Influenza Surveillance Reports 2010-2011 - Weeks 40 - 33; 37 fatalities

[Ronan Kelly]

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 40 2010 (4th ? 10th October 2010)

Summary
? All indicators of influenza activity in Ireland are at low levels:
�� The sentinel GP ILI consultation rate was 7.1 per 100,000 population in week 40 2010, remaining
unchanged from the updated rate of 7.5 per 100,000 reported during week 39 2010.
o ILI rates remain below the Irish baseline threshold (17.8 per 100,000 population)
o ILI rates remain at low levels in all age groups
�� No positive influenza specimens were detected by the National Virus Reference Laboratory
(NVRL) from sentinel or non‐sentinel sources during week 40 2010.
�� Respiratory syncytial virus (RSV) and parainfluenza virus type 1 (PIV‐1) positive detections were
reported from the NVRL during week 40 2010.
�� No significant increases in the proportion of respiratory admissions were reported from sentinel
hospitals.
�� The proportion of influenza?related calls to GP Out‐of‐Hours services was low during week 40
2010, compared to the same time period last year.
? During the summer period, GP ILI consultation rates remained below baseline levels and no influenza
positive detections were reported. Adenovirus and PIV‐3 positive detections were reported sporadically
throughout the summer period.

full report at; http://www.hpsc.ie/hpsc/A-Z/Respira...llanceReports/20102011Season/File,4688,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40-41

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40-41

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 41 2010 (11th ? 17th October 2010)

Summary
? All indicators of influenza activity in Ireland are at low levels:
�� The sentinel GP ILI consultation rate was 6.6 per 100,000 population in week 41 2010, a slight
decrease from the updated rate of 7.9 per 100,000 reported during week 40 2010.
o ILI rates remain well below the Irish baseline threshold (17.8 per 100,000 population)
o ILI rates remain at low levels in all age groups
�� The first influenza positive case of the 2010/2011 influenza season was reported by the National
Virus Reference Laboratory (NVRL) during week 41 2010, a H1N1 (2009) case.
�� Respiratory syncytial virus (RSV) positive detections have increased slightly in recent weeks.
�� The proportion of influenza?related calls to GP Out‐of‐Hours services increased slightly during
week 41 2010 compared to the previous week, however remains at low levels.

http://www.hpsc.ie/hpsc/A-Z/Respira...llanceReports/20102011Season/File,4697,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 42

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 42

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 42 2010 (18th ? 24th October 2010)

Summary
? All indicators of influenza activity in Ireland are at low levels:
�� The sentinel GP ILI consultation rate was 7.0 per 100,000 population in week 42 2010, a slight
increase from the updated rate of 6.1 per 100,000 reported during week 41 2010.
o ILI rates remain well below the Irish baseline threshold (17.8 per 100,000 population)
o ILI rates remain at low levels in all age groups
�� The first influenza positive case of the 2010/2011 influenza season was reported by the National
Virus Reference Laboratory (NVRL) during week 41 2010, a H1N1 (2009) case.
�� Respiratory syncytial virus (RSV) positive detections are at low levels, compared to the same
period in previous seasons.
�� The proportion of influenza?related calls to GP Out‐of‐Hours services remains at low levels.

http://www.hpsc.ie/hpsc/A-Z/Respira...llanceReports/20102011Season/File,4699,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 43

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 43

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 43 2010 (25th ? 31st October 2010)

Summary
? During week 43 2010, all indicators of influenza activity in Ireland are at low levels:
�� The sentinel GP ILI consultation rate was 5.7 per 100,000 population in week 43 2010, remaining
unchanged from the updated rate of 5.9 per 100,000 reported during week 42 2010.
o ILI rates remain well below the Irish baseline threshold (17.8 per 100,000 population)
o ILI rates remain at low levels in all age groups
�� The first and only positive influenza case of the 2010/2011 influenza season to date was reported
by the National Virus Reference Laboratory (NVRL) during week 41 2010, an influenza A H1N1
(2009) case.
�� Respiratory syncytial virus (RSV) positive detections are at low levels, compared to the same
period in previous seasons.
�� The proportion of influenza?related calls to GP Out‐of‐Hours services remains at low levels.

http://www.hpsc.ie/hpsc/A-Z/Respira...llanceReports/20102011Season/File,4705,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 44

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 44

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 44 2010 (1st ? 7th November 2010)

Summary
? During week 44 2010, all indicators of influenza activity in Ireland are at low levels:
�� The sentinel GP ILI consultation rate was 6.8 per 100,000 population in week 44 2010, a slight
increase from the updated rate of 5.5 per 100,000 reported during week 43 2010.
o ILI rates remain well below the Irish baseline threshold (17.8 per 100,000 population)
o ILI rates remain at low levels in all age groups
�� The first and only positive influenza case of the 2010/2011 influenza season to date was reported
by the National Virus Reference Laboratory (NVRL) during week 41 2010, an influenza A (H1N1
2009) case.
�� Respiratory syncytial virus (RSV) positive detections are at low levels compared to the same
period in previous seasons.
�� The proportion of influenza?related calls to GP Out‐of‐Hours services remains at low levels.

http://www.hpsc.ie/hpsc/A-Z/Respira...llanceReports/20102011Season/File,4706,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 44

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 44

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 45 2010 (8th ? 14th November 2010)

Summary
? During week 45 2010, all indicators of influenza activity in Ireland are at low levels.
�� The sentinel GP ILI consultation rate was 8.7 per 100,000 population in week 45 2010, a slight
increase from the updated rate of 6.6 per 100,000 reported during week 44 2010.
o ILI rates remain well below the Irish baseline threshold (17.8 per 100,000 population)
o ILI rates remain at low levels in all age groups
�� The first and only positive influenza case of the 2010/2011 influenza season to date was reported
by the National Virus Reference Laboratory (NVRL) during week 41 2010, an influenza A (H1N1
2009) case.
�� Respiratory syncytial virus (RSV) positive detections have increased over the last week, and are at
low to moderate levels compared to the same period in previous seasons.
�� Sporadic detections of adenovirus and parainfluenza virus type‐1 and ‐2 have been reported since
week 40 2010.
�� The proportion of influenza?related calls to GP Out‐of‐Hours services remains at low levels.

http://www.hpsc.ie/hpsc/A-Z/Respira...llanceReports/20102011Season/File,4718,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 45

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 45

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 46 2010 (15th ? 21st November 2010)

Summary
? During week 46 2010, all indicators of influenza activity in Ireland are at low levels.
�� The sentinel GP ILI consultation rate was 9.4 per 100,000 population in week 46 2010, a slight
increase from the updated rate of 8.0 per 100,000 reported during week 45 2010.
o ILI rates have increased slightly each week for the last three consecutive weeks;
however remain well below the Irish baseline threshold (17.8 per 100,000 population).
o ILI rates remain at low levels in all age groups.
�� The first and only positive influenza case of the 2010/2011 influenza season to date was reported
by the National Virus Reference Laboratory (NVRL) during week 41 2010, an influenza A (H1N1
2009) case.
�� The proportion of respiratory syncytial virus (RSV) positive detections has decreased over the last
week, and is at low levels compared to the same period in previous seasons.
�� Sporadic detections of adenovirus and parainfluenza virus types ‐1, ‐2 and ‐3 have been reported
since week 40 2010.
�� The proportion of influenza?related calls to GP Out‐of‐Hours services remains at low levels.

http://www.hpsc.ie/hpsc/A-Z/Respira...llanceReports/20102011Season/File,4727,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 46

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 46

Influenza Surveillance in Ireland – Weekly Report
Influenza Week 47 2010 (22nd – 28th November 2010)

Summary
•
During week 47 2010, all indicators of influenza activity in Ireland are at low levels.
��The sentinel GP ILI consultation rate was 6.7 per 100,000 population in week 47 2010, a decrease from the updated rate of 9.6 per 100,000 reported during week 46 2010.

ILI rates remain at low levels in all age groups.
��One influenza positive specimen taken by a sentinel GP was detected by the National Virus Reference Laboratory during week 47 2010, an influenza A (H1N1 2009) case.
��The proportion of respiratory syncytial virus (RSV) positive detections remains at low levels compared to the same period in previous seasons.
��Sporadic detections of adenovirus and parainfluenza virus types ‐1, ‐2 and ‐3 have been reported since week 40 2010.
��The proportion of influenza–related calls to GP Out‐of‐Hours services remains at low levels.

....

ILI rates remained at low levels in all age groups during week 47 2010, with the highest rates reported from those aged 65 years or older. Two ILI cases were reported in those aged 65 years or older, corresponding to an ILI rate of 8.1 per 100,000, a slight increase from 3.5 per 100,000 in week 46 2010. There have been no ILI cases in the 0‐4 year age group since week 43 2010. ILI rates decreased in the 5‐14 year age group (from 11.6 to 3.4 per 100,000) and in the 15‐64 year age group (from 11.2 to 7.8 per 100,000) during week 47 2010.

...

A total of 64 specimens (12 sentinel and 52 non‐sentinel) were tested by the NVRL during week 47 2010. One sentinel specimen was positive for influenza, an influenza A (H1N1 2009) virus. All non‐sentinel specimens taken during week 47 2010 were negative for influenza (figure 3). To date this season, four specimens have tested positive for influenza virus: two A (H1N1 2009) and two A (unsubtyped). The four positive specimens were from two cases: one sentinel GP case in the 15‐64 year age group and one hospitalised case in the 0‐4 year age group.

...

full report at; http://www.hpsc.ie/hpsc/A-Z/Respira...llanceReports/20102011Season/File,4732,en.pdf

 

[sharon sanders]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 47

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 47

Thank you RoRo for everything!

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 47

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 47

:fluffy: No need for thanks Shazz! If any readers appreciate this information with their morning coffee I ask that you consider helping to keep Flutrackers online with a small (or large!) donation. Even if Austerity measures lead to cutbacks in the hpsc's web presence FT will continue to track and post health information from Ireland. Stay warm, Ireland, glad to see you're getting above freezing today!

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 47

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 47

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 48 2010 (29th November ? 5th December 2010)

Summary
? During week 48 2010, all indicators of influenza activity in Ireland are at low levels.
�� The sentinel GP ILI consultation rate was 6.6 per 100,000 population in week 48 2010, remaining stable compared to the updated rate of 6.5 per 100,000 reported during week 47 2010.
o ILI rates remain at low levels in all age groups.
�� No influenza positive specimens were detected by the National Virus Reference Laboratory during week 48 2010.
o To date this season, only two positive influenza cases have been detected, both of which were influenza A (H1N1 2009).
�� The current proportion of respiratory syncytial virus (RSV) positive detections although increasing remains at low levels.
�� Sporadic detections of adenovirus and parainfluenza virus types ‐1, ‐2 and ‐3 have been reported since week 40 2010.
�� The proportion of influenza?related calls to GP Out‐of‐Hours services remains at low levels.

.....

ILI rates remained at low levels in all age groups during week 48 2010, with the highest rates reported from the 5‐14 year age group. One ILI case was reported in the 0‐4 year age group (6.6 per 100,000), three in the 5‐14 year age group (10.7 per 100,000) and 10 cases were reported in the 15‐64 year age group (6.9 per 100,000). No ILI cases were reported in those aged 65 years or older.

....


A total of 99 specimens (9 sentinel and 90 non‐sentinel) were tested by the NVRL during week 48 2010. No specimens were positive for influenza during this period (figure 3). To date this season, four specimens have tested positive for influenza virus: two A (H1N1 2009) and two A (unsubtyped). The four positive specimens were from two cases: one sentinel GP case in the 15‐64 year age group and one hospitalised case in the 0‐4 year age group.

Of the 90 non‐sentinel specimens tested during week 48 2010, 14.4% (13) were positive for RSV, an increase from 7.0% during week 47 2010 (Tables 1 & 2). The current proportion of RSV positive detections although increasing and higher than the 2009/2010 season, remains at low levels compared to average levels for the same period over the last 10 years. Figure 4 shows the number and percentage of non‐sentinel RSV positive specimens detected by the NVRL during the 2010/2011 and 2009/2010 seasons.? To date this season, there have been sporadic detections of adenovirus and parainfluenza virus (PIV) types ‐1, ‐2 and ‐3.

http://www.hpsc.ie/hpsc/A-Z/Respira...llanceReports/20102011Season/File,4734,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 48

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 48

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 49 2010 (6th ? 12th December 2010)

Summary
? During week 49 2010, influenza activity increased across Ireland.
? Although, sentinel GP influenza‐like illness (ILI) rates remain at relatively low levels, detections of influenza A (H1N1 2009) increased in week 49 2010, coinciding with an increase in hospitalised confirmed cases and
two outbreaks being reported. The positivity rate of sentinel specimens for influenza was 83.3%, with 5 of 6 specimens testing positive.? The sentinel GP ILI consultation rate was 14.4 per 100,000 population in week 49 2010, more than double the updated rate of 6.4 per 100,000 reported during week 48 2010.
? ILI rates remain below baseline.
? One influenza B and eight influenza A (H1N1 2009) cases were detected in week 49 2010 by the NVRL.? There was an increase in the number of hospitalised cases of influenza A (H1N1 2009) during week 49 2010, with reports of two cases admitted to ICU.
? Two outbreaks were reported, one ILI outbreak in a community setting and one influenza A (H1N1 2009) outbreak in a maternity hospital.? The current proportion of respiratory syncytial virus (RSV) positive detections although increasing remains at low levels.
? Sporadic detections of adenovirus and parainfluenza virus types ‐1, ‐2 and ‐3 have been reported since week 40 2010.
? The proportion of influenza?related calls to GP Out‐of‐Hours services increased slightly in week 49 2010, however remains at low levels.

...

ILI rates increased in the 5‐14, 15‐64 and 65+ year age groups during week 49 2010, although rates remain at relatively low levels. Four ILI cases were reported in the 5‐14 year age group (12.1 per 100,000), 29 cases were reported in the 15‐64 year age group (16.9 per 100,000) and 3 ILI cases in those aged 65 years or older (10.9 per 100,000). No ILI cases were reported in those aged 0‐4 years.

...

A total of 106 specimens (6 sentinel and 100 non‐sentinel) were tested by the NVRL during week 49 2010. Nine (8.5%) specimens were positive for influenza: eight influenza A (H1N1 2009) and one influenza B. Of the six sentinel specimens taken during week 49 2010, five (83.3%) were positive for influenza: 4 influenza A (H1N1 2009) and one influenza B. Of the 100 non‐sentinel specimens taken during week 49 2010, four (4.0%) were positive for influenza: all four were influenza A (H1N1 2009).
To date this season, 846 sentinel and non‐sentinel specimens were tested by the NVRL, 14 (1.7%) specimens tested positive for influenza: 11 influenza A (H1N1 2009), two influenza A (unsubtyped) and one influenza B.
Of the 11 influenza A (H1N1 2009) specimens detected, six were sentinel specimens and five were from nonsentinel sources (figures 3 & 4).

http://www.hpsc.ie/hpsc/A-Z/Respira...llanceReports/20102011Season/File,4750,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 49

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 49

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 50 2010 (13th ? 19th December 2010)

Summary
?
During week 50 2010, influenza activity continued to increase across Ireland.
?The sentinel GP influenza‐like illness (ILI) consultation rate was 24.1 per 100,000 population in week 50 2010, an increase from the updated rate of 14.3 per 100,000 reported during week 49 2010.
?ILI rates have risen above baseline level for the first time during the 2010/2011 influenza season.
?Influenza A (H1N1 2009) is the predominant influenza virus circulating in Ireland.
o30 positive influenza A (H1N1 2009) specimens were detected by the NVRL in week 50, more than double the number in the previous week.
oOne influenza A (H3) specimen and one influenza B specimen were also detected by the NVRL in week 50.
?The number of hospitalised cases of influenza A (H1N1 2009) has continued to increase, with 14 cases hospitalised to date (as of December 21st 2010) and reports of three cases admitted to ICU.
?As of December 21st 2010, four influenza/ILI outbreaks were reported to HPSC, two ILI outbreaks (one in a community setting and one in a school) and two influenza A (H1N1 2009) outbreaks (one in a maternity hospital and one in a school).
?The proportion of influenza?related calls to GP Out‐of‐Hours services increased during week 50 2010.
?Respiratory syncytial virus (RSV) positive detections decreased in week 50 2010.

...

ILI rates increased significantly in the 0‐4, 5‐14 and 15‐64 year age groups during week 50 2010, with the highest rates reported in the 0‐4 year age group. Five ILI cases were reported in the 0‐4 year age group (37.5 per 100,000), five cases were reported in the 5‐14 year age group (20.2 per 100,000), 34 in the 15‐64 year age group (26.5 per 100,000) and one ILI case in those aged 65 years or older (4.8 per 100,000).

...

A total of 179 specimens (24 sentinel and 155 non‐sentinel) were tested by the NVRL during week 50 2010. Thirty‐three (18.4%) specimens were positive for influenza: 30 influenza A (H1N1 2009), one influenza A (H3), one influenza A (unsubtyped) and one influenza B. Of the 24 sentinel specimens taken during week 50 2010, seven (29.2%) were positive for influenza: five influenza A (H1N1 2009), one A (H3) and one influenza B. Of the 155 non‐sentinel specimens taken during week 50 2010, 26 (16.8%) were positive for influenza: 25 influenza A (H1N1 2009) and one influenza A (unsubtyped).
To date this season, 1038 sentinel and non‐sentinel specimens were tested by the NVRL, 51 (4.9%) specimens tested positive for influenza: 45 influenza A (H1N1 2009), one influenza A (H3), three influenza A (unsubtyped) and two influenza B. Of the 45 influenza A (H1N1 2009) specimens detected, 14 were sentinel specimens and 31 were from non‐sentinel sources (figures 3 & 4).

http://www.hpsc.ie/hpsc/A-Z/Respira...llanceReports/20102011Season/File,4775,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 50

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 50

Influenza Surveillance in Ireland ? Interim Report
Influenza Week 51 2010 (20th ? 26th December 2010)

Summary
?During week 51 2010, influenza activity increased significantly across Ireland.
?The sentinel GP influenza‐like illness (ILI) consultation rate was 62.7 per 100,000 population in week 51 2010, an increase from the updated rate of 24.7 per 100,000 reported during week 49 2010.
?ILI rates are above baseline levels, with highest rates reported in 0‐4 and 5‐14 year olds.
?Influenza A (H1N1 2009) is the predominant influenza virus circulating in Ireland.
o91 positive influenza A (H1N1 2009) specimens were detected by the NVRL in week 51, more than double the number in the previous week.
o Six influenza A (unsubtyped) specimens and eight influenza B specimens were also detected by the NVRL in week 51.
?The number of hospitalised cases of influenza A (H1N1 2009) has continued to increase, with 36 cases hospitalised to date (as of December 30th 2010) and reports of five cases admitted to ICU.

...

5. Influenza notifications (CIDR)
As of 30th December 2010 (14:56), 120 confirmed influenza cases were notified on CIDR for the 2010/2011 influenza season; 106/120 (88.3%) were confirmed influenza A (H1N1 2009), one (0.8%) was influenza A (H3) and 13 (10.8%) influenza B cases. It should be noted that data for week 52 2010 are incomplete and only include notified cases as of 30th December 2010 (14:56).
Thirty‐six (30.0%) of the 120 confirmed influenza cases notified were hospitalised (i.e. hospital inpatient status), 34 of whom were confirmed influenza A (H1N1 2009) cases and two were influenza B cases. Fourteen (11.7%) of the 120 confirmed influenza cases were hospital outpatients, five (4.2%) cases were A&E patients, 39 (32.5%) were GP patients and hospital status was unknown for 26 (21.7%) cases (figure 8). Nineteen (15.8%) of the 120 cases were reported as either pregnant or postnatal related cases. Eighteen were confirmed influenza A (H1N1 2009) cases and one influenza B case. Eight cases were reported as hospitalised, 7 influenza A (H1N1 2009) and one influenza B.
Of the 120 notified confirmed cases, nine cases were in the 0‐4 year age group, 10 cases were aged 5‐14 years, 95 were in the 15‐64 year age group, four cases were aged 65 years or older and age was unknown for two cases.

http://www.hpsc.ie/hpsc/A-Z/Respira...llanceReports/20102011Season/File,4777,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 51

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 51

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 52 2011 (27th December 2010 ? 2nd January 2011)

Summary
?During week 52 2010, influenza activity increased significantly across Ireland.
?HPSC expects to see continued elevated influenza activity for several weeks.
?The sentinel GP influenza‐like illness (ILI) consultation rate was 120.6 per 100,000 population in week 52 2010, double the updated rate of 59.5 per 100,000 reported during week 51 2010.
oILI rates are above baseline levels, and have reached one of the highest recorded levels
oILI rates have increased in all age groups
?Influenza A (H1N1 2009) is the predominant influenza virus circulating in Ireland.
o214 positive influenza A (H1N1 2009) specimens were detected by the NVRL in week 52, almost double the number in the previous week.
o30 influenza B, 2 influenza A (H3) and 13 influenza A (unsubtyped) specimens were also detected by the NVRL in week 52.
?The number of hospitalised cases of influenza A (H1N1 2009) has continued to increase, with 114 cases hospitalised to date (as of January 5th 2011) and reports of 33 cases admitted to ICU. That's 88 hospitalizations and 28 ICU admissions last week
?As of January 5th 2011, seven influenza/ILI outbreaks were reported to HPSC to date this season, four ILI outbreaks and three influenza A (H1N1 2009) outbreaks.
?The proportion of influenza?related calls to GP Out‐of‐Hours services reached the highest recorded levels during week 52 2010.
?Respiratory syncytial virus (RSV) positive detections have plateaued in recent weeks.

...

ILI rates increased in all age groups during week 52 2010, most significantly in the 0‐4, 5‐14 and 15‐64 year age groups, with the highest rates reported in the 15‐64 year age group. Nineteen ILI cases were reported in the 0‐4 year age group (130.1 per 100,000), 26 cases were reported in the 5‐14 year age group (95.7 per 100,000), 192 in the 15‐64 year age group (136.7 per 100,000) and ten ILI cases in those aged 65 years or older (44.2 per 100,000).

...

A total of 539 specimens (all of which were non‐sentinel specimens) were tested by the NVRL during week 52 2010. Two hundred and fifty‐nine (48.1%) specimens were positive for influenza: 214 influenza A (H1N1 2009), two influenza A (H3), 13 influenza A (unsubtyped) and 30 influenza B.
To date this season, 1940 sentinel and non‐sentinel specimens were tested by the NVRL, 471 (24.3%) specimens tested positive for influenza: 389 influenza A (H1N1 2009), three influenza A (H3), 26 influenza A (unsubtyped) and 53 influenza B. Of the 471 positive influenza specimens, 418 (88.7%) were influenza A and 53 (11.3%) were influenza B. Of the 389 influenza A (H1N1 2009) specimens detected, 34 were sentinel specimens and 355 were from non‐sentinel sources (figures 3 & 4).

...

As of 5th January 2011 (18:50), HPSC has been notified of 33 hospitalised patients admitted to critical care units with confirmed influenza A (H1N1 2009) during the 2010/2011 influenza season. Three of these cases were paediatric cases. Seven (21.2%) of the 33 cases have been discharged from ICU. Enhanced data are currently available on 22 cases, 14 (63.6%) of whom had underlying medical conditions.

...

http://www.hpsc.ie/hpsc/A-Z/Respira...llanceReports/20102011Season/File,4840,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 52

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 52

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 1 2011 (3rd ? 9th January 2011)

Summary
? During week 1 2011, influenza activity remains at a high level across Ireland.
? HPSC expects to see continued elevated influenza activity for several weeks.
? The sentinel GP influenza‐like illness (ILI) consultation rate was 204.2 per 100,000 population in week 1 2011, a significant increase from the updated rate of 109.5 per 100,000 reported during week 52 2010.
o ILI rates have reached the highest recorded levels since surveillance began in 2000/2001
o ILI rates have increased in all age groups, particularly in the 15‐64 year age group
? Influenza A (H1N1 2009) is the predominant influenza virus circulating in Ireland. Accounting for 80.8% of all influenza positive specimens this season.
? Detections of influenza B viruses have been increasing in recent weeks.
o 295 positive influenza A (H1N1 2009) specimens were detected by the NVRL in week 1 2011.
o 53 influenza B, 5 influenza A (H3) and 25 influenza A (unsubtyped) specimens were also detected by the NVRL in week 1 2011.
? The number of hospitalised cases of influenza has continued to increase, with 393 cases hospitalised to date (as of January 12th 2011) and reports of 72 cases admitted to ICU. Comment: That's 279 hospitalizations and 39 ICU admissions reported this week)
? The proportion of influenza?related calls to GP Out‐of‐Hours services increased further in week 1 2011, reaching the highest recorded levels (14.4%).
? As of January 12th 2011, nine influenza/ILI outbreaks have been reported to HPSC to date this season.
? Respiratory syncytial virus (RSV) positive detections have plateaued in recent weeks.

...

ILI rates increased in all age groups during week 1 2011, with the highest rates reported in the 15‐64 year age group. Twenty‐seven ILI cases were reported in the 0‐4 year age group (148.1 per 100,000), 42 cases were reported in the 5‐14 year age group (123.9 per 100,000), 435 in the 15‐64 year age group (248.2 per 100,000) and 18 ILI cases in those aged 65 years or older (63.8 per 100,000).

...

A total of 943 specimens (116 sentinel and 827 non‐sentinel specimens) were tested by the NVRL during week 1 2011. Three hundred and seventy‐eight (40.1%) specimens were positive for influenza: 295 influenza A (H1N1 2009), five influenza A (H3), 25 influenza A (unsubtyped) and 53 influenza B.
To date this season, 3121 sentinel and non‐sentinel specimens were tested by the NVRL, 985 (31.6%) specimens tested positive for influenza: 796 influenza A (H1N1 2009), 13 influenza A (H3), 53 influenza A (unsubtyped) and 123 influenza B. Of the 985 positive influenza specimens, 862 (87.5%) were influenza A and 123 (12.5%) were influenza B. Of the 796 influenza A (H1N1 2009) specimens detected, 153 were sentinel specimens and 643 were from non‐sentinel sources (figures 3 & 4).

....

The Intensive Care Society of Ireland (ICSI) are continuing with the enhanced surveillance system, set up during the 2009 pandemic, on all critical care patients with confirmed influenza A (H1N1 2009), and notify any cases to HPSC, who process and report on this information on behalf of the regional Director of Public Health/Medical Officer of Health.
As of 12th January 2011 (16:00), HPSC has been notified of 72 hospitalised patients admitted to critical care units, 71 with confirmed influenza A (H1N1 2009) and one with influenza A (H3) during the 2010/2011 influenza season.
Enhanced surveillance information is available for 60 cases, 54 of whom are adults and six are paediatric cases.
Forty‐two (70.0%) of the 60 cases are currently in ICU***. The number of confirmed influenza hospitalised cases by ICU status and by week of notification on CIDR for the 2010/2011 influenza season are detailed in figure 8.
Forty‐one of the 60 (68.3%) cases have underlying medical conditions, 38 adults and three paediatric cases. The underlying medical conditions include: chronic respiratory disease, chronic heart disease, immunosuppression, pregnancy, metabolic disorders and severe obesity. The age specific rates for all cases admitted to ICU are detailed in table 3.

...

HPSC has been informed of two influenza associated deaths to date this season, one influenza A (H1N1 2009) and one influenza B. One death was in a patient in the 15‐64 year age group and one in a patient aged 65 years
or older. Both deaths occurred in patients with underlying medical conditions.

...

full report at; http://www.hpsc.ie/hpsc/A-Z/Respira...llanceReports/20102011Season/File,4859,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 1; 2 fatalities

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 1; 2 fatalities

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 2 2011 (10th ? 16th January 2011)

Summary
? During week 2 2011, influenza activity remained at a high level across Ireland.
? A slight decrease in influenza activity was observed during week 2 2011; however it is too early to predict whether or not the peak of influenza activity has been reached.
? It is likely that elevated influenza activity will continue for the coming weeks.
? The sentinel GP influenza‐like illness (ILI) consultation rate was 173.0 per 100,000 population in week 2 2011, a decrease from the updated rate of 200.8 per 100,000 reported during week 1 2011.
o ILI rates increased significantly in younger age groups (0‐4 and 5‐14 year olds)
o ILI rates remain above baselines levels
? Influenza A (H1N1 2009) is the predominant influenza virus circulating in Ireland.
o Accounting for 79.9% of all influenza positive specimens this season.
? Influenza B viruses are also circulating in Ireland.
o 172 positive influenza A (H1N1 2009) specimens were detected by the NVRL in week 2 2011.
o 45 influenza B, 6 influenza A (H3) and 4 influenza A (unsubtyped) specimens were also detected by the NVRL in week 2 2011.
? The number of hospitalised cases of influenza has continued to increase, with 573 cases hospitalised to date this season (as of January 19th 2011) and reports of 90 cases admitted to ICU.
? The proportion of influenza?related calls to GP Out‐of‐Hours services decreased in week 2 2011, coinciding
with the decrease in sentinel GP ILI consultation rates.
? As of January 19th 2011, ten influenza/ILI outbreaks have been reported to HPSC to date this season.
? Respiratory syncytial virus (RSV) positive detections have decreased in week 2 2011.

...

The data reported in this section for the 2010/2011 influenza season refers to specimens tested by the National Virus Reference Laboratory (NVRL). A total of 896 specimens (120 sentinel and 776 non‐sentinel specimens) were tested by the NVRL during week 2 2011. Two hundred and twenty‐seven 25.3%) specimens were positive for influenza: 172 influenza A (H1N1 2009), six influenza A (H3), 4 influenza A (unsubtyped) and 45 influenza B. Of the 120 sentinel specimens taken during week 2 2011, 25 (20.8%) were positive for influenza: 13 influenza A (H1N1 2009), 2 A (H3) and 10 influenza B. Of the 776 non‐sentinel specimens taken during week 2 2011, 202 (26.0%) were positive for influenza: 159 A (H1N1 2009), 4 A (H3), 4 A (unsubtyped),
and 35 B.
To date this season, 4174 sentinel and non‐sentinel specimens were tested by the NVRL, 1326 (31.8%) specimens tested positive for influenza: 1059 influenza A (H1N1 2009), 22 influenza A (H3), 61 influenza A (unsubtyped) and 184 influenza B. Of the 1326 positive influenza specimens, 1142 (86.1%) were influenza A and 184 (13.9%) were influenza B. Of the 1059 influenza A (H1N1 2009) specimens detected, 195 were sentinel specimens and 864 were from non‐sentinel sources (figures 3 & 4).

...

As of 19th January 2011 (09:00), HPSC has been notified of 90 hospitalised patients admitted to critical care units. Enhanced surveillance information is available for 82 cases, 73 of whom are adults and nine are paediatric cases. Fifty‐two (63.4%) of the 82 cases are currently in ICU***. The number of confirmed influenza hospitalised cases by ICU status and by week of notification on CIDR for the 2010/2011 influenza season are detailed in figure 9. Sixty of the 82 (73.1%) cases have underlying medical conditions, 54 adults and six paediatric cases. The underlying medical conditions include: chronic respiratory disease, chronic heart disease, immunosuppression, pregnancy, metabolic disorders and morbid obesity. The age specific rates for all cases admitted to ICU are detailed in table 3.

...

HPSC has been informed of six influenza associated deaths to date this season, five influenza A (H1N1 2009) and one influenza B. One death was in a patient in the 0‐4 year age group, two patients were in the 15‐64 year
age group and three patients were aged 65 years or older. Five deaths occurred in patients with underlying medical conditions. One death occurred in week 52 2010, one in week 1 2011 and four in week 2 2011.

full report at; http://www.hpsc.ie/hpsc/A-Z/Respira...llanceReports/20102011Season/File,5692,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 2; 6 fatalities

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 2; 6 fatalities

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 3 2011 (17th ? 23rd January 2011)

Summary
?During week 3 2011, all indicators of influenza activity decreased across Ireland.?It appears that influenza activity has peaked for the 2010/2011 influenza season and is now declining.
?The sentinel GP influenza‐like illness (ILI) consultation rate was 110.4 per 100,000 population in week 3 2011, a decrease from the updated rate of 171.4 per 100,000 reported during week 2 2011.
oILI rates decreased in all age groups, with the exception of 5‐14 year olds.
oILI rates remain above baseline levels.
?Influenza A (H1N1 2009) remains the predominant circulating influenza type/subtype in Ireland, accounting for 59.2% of all positive influenza specimens detected by the NVRL in week 3 2011.
?The proportion of influenza B circulating has also increased in week 3, accounting for 36.6% of all positive influenza specimens detected by the NVRL.
o84 influenza A (H1N1 2009), 52 influenza B, 5 influenza A (H3) and 1 influenza A (unsubtyped) positive specimens were detected by the NVRL in week 3 2011.
?The number of hospitalised cases of influenza decreased in week 3 2011.
?To date (January 26th 2011) this season, 749 confirmed influenza cases have been hospitalised, 98 cases have been admitted to ICU and 12 deaths have been reported to HPSC.
?The proportion of influenza?related calls to GP Out‐of‐Hours services decreased in week 3 2011, coinciding with the decrease in sentinel GP ILI consultation rates.
?As of January 26th 2011, ten influenza/ILI outbreaks have been reported to HPSC this season.
?Respiratory syncytial virus (RSV) positive detections have decreased in week 3 2011.

...

The data reported in this section for the 2010/2011 influenza season refers to specimens tested by the National Virus Reference Laboratory (NVRL). A total of 583 specimens (92 sentinel and 491 non‐sentinel specimens) were tested by the NVRL during week 3 2011. One hundred and forty‐two (24.4%) specimens were positive for influenza: 84 (59.2%) influenza A (H1N1 2009), five (3.5%) influenza A (H3), one (0.7%) influenza A (unsubtyped) and 52 (36.6%) influenza B.
Of the 92 GP sentinel specimens taken during week 3 2011, 33 (35.9%) were positive for influenza: 13 (39.4%) influenza A (H1N1 2009) and 20 (60.6%) influenza B. Of the 491 non‐sentinel specimens taken during week 3 2011, 109 (22.2%) were positive for influenza: 71 (65.1%) A (H1N1 2009), 5 (4.6%) A (H3), 1 (0.9%) A (unsubtyped) and 32 (29.4%) B.
To date this season, 4851 sentinel and non‐sentinel specimens were tested by the NVRL, 1564 (32.2%) specimens tested positive for influenza: 1248 influenza A (H1N1 2009), 29 influenza A (H3), 16 influenza A (unsubtyped) and 271 influenza B. Of the 1564 positive influenza specimens, 1293 (82.7%) were influenza A and 271 (17.3%) were influenza B. Of the 1248 influenza A (H1N1 2009) specimens detected, 239 were sentinel specimens and 1009 were from non‐sentinel sources (figures 3 & 4).

...

As of 26th January 2011 (09:00), HPSC has been notified of 98 hospitalised patients with confirmed influenza admitted to critical care units. Enhanced surveillance information is available for all 98 cases, 87 of whom are adults and 11 are paediatric cases. Forty‐three (43.9%) of the 98 cases are currently in ICU***. Sixty‐nine of the 98 (70.4%) cases have underlying medical conditions, 62 adults and seven paediatric cases. The underlying medical conditions include: chronic respiratory disease, chronic heart disease, immunosuppression, pregnancy, metabolic disorders and morbid obesity.

...

HPSC has been informed of 12 influenza associated deaths to date this season (as of 26/01/2011), 10 influenza A (H1N1 2009) and two influenza B. One death was in a patient in the 0‐4 year age group, seven patients were in the 15‐64 year age group and four patients were aged 65 years and older. Eleven deaths occurred in patients with underlying medical conditions. One death occurred in week 52 2010, one in week 1 2011, four in week 2 2011, five in week 3 2011 and one in week 4 2011.

full report at; http://www.hpsc.ie/hpsc/A-Z/Respira...lanceReports/20102011Season/File,11977,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 3; 12 fatalities

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 3; 12 fatalities

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 4 2011 (24th ? 30th January 2011)

Summary
?Influenza activity has peaked for the 2010/2011 influenza season and is now declining albeit at a slower rate, and remains above baseline threshold levels. However, activity in 5‐14 year olds continues to increase in the community and is mainly associated with influenza B.
?The sentinel GP influenza‐like illness (ILI) consultation rate was 93.2 per 100,000 population in week 4 2011, a slight decrease from the updated rate of 107.5 per 100,000 reported during week 3 2011.
?Influenza B is the predominant circulating influenza type in Ireland, accounting for 60.0% of all positive influenza specimens detected by the NVRL in week 4 2011.
?The proportion of influenza A (H1N1 2009) positive specimens decreased, accounting for 36.8% of all positive influenza specimens detected by the NVRL in week 4 2011.
?The weekly number of hospitalised cases of influenza decreased in week 4 2011.
?To date (February 2nd 2011) this season, 803 confirmed influenza cases have been hospitalised, 103 cases have been admitted to ICU and 15 deaths have been reported to HPSC.
?The proportion of influenza?related calls to GP Out‐of‐Hours services decreased slightly in week 4 2011, coinciding with the decrease in sentinel GP ILI consultation rates.
?As of February 2nd 2011, 14 influenza/ILI outbreaks have been reported to HPSC this season.
?The number of respiratory syncytial virus (RSV) positive detections remained stable in week 4 2011.

...

The data reported in this section for the 2010/2011 influenza season refers to specimens tested by the National Virus Reference Laboratory (NVRL). A total of 496 specimens (82 sentinel and 414 non‐sentinel specimens) were tested by the NVRL during week 4 2011. Ninety‐five (19.2%) specimens were positive for influenza: 34 (35.8%) influenza A (H1N1 2009), one (1.1%) influenza A (H3), three (3.2%) influenza A (unsubtyped) and 57 (60.0%) influenza B. Influenza B is now the predominant circulating influenza type in Ireland, accounting for 60.0% of all positive influenza specimens detected by the NVRL in week 4 2011.
Of the 82 GP sentinel specimens taken during week 4 2011, 28 (34.1%) were positive for influenza: 6 (21.4%) influenza A (H1N1 2009) and 22 (78.6%) influenza B. Of the 414 non‐sentinel specimens taken during week 4 2011, 67 (16.2%) were positive for influenza: 28 (41.8%) A (H1N1 2009), 1 (1.5%) A (H3), 3 (4.5%) A (unsubtyped) and 35 (52.2%) B. Forty‐two percent of all influenza B positive specimens detected during week 4 2011 were in the 5‐14 year age group.
To date this season, 5457 sentinel and non‐sentinel specimens were tested by the NVRL, 1710 (31.3%) specimens tested positive for influenza: 1302 influenza A (H1N1 2009), 31 influenza A (H3), 25 influenza A (unsubtyped) and 352 influenza B. Of the 1710 positive influenza specimens, 1358 (79.4%) were influenza A and 352 (20.6%) were influenza B. Of the 1302 influenza A (H1N1 2009) specimens detected, 251 were sentinel specimens and 1051 were from non‐sentinel sources (figures 3 & 4).

...

As of 2nd February 2011 (09:00), HPSC has been notified of 103 hospitalised patients admitted to critical care units with confirmed influenza. Enhanced surveillance information is available for all 103 cases, 92 of whom are adults and 11 are paediatric cases. Thirty‐eight (36.9%) of the 103 cases are currently in ICU***. Seventy‐six of the 103 (73.7%) cases have underlying medical conditions, 69 adults and seven paediatric cases. The underlying medical conditions include: chronic respiratory disease, chronic heart disease, immunosuppression, pregnancy, metabolic disorders and morbid obesity.

...

HPSC has been informed of 15 influenza associated deaths to date this season (as of 02/02/2011), 11 influenza A (H1N1 2009), one influenza A (unsubtyped) and three influenza B. One death was in a patient in the 0‐4 year age group, ten patients were in the 15‐64 year age group and four patients were aged 65 years and older. Fourteen deaths occurred in patients with underlying medical conditions. One death occurred in week 52 2010, one in week 1 2011, four in week 2 2011, six in week 3 2011 and three in week 4 2011. Table 4 outlines the influenza associated deaths by HSE‐Area for the 2010/2011 influenza season to date.

...

http://www.hpsc.ie/hpsc/A-Z/Respira...lanceReports/20102011Season/File,12324,en.pdf

 

[Ronan Kelly]

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 4; 15 fatalities

Re: Influenza Surveillance Reports 2010-2011 - Weeks 40 - 4; 15 fatalities

Influenza Surveillance in Ireland ? Weekly Report
Influenza Week 5 2011 (31st January ? 6th February 2011)

Summary
?Influenza activity has continued to decline at a slow rate, and remains above baseline threshold levels.
oThe sentinel GP influenza‐like illness (ILI) consultation rate was 86.2 per 100,000 population in week 5 2011, a slight decrease from the updated rate of 89.3 per 100,000 reported during week 4 2011.
oILI in 0‐4 and 5‐14 year olds continues to remain at high levels in the community and is mainly associated with influenza B.
oThe proportion of influenza?related calls to GP Out‐of‐Hours services decreased slightly in week 5 2011, coinciding with the decrease in sentinel GP ILI consultation rates.
oThe proportion of influenza positive specimens detected by the NVRL decreased further in week 5 2011 to 17.9%, compared to 24.8% the previous week.
oInfluenza B is the predominant circulating influenza type in Ireland, accounting for 74.3% of all positive influenza specimens detected by the NVRL in week 5 2011.
oThe weekly number of hospitalised cases of influenza remained stable, at 59 in week 5 2011.
oTo date (February 9th 2011) this season, 848 confirmed influenza cases have been hospitalised, 113 cases have been admitted to ICU and 18 deaths have been reported to HPSC.
oAs of February 9th 2011, 14 influenza/ILI outbreaks have been reported to HPSC this season.
oThe proportion of respiratory syncytial virus (RSV) positive detections remained stable in week 5 2011.

...

Of the 63 GP sentinel specimens taken during week 5 2011, 30 (47.6%) were positive for influenza: 6 (20.0%) influenza A (H1N1 2009) and 24 (80.0%) influenza B. Of the 327 non‐sentinel specimens taken during week 5 2011, 40 (12.2%) were positive for influenza: 12 (30.0%) A (H1N1 2009) and 28 (70.0%) B. Fifty‐three percent (27/51) of all influenza B positive specimens (sentinel and non sentinel) detected during week 5 2011 were from patients aged less than 15 years.

To date this season, 5928 sentinel and non‐sentinel specimens have been tested by the NVRL, 1828 (30.8%) specimens tested positive for influenza: 1340 influenza A (H1N1 2009), 35 influenza A (H3), 25 influenza A (unsubtyped) and 428 influenza B. Of the 1828 positive influenza specimens, 1400 (76.6%) were influenza A and 428 (23.4%) were influenza B. Of the 1340 influenza A (H1N1 2009) specimens detected, 263 were sentinel specimens and 1077 were from non‐sentinel sources (figures 3 & 4).

The NVRL has tested seven non‐sentinel specimens from six confirmed influenza A (H1N1 2009) cases for antiviral resistance. All six patients were hospitalised and admitted to intensive care. One (14.3%) specimen was resistant to oseltamivir, carrying the H275Y mutation.

...

As of 9th February 2011 (09:00), HPSC has been notified of 113 hospitalised patients admitted to critical care units with confirmed influenza, 101 of whom are adults and 12 are paediatric cases. Thirty‐one (27.4%) of the 113 cases are currently in ICU??. Eighty‐six of the 113 (76.1%) cases have underlying medical conditions, 78 adults and eight paediatric cases. The underlying medical conditions include: chronic respiratory disease, chronic heart disease, immunosuppression, pregnancy, metabolic disorders and morbid obesity.

...

HPSC has been informed of 18 influenza associated deaths to date this season (as of 09/02/2011), 14 influenza A (H1N1 2009), one influenza A (unsubtyped) and three influenza B. One death was in a patient in the 0‐4 year age group, 13 patients were in the 15‐64 year age group and four patients were aged 65 years and older. Sixteen deaths occurred in patients with underlying medical conditions. One death occurred in week 52 2010, one in week 1 2011, five in week 2 2011, six in week 3 2011, three in week 4 2011 and two in week 5 2011. Table 4 outlines the influenza associated deaths by HSE‐Area for the 2010/2011 influenza season to date.

...

http://www.hpsc.ie/hpsc/A-Z/Respira...lanceReports/20102011Season/File,12344,en.pdf