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PLoS One . Analysis of data from two influenza surveillance hospitals in Zhejiang province, China, for the period 2018-2022

tetano

Editor, Senior Moderator
PLoS One


. 2024 Feb 28;19(2):e0299488.
doi: 10.1371/journal.pone.0299488. eCollection 2024. Analysis of data from two influenza surveillance hospitals in Zhejiang province, China, for the period 2018-2022

Yuda Wang[SUP] 1 [/SUP], Yan Liu[SUP] 1 [/SUP], Guangtao Liu[SUP] 1 [/SUP], Xiuxiu Sun[SUP] 1 [/SUP], Zizhe Zhang[SUP] 1 [/SUP], Jianyong Shen[SUP] 1 [/SUP]



Affiliations
Free PMC article Abstract

Purpose: To assess the epidemiology of seasonal influenza in Huzhou City, Zhejiang Province, China, during 2018-2022 and provide insights for influenza prevention.
Methods: Following the National Influenza Surveillance Program, we conducted pathogen surveillance by randomly sampling throat swabs from cases with influenza-like illness (ILI) at two sentinel hospitals.
Results: From 2018 to 2022, a total of 3,813,471 cases were treated at two hospitals in Huzhou, China. Among them, there were 112,385 cases of Influenza-Like Illness (ILI), accounting for 2.95% of the total number of cases. A total of 11,686 ILI throat swab samples were tested for influenza viruses, with 1,602 cases testing positive for influenza virus nucleic acid, resulting in a positivity rate of 13.71%. Among the positive strains, there were 677 strains of A(H3N2) virus, 301 strains of A(H1N1) virus, 570 strains of B/Victoria virus, and 54 strains of B/Yamagata virus. The ILI percentage (ILI%) and influenza nucleic acid positivity rate showed winter-spring peaks in the years 2018, 2019, 2021, and 2022, with the peaks concentrated in January and February. Additionally, a small peak was observed in August 2022 during the summer season. No peak was observed during the winter-spring season of 2020. The highest proportion of ILI cases was observed in children aged 0-4 years, followed by school-age children aged 5-14 years. There was a positive correlation between ILI% and influenza virus nucleic acid positivity rate (r = 0.60, p < 0.05).
Conclusions: The influenza outbreak in Huzhou from 2020 to 2022 was to some extent influenced by the COVID-19 pandemic and public health measures. After the conclusion of the COVID-19 pandemic, the influenza outbreak in Huzhou may become more severe. Therefore, it is crucial to promptly assess the influenza outbreak trends based on the ILI% and the positivity rate of influenza virus nucleic acid tests.


 
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