Re: Ontario Respiratory Virus Bulletin 2012-2013 - Surveillance Week 14
Re: Ontario Respiratory Virus Bulletin 2012-2013 - Surveillance Week 14
Ontario Respiratory Virus Bulletin, 2012-2013 (Week 14: March 31, 2013 ? April 6, 2013)
Summary of current and season-to-date respiratory virus activity in Ontario
? The proportion of respiratory samples testing positive for influenza is now at 7.8% (with influenza A at 2.8% and influenza B at 5.0%) compared to the seasonal peak of 33.4% in the last week of 2012.*
o The majority of influenza cases this season (93.4%; 8,618/9,230) were influenza A (Table 1). The dominant circulating influenza A subtype is H3N2, representing 92.0% of all subtyped influenza A positive specimens.*
o In the season to date, 1,124 confirmed institutional respiratory infection outbreaks have been reported, 571 (50.8%) of which were laboratory confirmed as influenza A and 21 (1.9%) of which were laboratory confirmed as influenza B (Table 4).
o A total of 3,118 hospitalizations and 245 deaths have been reported among lab confirmed influenza cases in the current surveillance season to April 6 (Table 2). The majority of hospitalizations and deaths occurred in influenza A cases (94.3% and 96.3%, respectively).
? The cause of influenza-like-illness (ILI) activity in the 2012-2013 surveillance season is changing as the season progresses.
o At the beginning of the season, entero/rhinovirus was the causative organism identified in most institutional respiratory infection outbreaks. Subsequently, influenza A became the most common causative organism of institutional outbreaks (Table 4, Figure 5). Percent positivity results indicate that respiratory syncytial virus is currently the predominant circulating respiratory virus in Ontario (Figure 3).*
o For the season to date, influenza A has had the highest percent positivity overall, followed by respiratory syncytial virus (Table 3).*
? Among all circulating respiratory viruses in week 14 (Table 3):
o Respiratory syncytial virus had the highest percent positivity (13.2%), which was higher compared to the previous week (11.1%).*
o Human metapneumovirus had the second highest percent positivity (9.4%), which was higher compared to the previous week (7.3%).*
...
Update on human infections with novel influenza A(H7N9) in China
As of April 11, 2013 at 11:00 a.m. EST
On March 31, 2013, China announced the identification of a novel influenza A virus, A(H7N9). Prior to this event, there were no reports of human infection with A(H7N9), although other A(H7) subtype infections causing human illness have been reported in Europe and North America. As of April 11, 2013 at 11:00 a.m. EST, the World Health Organization (WHO) has reported a total of 38 cases, with 10 deaths, 19 severe cases and 9 cases with mild illness. More than 760 close contacts of the confirmed cases are being closely monitored. WHO has stated that preliminary investigations have not uncovered any epidemiological links between the laboratory confirmed cases.
Recent investigations have identified the virus in various poultry species including pigeons, chicken and ducks. Investigations are ongoing to determine potential reservoirs and modes of transmission as the source of infection remains unclear.
Public Health Ontario Laboratories (PHOL) will be alerted of a possible case if a specimen is influenza-positive but un-subtypeable when tested by first line subtyping assays (seasonal A(H3N2) HA gene and A(H1N1)pdm09 NA gene), as is done with the current testing algorithm. According to current practice, any un-subtypeable influenza A-positive specimens are forwarded to the National Microbiology Laboratory for further investigation in parallel to PHOL conducting further testing.
? [FONT=Calibri,Calibri][FONT=Calibri,Calibri]World Health Organization: [/FONT][/FONT][FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]Avian influenza situation updates [/FONT]
[/FONT][FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]? [/FONT][/FONT]
[FONT=Calibri,Calibri][FONT=Calibri,Calibri]Public Health Ontario: [/FONT][/FONT][FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]Hot Topics in Public Health [/FONT]
[/FONT][FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]? [/FONT][/FONT]
[FONT=Calibri,Calibri][FONT=Calibri,Calibri]Public Health Agency of Canada: [/FONT][/FONT][FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]Summary assessment of public health risk [/FONT][/FONT]
[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]...[/FONT][/FONT]
[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]Table 2. [/FONT][FONT=Calibri,Calibri][FONT=Calibri,Calibri][FONT=Calibri,Calibri]Hospitalizations and deaths among confirmed influenza cases by age group: Ontario, week 14 and cumulative (rates, and numbers in brackets) for the 2012-2013 season [/FONT]
[/FONT][/FONT][/FONT][FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]<TABLE dir=ltr border=1 cellSpacing=0 cellPadding=7 width=550><TBODY><TR><TD height=16 vAlign=top width="20%">Age Group [/FONT]
[FONT=Calibri,Calibri][/FONT]
</TD><TD height=16 vAlign=top width="20%">Number of Hospitalizations
[FONT=Calibri,Calibri][/FONT]
</TD><TD height=16 vAlign=top width="20%">Cumulative Rate per 100,000
[FONT=Calibri,Calibri][/FONT]
</TD><TD height=16 vAlign=top width="20%">
Number of Deaths [/FONT]
[FONT=Calibri,Calibri][/FONT]
</TD><TD height=16 vAlign=top width="20%">
Cumulative Rate per 100,000
[FONT=Calibri,Calibri][/FONT]
</TD></TR><TR><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]<1 [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]9 (181) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]123.86 [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]0 (2) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]1.37 [/FONT][/FONT]
</TD></TR><TR><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]1-4 [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]20 (256) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]43.75 [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]0 (3) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]0.51 [/FONT][/FONT]
</TD></TR><TR><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]5-14 [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]5 (110) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]7.41 [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]0 (1) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]0.07 [/FONT][/FONT]
</TD></TR><TR><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]15-24 [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]2 (62) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]3.40 [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]0 (0) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]0.00 [/FONT][/FONT]
</TD></TR><TR><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]25-44 [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]6 (217) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]5.83 [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]0 (9) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]0.24 [/FONT][/FONT]
</TD></TR><TR><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]45-64 [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]15 (484) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]12.74 [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]1 (27) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]0.71 [/FONT][/FONT]
</TD></TR><TR><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]65+ [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]40 (1,805) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]91.39 [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]2 (203) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]10.28 [/FONT][/FONT]
</TD></TR><TR><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]Unknown [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]0 (3) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]- [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]0 (0) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]- [/FONT][/FONT]
</TD></TR><TR><TD height=9 vAlign=top width="20%">
Total
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]97 (3,118) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]23.04 [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]3 (245) [/FONT][/FONT]
</TD><TD height=9 vAlign=top width="20%">[FONT=Calibri,Calibri]
[FONT=Calibri,Calibri]1.81 [/FONT][/FONT]
</TD></TR></TBODY></TABLE>
...
Full report:
http://www.oahpp.ca/resources/docum...ntario Respiratory Virus Bulletin-Week 14.pdf