%</TD><TD class=relative id=r4c6 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11) noWrap>Type A, Subtype H3</TD><TD class=relative id=r4c7 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11) align=right>32.9 </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>963.5 </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)>56</TD><TD class=relative id=r5c5 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>55.4%</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>168.9 </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)>157</TD><TD class=relative id=r6c5 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>30.6%</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>44.3 </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>881.3 </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)>Local</TD><TD class=relative id=r7c4 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>13</TD><TD class=relative id=r7c5 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>38.5%</TD><TD class=relative id=r7c6 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r7c7 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11) align=right>1.9</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>294.5</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)>289</TD><TD class=relative id=r8c5 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>36.3%</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>2858.5 </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)>169</TD><TD class=relative id=r9c5 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>60.4%</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>1329.0 </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)>Medium</TD><TD class=relative id=r10c3 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>Sporadic</TD><TD class=relative id=r10c4 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>4</TD><TD class=relative id=r10c5 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>75.0%</TD><TD class=relative id=r10c6 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11) noWrap>Type A, Subtype H3N2</TD><TD class=relative id=r10c7 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11) align=right>80.8</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)>7</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>118.8</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)>Widespread</TD><TD class=relative id=r12c4 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>34</TD><TD class=relative id=r12c5 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>76.5%</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>124.4 </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)>79</TD><TD class=relative id=r13c5 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>35.4%</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>421.3 </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)>1</TD><TD class=relative id=r14c5 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>100.0%</TD><TD class=relative id=r14c6 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11) noWrap>Type A, Subtype H3</TD><TD class=relative id=r14c7 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11) align=right>1.4 </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>701.2 </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)>1</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>1.1 </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>512.7 </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)>Widespread</TD><TD class=relative id=r16c4 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>28</TD><TD class=relative id=r16c5 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>50.0%</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>161.2 </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>3526.8 </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=r17c0><TD class=relative id=r17c1 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>Malta</TD><TD class=relative id=r17c2 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>Low</TD><TD class=relative id=r17c3 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>None</TD><TD class=relative id=r17c4 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)></TD><TD class=relative id=r17c5 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)></TD><TD class=relative id=r17c6 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11) noWrap></TD><TD class=relative id=r17c7 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11) align=right>0.0 </TD><TD class=relative id=r17c8 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>(graphs)</TD><TD class=relative id=r17c9 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11) align=right>0.0 </TD><TD class=relative id=r17c10 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>(graphs)</TD><TD class=relative id=r17c11 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>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)>Widespread</TD><TD class=relative id=r18c4 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>40</TD><TD class=relative id=r18c5 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>50.0%</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>103.9 </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)>14</TD><TD class=relative id=r19c5 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11)>42.9%</TD><TD class=relative id=r19c6 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11) noWrap>Type A</TD><TD class=relative id=r19c7 onmouseover=crossRow_over(19,11) onmouseout=crossRow_out(19,11) align=right>157.3 </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)>Medium</TD><TD class=relative id=r20c3 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>Widespread</TD><TD class=relative id=r20c4 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>8</TD><TD class=relative id=r20c5 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>75.0%</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>163.5 </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) align=right>0.0 </TD><TD class=relative id=r20c10 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>(graphs)</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)>Medium</TD><TD class=relative id=r21c3 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>Sporadic</TD><TD class=relative id=r21c4 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>28</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>73.7 </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)></TD><TD class=relative id=r22c3 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)></TD><TD class=relative id=r22c4 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>27</TD><TD class=relative id=r22c5 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>55.6%</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></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></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)>Sporadic</TD><TD class=relative id=r23c4 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>11</TD><TD class=relative id=r23c5 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>18.2%</TD><TD class=relative id=r23c6 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11) noWrap>Type A, Subtype H3</TD><TD class=relative id=r23c7 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11) align=right>1.0 </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>1058.9 </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)>Medium</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>54.5</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)>1</TD><TD class=relative id=r26c5 onmouseover=crossRow_over(26,11) onmouseout=crossRow_out(26,11)>100.0%</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>125.7 </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>1134.7 </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)>Medium</TD><TD class=relative id=r27c3 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>Widespread</TD><TD class=relative id=r27c4 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>40</TD><TD class=relative id=r27c5 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>65.0%</TD><TD class=relative id=r27c6 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11) noWrap>Type A, Subtype H3</TD><TD class=relative id=r27c7 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11) align=right>49.3 </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>1714.1 </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)>Widespread</TD><TD class=relative id=r28c4 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>93</TD><TD class=relative id=r28c5 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>33.3%</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>183.7 </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>9.0 </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)>High</TD><TD class=relative id=r30c3 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>Widespread</TD><TD class=relative id=r30c4 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>86</TD><TD class=relative id=r30c5 onmouseover=crossRow_over(30,11) onmouseout=crossRow_out(30,11)>54.7%</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>161.1 </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)>0</TD><TD class=relative id=r31c5 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>0%</TD><TD class=relative id=r31c6 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11) noWrap>None</TD><TD class=relative id=r31c7 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11) align=right>11.6 </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)>1457</TD><TD class=relative id=r32c5 onmouseover=crossRow_over(32,11) onmouseout=crossRow_out(32,11)>39.7%</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


                • Re: Seasonal Flu 2008 - 2009

                  Medium influenza activity in most European countries

                  Summary: In week 02/2009, influenza activity continued to spread across Europe with most countries now reporting medium intensity. Some eastern and north-eastern countries reported low level influenza intensity. In Portugal the epidemic has passed its peak. The majority of the viruses typed/subtyped were influenza A (H3) which continues to be the predominant influenza virus circulating in Europe. Vaccination of risk groups according to national recommendations remains indicated.

                  Epidemiological situation - week 02/2009: For the intensity indicator, the national network levels of influenza-like illness (ILI) and/or acute respiratory infection (ARI) were high in Ireland and Switzerland, medium in 17 countries and low in the other nine countries and one part of the UK (Wales) that reported this indicator.

                  Of the 19 countries that reported medium to high influenza activity this week, seven (Belgium, Bulgaria, Greece, Norway, Poland, Slovenia and Scotland in the UK) did so for the first time during the current season. For the geographical spread indicator, widespread influenza activity was reported in 14 countries, regional activity in two countries and one part of the UK (Wales), local activity in two countries and sporadic activity in the remaining 5 countries and one part of the UK (Scotland).

                  Eight of the nine countries reporting low intensity during week 02/2009 are located in the eastern and north-eastern part of Europe. Consultation rates for ILI in Portugal peaked in week 52 and have decreased since then. Definitions for the epidemiological indicators can be found here.

                  Cumulative epidemiological situation ? 2008-2009 season (weeks 40/2008-02/2009): Consultation rates for ILI and/or ARI above baseline levels were first reported in Portugal, Ireland and parts of the UK (England and Northern Ireland) in week 49/2008. Subsequently consultations rates rose above baseline levels in Spain (week 51/2008), France and Italy (week 52/2008), Austria, Denmark, Germany, Sweden, Switzerland and the Netherlands (week 01/2009) and in Belgium, Bulgaria, Greece, Norway, Poland, Slovenia and Scotland in the UK (week 02/2009). High influenza intensity was first reported in Portugal (week 51/2008), Ireland (week 01/2009), and Switzerland (week 02/2009). Portugal is the first country that has passed its peak influenza activity, as since week 52 the consultation rates have continuously decreased. Generally, the highest consultation rates have been reported for the 0-4 age group, but Ireland, UK and Norway have reported their highest ILI consultation rates in the 15-64 age group.

                  Virological situation - week 02/2009: The total number of respiratory specimens collected by sentinel physicians in week 02/2009 was 1448, of which 573 (39.6%) were positive for influenza virus: 543 type A (262 subtype H3, seven subtype H1 and 274 not subtyped) and 30 type B. In addition, 702 non-sentinel source specimens (e.g. specimens collected for diagnostic purposes in hospitals) were reported positive for influenza virus: 686 type A (98 subtype H3, four subtype H1 and 584 not subtyped) and 16 type B.
                  Cumulative virological situation ? 2008-2009 season (weeks 40/2008-02/2009): Of 5693 virus detections (sentinel and non-sentinel) since week 40/2008, 5474 were type A (2128 subtype H3, 141 subtype H1 and 3205 not subtyped) and 219 were type B. Based on the antigenic and/or genetic characterisation of 374 influenza viruses, 321 were reported as A/Brisbane/10/2007 (H3N2)-like, 32 as A/Brisbane/59/2007 (H1N1)-like, seven as B/Florida/4/2006-like (B/Yamagata/16/88 lineage) and 14 as B/Malaysia/2506/2004-like (B/Victoria/2/87 lineage) (click here).
                  More countries have reported on antiviral susceptibility based on genotyping (Norway, Spain, Sweden), phenotyping (Italy) or both techniques (UK). All 93 influenza A(H3N2) and three influenza B viruses tested were sensitive to oseltamivir and zanamivir. Of these, the 88 A(H3N2) viruses tested were resistant to M2 inhibitors. Fifty-one of 52 influenza A(H1N1) viruses analysed (98%) were resistant to oseltamivir but all those tested were sensitive to zanamivir, while 23 of these tested were sensitive to M2 inhibitors.

                  Comment: Most European countries are now experiencing influenza activity of medium intensity. Only a limited number of countries mostly in the east and north-east of Europe are still reporting low influenza activity this season. A much higher number of sentinel specimens has been collected for virological testing during the current week as compared to the previous, and the proportion testing positive for influenza remained high (39.6%).

                  So far type A (H3) has been the dominant influenza virus circulating in Europe. Available data indicate that, with the exception of the B/Victoria lineage, the majority of circulating viruses are similar to the three components (A(H1N1), A(H3N2) and B/Yamagata lineage) included in the current influenza vaccine.

                  ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                  Richard Horton, Editor-in-Chief The Lancet

                  ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                  Comment


                  • Re: Seasonal Flu 2008 - 2009

                    <TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD class=content><TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD class=content vAlign=top>40.</TD><TD class=content vAlign=top width=161>United States of America</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>55</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>41.</TD><TD class=content vAlign=top width=161>United States of America</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>47</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>42.</TD><TD class=content vAlign=top width=161>United States of America</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>8</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>43.</TD><TD class=content vAlign=top width=161>United States of America</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>11</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>44.</TD><TD class=content vAlign=top width=161>United States of America</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>106</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>45.</TD><TD class=content vAlign=top width=161>United States of America</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>156</TD><TD class=content vAlign=top align=middle>view</TD></TR></TBODY></TABLE><!-- END OF CONTENT --></TD><TD class=ContentTop width=14></TD></TR></TBODY></TABLE>

                    Comment


                    • Re: Seasonal Flu 2008 - 2009

                      Commentary

                      Comment


                      • Re: Seasonal Flu 2008 - 2009

                        ?
                        One positive specimen was
                        reported by the state
                        laboratory

                        ?
                        Influenza A (H1) 1

                        ?
                        Influenza A (H3) 0

                        ?
                        Influenza A (unknown) 0

                        ? Influenza B 0

                        http://www.idph.state.il.us/flu/08-09/1-03-09.pdf

                        Comment


                        • Re: Seasonal Flu 2008 - 2009

                          Laboratory Surveillance
                          As of week 51, eleven samples were found to be positive by viral culture for influenza AH1 and
                          influenza B. Rapid and culture results by county are displayed below.
                          Week 40 to Week 51 Week 49, 50, 51
                          County
                          A RapBid * A/ Culture* Rapid* Culture*

                          B
                          A
                          H1
                          A
                          H3
                          A
                          UNK
                          B A B A/B A H1 A
                          H3
                          A
                          UNK
                          B
                          Atlantic County
                          0 0 0 0 0 0 0 0 0 0 0 0 0 0

                          Bergen County
                          2 0 0 1 0 0 0 2 0 0 1 0 0 0

                          Burlington County
                          6 0 0 0 0 0 0 5 0 0 0 0 0 0

                          Camden County
                          0 0 0 0 0 0 0 0 0 0 0 0 0 0

                          Cape May County
                          0 0 0 0 0 0 0 0 0 0 0 0 0 0

                          Cumberland County
                          0 0 0 0 0 0 0 0 0 0 0 0 0 0

                          Essex County
                          10 4 4 0 0 0 0 1 0 1 0 0 0 0

                          Gloucester County
                          0 0 0 0 0 0 0 0 0 0 0 0 0 0

                          Hudson County
                          1 1 0 1 0 0 0 1 1 0 1 0 0 0

                          Hunterdon County
                          0 0 7 4 0 0 0 0 0 6 4 0 0 0

                          Mercer County
                          1 0 0 0 0 0 0 0 0 0 0 0 0 0

                          Middlesex County
                          1 0 0 3 0 0 0 1 0 0 3 0 0 0

                          Monmouth County
                          8 0 3 0 0 0 0 3 0 0 0 0 0 0

                          Morris County
                          0 0 0 0 0 0 0 0 0 0 0 0 0 0

                          Ocean County
                          0 0 0 0 0 0 0 0 0 0 0 0 0 0

                          Passaic County
                          5 1 0 0 0 0 0 3 1 0 0 0 0 0

                          Salem County
                          0 0 0 0 0 0 0 0 0 0 0 0 0 0

                          Somerset County
                          0 0 0 0 0 0 0 0 0 0 0 0 0 0

                          Sussex County
                          3 1 0 0 0 0 0 2 1 0 0 0 0 0

                          Union County
                          0 1 0 1 0 0 1 0 0 0 1 0 0 0

                          Warren County
                          0 0 0 0 0 0 0 0 0 0 0 0 0 0

                          Unknown
                          0 0 0 0 0 0 0 0 0 0 0 0 0 0

                          State Total
                          37 8 14 10 0 0 1 18 2 7 10 0 0 0
                          *Rapid data is acquired from facilities reporting rapid influenza tests via NREVSS or CDRSS ILI module. Culture
                          results are obtained from the LIMS system at PHEL, hospital viral culture laboratories via NREVSS or commercial
                          laboratories reporting in CDRSS.

                          3


                          Comment


                          • Re: Seasonal Flu 2008 - 2009

                            <TABLE border=1><CAPTION>INFLUENZA VIRUSES ISOLATED BY
                            WHO/NREVSS Collaborating Laboratories
                            2008 - 2009 Season
                            </CAPTION><TBODY><TR><TH id=header1 width=70>Week</TH><TH id=header2 width=90>A(H1)</TH><TH id=header3 width=70>A(H3)</TH><TH id=header4 width=70>A(Unk)</TH><TH id=header5 width=70>B </TH><TH id=header6 align=right>Total # Tested</TH><TH id=header7 align=right>% Positive</TH></TR><TR><TD align=right headers=header1>40 </TD><TD align=right headers=header2>2 </TD><TD align=right headers=header3>0 </TD><TD align=right headers=header4>9 </TD><TD align=right headers=header5>7 </TD><TD align=right headers=header6>2570 </TD><TD align=right headers=header7>0.7 </TD></TR><TR><TD align=right headers=header1>41 </TD><TD align=right headers=header2>4 </TD><TD align=right headers=header3>4 </TD><TD align=right headers=header4>6 </TD><TD align=right headers=header5>6 </TD><TD align=right headers=header6>2589 </TD><TD align=right headers=header7>0.77 </TD></TR><TR><TD align=right headers=header1>42 </TD><TD align=right headers=header2>13 </TD><TD align=right headers=header3>3 </TD><TD align=right headers=header4>16 </TD><TD align=right headers=header5>6 </TD><TD align=right headers=header6>2729 </TD><TD align=right headers=header7>1.39 </TD></TR><TR><TD align=right headers=header1>43 </TD><TD align=right headers=header2>22 </TD><TD align=right headers=header3>0 </TD><TD align=right headers=header4>24 </TD><TD align=right headers=header5>14 </TD><TD align=right headers=header6>3167 </TD><TD align=right headers=header7>1.89 </TD></TR><TR><TD align=right headers=header1>44 </TD><TD align=right headers=header2>11 </TD><TD align=right headers=header3>1 </TD><TD align=right headers=header4>21 </TD><TD align=right headers=header5>5 </TD><TD align=right headers=header6>3293 </TD><TD align=right headers=header7>1.15 </TD></TR><TR><TD align=right headers=header1>45 </TD><TD align=right headers=header2>28 </TD><TD align=right headers=header3>3 </TD><TD align=right headers=header4>23 </TD><TD align=right headers=header5>10 </TD><TD align=right headers=header6>3881 </TD><TD align=right headers=header7>1.65 </TD></TR><TR><TD align=right headers=header1>46 </TD><TD align=right headers=header2>27 </TD><TD align=right headers=header3>2 </TD><TD align=right headers=header4>19 </TD><TD align=right headers=header5>10 </TD><TD align=right headers=header6>3984 </TD><TD align=right headers=header7>1.46 </TD></TR><TR><TD align=right headers=header1>47 </TD><TD align=right headers=header2>26 </TD><TD align=right headers=header3>0 </TD><TD align=right headers=header4>38 </TD><TD align=right headers=header5>23 </TD><TD align=right headers=header6>4403 </TD><TD align=right headers=header7>1.98 </TD></TR><TR><TD align=right headers=header1>48 </TD><TD align=right headers=header2>37 </TD><TD align=right headers=header3>2 </TD><TD align=right headers=header4>48 </TD><TD align=right headers=header5>22 </TD><TD align=right headers=header6>4430 </TD><TD align=right headers=header7>2.46 </TD></TR><TR><TD align=right headers=header1>49 </TD><TD align=right headers=header2>37 </TD><TD align=right headers=header3>4 </TD><TD align=right headers=header4>62 </TD><TD align=right headers=header5>15 </TD><TD align=right headers=header6>4910 </TD><TD align=right headers=header7>2.4 </TD></TR><TR><TD align=right headers=header1>50 </TD><TD align=right headers=header2>63 </TD><TD align=right headers=header3>4 </TD><TD align=right headers=header4>73 </TD><TD align=right headers=header5>35 </TD><TD align=right headers=header6>5146 </TD><TD align=right headers=header7>3.4 </TD></TR><TR><TD align=right headers=header1>51 </TD><TD align=right headers=header2>60 </TD><TD align=right headers=header3>11 </TD><TD align=right headers=header4>81 </TD><TD align=right headers=header5>33 </TD><TD align=right headers=header6>5136 </TD><TD align=right headers=header7>3.6 </TD></TR><TR><TD align=right headers=header1>52 </TD><TD align=right headers=header2>57 </TD><TD align=right headers=header3>6 </TD><TD align=right headers=header4>119 </TD><TD align=right headers=header5>39 </TD><TD align=right headers=header6>4924 </TD><TD align=right headers=header7>4.49 </TD></TR><TR><TD align=right headers=header1>53 </TD><TD align=right headers=header2>55 </TD><TD align=right headers=header3>8 </TD><TD align=right headers=header4>106 </TD><TD align=right headers=header5>24 </TD><TD align=right headers=header6>4906 </TD><TD align=right headers=header7>3.93 </TD></TR><TR><TD align=right headers=header1>01 </TD><TD align=right headers=header2>47 </TD><TD align=right headers=header3>11 </TD><TD align=right headers=header4>156 </TD><TD align=right headers=header5>28 </TD><TD align=right headers=header6>3394 </TD><TD align=right headers=header7>7.13 </TD></TR></TBODY></TABLE>
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                            Comment


                            • Re: Seasonal Flu 2008 - 2009

                              2008-2009 Influenza Season Week 1 ending January 10, 2009
                              (All data are preliminary and may change as more reports are received.)
                              Synopsis:

                              week 1 (January 4-10, 2009), overall influenza activity in the United States remained relatively low, but increased compared to previous weeks.
                              • Two hundred forty-two (7.1%) 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.
                              • One state reported widespread influenza activity, five states reported regional activity; 10 states reported local influenza activity; the District of Columbia, Puerto Rico and 33 states reported sporadic influenza activity; and one state 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>7.1 % </TD><TD noWrap align=middle width=96>6 of 51 </TD><TD noWrap align=middle width=48>489</TD><TD noWrap align=middle width=48>59</TD><TD noWrap align=middle width=60>801</TD><TD noWrap align=middle width=48>277</TD><TD noWrap align=middle width=72>0</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>2.9 % </TD><TD noWrap align=middle width=96>1 of 6</TD><TD noWrap align=middle width=48>12</TD><TD noWrap align=middle width=48>3</TD><TD noWrap align=middle width=60>25</TD><TD noWrap align=middle width=48>6</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>3.2 % </TD><TD noWrap align=middle width=96>2 of 3</TD><TD noWrap align=middle width=48>38</TD><TD noWrap align=middle width=48>7</TD><TD noWrap align=middle width=60>63</TD><TD noWrap align=middle width=48>20</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>11.5 % </TD><TD noWrap align=middle width=96>0 of 5</TD><TD noWrap align=middle width=48>26</TD><TD noWrap align=middle width=48>3</TD><TD noWrap align=middle width=60>29</TD><TD noWrap align=middle width=48>11</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>2.7 % </TD><TD noWrap align=middle width=96>0 of 7</TD><TD noWrap align=middle width=48>25</TD><TD noWrap align=middle width=48>5</TD><TD noWrap align=middle width=60>32</TD><TD noWrap align=middle width=48>13</TD><TD noWrap align=middle width=72>0</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>4.5 % </TD><TD noWrap align=middle width=96>2 of 9</TD><TD noWrap align=middle width=48>42</TD><TD noWrap align=middle width=48>5</TD><TD noWrap align=middle width=60>152</TD><TD noWrap align=middle width=48>102</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>1.2 % </TD><TD noWrap align=middle width=96>0 of 4</TD><TD noWrap align=middle width=48>2</TD><TD noWrap align=middle width=48>0</TD><TD noWrap align=middle width=60>0</TD><TD noWrap align=middle width=48>5</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>7.0 % </TD><TD noWrap align=middle width=96>0 of 4</TD><TD noWrap align=middle width=48>65</TD><TD noWrap align=middle width=48>1</TD><TD noWrap align=middle width=60>287</TD><TD noWrap align=middle width=48>90</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>9.5 % </TD><TD noWrap align=middle width=96>1 of 8</TD><TD noWrap align=middle width=48>24</TD><TD noWrap align=middle width=48>25</TD><TD noWrap align=middle width=60>125</TD><TD noWrap align=middle width=48>7</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>4.8 % </TD><TD noWrap align=middle width=96>0 of 5</TD><TD noWrap align=middle width=48>255</TD><TD noWrap align=middle width=48>10</TD><TD noWrap align=middle width=60>88</TD><TD noWrap align=middle width=48>23</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 1</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>3,394</TD><TD noWrap align=middle width=140>59,462</TD></TR><TR><TD align=left width=200>No. of positive specimens (%)</TD><TD noWrap align=middle width=140>242 (7.1%)</TD><TD noWrap align=middle width=140>1,626 (2.7%)</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>214 (88.4%)</TD><TD noWrap align=middle width=140>1,349(83.0%)</TD></TR><TR><TD align=left width=170> A (H1)</TD><TD noWrap align=middle width=140>47 (22.0%)</TD><TD noWrap align=middle width=140>489 (36.2%)</TD></TR><TR><TD align=left width=170> A (H3)</TD><TD noWrap align=middle width=140>11 (5.1%)</TD><TD noWrap align=middle width=140>59 (4.4%)</TD></TR><TR><TD align=left width=170> A (unsubtyped)</TD><TD noWrap align=middle width=140>156 (72.9%)</TD><TD noWrap align=middle width=140>801 (59.4%)</TD></TR><TR><TD align=left width=170> Influenza B</TD><TD noWrap align=middle width=140>28 (11.6%)</TD><TD noWrap align=middle width=140>277 (17.0%)</TD></TR></TBODY></TABLE>
                              The District of Columbia and 44 states from all nine surveillance regions have reported laboratory-confirmed influenza this season.
                              <CENTER>
                              View WHO-NREVSS Regional Bar Charts| View Chart Data | View Full Screen </CENTER>Antigenic Characterization:

                              CDC has antigenically characterized 158 influenza viruses [93 influenza A (H1), 13 influenza A (H3) and 52 influenza B viruses] collected by U.S. laboratories since October 1, 2008.
                              All 93 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. Seventeen influenza B viruses tested belong to the B/Yamagata lineage and are related to the vaccine strain (B/Florida/04/2006). The remaining 35 viruses belong to the B/Victoria lineage and are not related to the vaccine strain. Thirty of the 35 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, 103 influenza A (H1N1), 23 influenza A (H3N2), and 61 influenza B viruses from 25 states have been tested for resistance to the neuraminidase inhibitors (oseltamivir and zanamivir). One hundred three influenza A (H1N1) and 23 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>103</TD><TD noWrap align=middle width=100>101 (98%)</TD><TD noWrap align=middle width=100>0 (0)</TD><TD noWrap align=middle width=100>103</TD><TD noWrap align=middle width=120>1 (1%)</TD></TR><TR><TD noWrap align=left width=160>Influenza A (H3N2)</TD><TD noWrap align=middle width=100>23</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>23</TD><TD noWrap align=middle width=120>23 (100%)</TD></TR><TR><TD noWrap align=left width=160>Influenza B</TD><TD noWrap align=middle width=100>61</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 1, 6.9% of all deaths reported through the 122-Cities Mortality Reporting System were due to P&I. This percentage is below the epidemic threshold of 7.7% for week 1.
                              <CENTER>
                              View Full Screen</CENTER>Influenza-Associated Pediatric Mortality

                              No influenza-associated pediatric deaths were reported during week 1. The pediatric death that was reported from Minnesota during week 52 was later reclassified by the state as not due to influenza. No influenza-associated pediatric deaths have been reported during the 2008-09 season.
                              <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 1, 1.4% 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 0.3% to 2.2%. All nine surveillance regions reported percentages of visits for ILI below their respective region-specific baselines.
                              The increase in the percentage of patient visits for ILI over the previous weeks may have been influenced by a reduction in routine health care visits during the holiday season, as has occurred in previous seasons.
                              <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 1, the following influenza activity was reported:
                              • Widespread influenza activity was reported by one state (Virginia).
                              • Regional influenza activity was reported by five states (Colorado, New Hampshire, New Jersey, New York, and North Carolina).
                              • Local influenza activity was reported by 10 states (Arizona, Connecticut, Florida, Hawaii, Illinois, Maryland, Massachusetts, Montana, Pennsylvania, and Texas).
                              • Sporadic activity was reported in the District of Columbia, Puerto Rico, and 33 states (Alaska, Arkansas, California, Delaware, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Mexico, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Washington, West Virginia, Wisconsin, and Wyoming).
                              • No influenza activity was reported in one state (Alabama).

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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


                              • Re: Seasonal Flu 2008 - 2009

                                As expected, all 15 H1N1 tested since last week have H274Y. However, one of those 15 also is adamantane resistant (probably S31N).

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