Ronan Kelly
Retired 2020
Re: Russia ILI surveillance 2012-2013
Week 25.02.2013-03.03.2013
Influenza and ARI morbidity data
Epidemiological data show increase of influenza activity in Russia in comparison with previous week. The nationwide ILI & ARI morbidity level (107.9 per 10 000 of population) exceeded the national baseline by 61.3%.
ILI and ARI epidemic thresholds were exceeded in 39 cities of 59 ones collaborating with two WHO NICs in Russia.

Cumulative number of diagnosed influenza cases
Cumulative results of influenza laboratory diagnosis by different tests were submitted by 53 RBLs and two WHO NICs. According to these data as a result of 6095 patients investigation the overall proportion of respiratory samples positive for influenza virus was estimated as 27.5%, including 14.7% for influenza A(H1N1)pdm09 virus, 7.2% for influenza A(H3N2) virus, 1.0% for non-subtyped influenza A virus and 4.6% for influenza B virus. 106 influenza viruses were isolated this week including 56 influenza A(H1N1)pdm09 viruses in different cities of 5 FDs (North-Western, Central, Volga, Ural and South), 19 influenza A(H3N2) viruses in cities of 3 FDs (North-Western, Volga, Siberian) and 31 influenza B viruses in cities of 5 FDs (North-Western, Central, Volga, Siberian and South).
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Conclusion
Influenza and ARI morbidity data. Increased influenza activity was registered during the week 9.2013 in traditional surveillance system in Russia. The nationwide ILI & ARI morbidity level (107.9 per 10 000 of population) exceeded the national baseline by 61.3%.
Etiology of ILI & ARI morbidity. The overall proportion of respiratory samples tested positive for influenza was estimated as 27.5%, including 14.7% for influenza A(H1N1)pdm09 virus, 7.2% for influenza A(H3N2) virus, 1.0% for non-subtyped influenza A virus and 4.6% for influenza B virus.
106 influenza viruses were isolated this week including 56 influenza A(H1N1)pdm09 viruses, 19 influenza A(H3N2) viruses and 31 influenza B viruses. Percent of positive ARI cases of non-influenza etiology (PIV, adeno- and RSV) was estimated as 14.0% of investigated patients by IFA and 10.8% by PCR.
In sentinel surveillance system clinical samples from 204 SARI and ILI/ARI patients were investigated by rRT-PCR. As a result 25 (37.3%) of influenza cases were detected among 67 SARI patients, including 11 (44%) A(H1N1)pdm09 cases, 12 (48%) influenza A(H3N2) cases and 2 (8%) influenza B cases. Among 137 ILI/ARI patients 27 (19.7%) influenza cases were detected including 14 (51.9%) influenza A(H1N1)pdm09 cases, 11 (40.7%) influenza A(H3N2) cases and 2 (7.4%) influenza B cases.
Antigenic characterization.
A total of 93 influenza viruses were characterized antigenically. 53 investigated influenza A(H1N1)pdm09 viruses were closely related to A/California/7/09 virus, 23 A(H3N2) viruses were like to influenza A/Victoria/361/11 virus, 17 investigated influenza B viruses belonged to B/Yamagata lineage and were antigenically related to B/Wisconsin/1/10 virus.
As a result of genetic characterization one investigated influenza A(H1N1)pdm09 virus was genetically related to group A(H1)pdm09, represented by A/St. Peterburg/27/2011 virus. Two A(H3N2) viruses belonged to A/Victoria/208/2009 clade, subgroup A/Victoria/361/11.
http://www.influenza.spb.ru/en/influenza_surveillance_system_in_russia/epidemic_situation/
Week 25.02.2013-03.03.2013
Influenza and ARI morbidity data
Epidemiological data show increase of influenza activity in Russia in comparison with previous week. The nationwide ILI & ARI morbidity level (107.9 per 10 000 of population) exceeded the national baseline by 61.3%.
ILI and ARI epidemic thresholds were exceeded in 39 cities of 59 ones collaborating with two WHO NICs in Russia.
Cumulative number of diagnosed influenza cases
Cumulative results of influenza laboratory diagnosis by different tests were submitted by 53 RBLs and two WHO NICs. According to these data as a result of 6095 patients investigation the overall proportion of respiratory samples positive for influenza virus was estimated as 27.5%, including 14.7% for influenza A(H1N1)pdm09 virus, 7.2% for influenza A(H3N2) virus, 1.0% for non-subtyped influenza A virus and 4.6% for influenza B virus. 106 influenza viruses were isolated this week including 56 influenza A(H1N1)pdm09 viruses in different cities of 5 FDs (North-Western, Central, Volga, Ural and South), 19 influenza A(H3N2) viruses in cities of 3 FDs (North-Western, Volga, Siberian) and 31 influenza B viruses in cities of 5 FDs (North-Western, Central, Volga, Siberian and South).
...
Conclusion
Influenza and ARI morbidity data. Increased influenza activity was registered during the week 9.2013 in traditional surveillance system in Russia. The nationwide ILI & ARI morbidity level (107.9 per 10 000 of population) exceeded the national baseline by 61.3%.
Etiology of ILI & ARI morbidity. The overall proportion of respiratory samples tested positive for influenza was estimated as 27.5%, including 14.7% for influenza A(H1N1)pdm09 virus, 7.2% for influenza A(H3N2) virus, 1.0% for non-subtyped influenza A virus and 4.6% for influenza B virus.
106 influenza viruses were isolated this week including 56 influenza A(H1N1)pdm09 viruses, 19 influenza A(H3N2) viruses and 31 influenza B viruses. Percent of positive ARI cases of non-influenza etiology (PIV, adeno- and RSV) was estimated as 14.0% of investigated patients by IFA and 10.8% by PCR.
In sentinel surveillance system clinical samples from 204 SARI and ILI/ARI patients were investigated by rRT-PCR. As a result 25 (37.3%) of influenza cases were detected among 67 SARI patients, including 11 (44%) A(H1N1)pdm09 cases, 12 (48%) influenza A(H3N2) cases and 2 (8%) influenza B cases. Among 137 ILI/ARI patients 27 (19.7%) influenza cases were detected including 14 (51.9%) influenza A(H1N1)pdm09 cases, 11 (40.7%) influenza A(H3N2) cases and 2 (7.4%) influenza B cases.
Antigenic characterization.
A total of 93 influenza viruses were characterized antigenically. 53 investigated influenza A(H1N1)pdm09 viruses were closely related to A/California/7/09 virus, 23 A(H3N2) viruses were like to influenza A/Victoria/361/11 virus, 17 investigated influenza B viruses belonged to B/Yamagata lineage and were antigenically related to B/Wisconsin/1/10 virus.
As a result of genetic characterization one investigated influenza A(H1N1)pdm09 virus was genetically related to group A(H1)pdm09, represented by A/St. Peterburg/27/2011 virus. Two A(H3N2) viruses belonged to A/Victoria/208/2009 clade, subgroup A/Victoria/361/11.
http://www.influenza.spb.ru/en/influenza_surveillance_system_in_russia/epidemic_situation/