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Scotland : H1N1 Weekly Update (22/10/09)

TrueScotsman

Well-known member
There is evidence that Influenza A H1N1v continues to circulate in Scotland with the overall levels of illness which may be due to the virus higher this week compared to last week. Data is presented from 86% of Scottish general practices. Compared to the previous week, the all Scotland GP consultation rate for ILI and ARI has decreased by 17%. The estimate of H1N1v positivity in samples from sentinel practices submitted this week) has increased (38.5% compared to 29.3% last week). Taken together these findings indicate that levels of transmission of influenza A H1N1v increased slightly in Scotland last week.

Key points for the period covering midday Monday 12 October to midday Monday 19 October 2009.

We report data from 86% of practices across Scotland submitting data to HPS. The daily average GP consultation rate for Scotland was 88.5 per 100 000 in the week ending 16 October 2009. This represents a 17% decrease on the consultation rate from last week (106.3/100 000).

Consultation rates in NHS Lothian are slightly higher this week compared to last week. The rates in NHS Greater Glasgow & Clyde have decreased over the past week but remain higher than the Scottish average. There were no significant changes in any other NHS board.

Consultation rates remain highest in the 0-4 year age group. There was a decrease this week in the 5-14 years age group, whereas there was a levelling of the rates observed within the 0-4 years and the over 65 years age group. There is an increasing trend among those aged 15-64 years.

The proportion of cold/flu calls to NHS 24 across most of Scotland is 8.3%, similar to that reported last week (8.4%). The age groups 5-14 and 15-44 years continue to account for the highest proportions of cold/flu calls. Over the past week the proportion of cold/flu calls in the 5-14 year age group decreased from 4.2% in week 41 to 2.7% in week 42.

Based on samples submitted from sentinel practices for H1N1v testing, the estimate of H1N1v positivity among those consulting their GPs has increased to 38.5 % this week. This represents an increase on the swab positivity percentage observed the previous week (29.3%). This increase is predominate within the 5-14 years age group.

The estimated number of new Influenza A H1N1v cases this week who consulted their GP was 5130. This figure represents an increase in the estimates of those with H1N1v infection attending their GP during the past week. Since not all people consult their GP, we estimate that the total number of people in Scotland who have contracted H1N1v over the last week is 14650 which is an increase on last week (12500).

A further 108 people, confirmed as having Influenza A H1N1v infection, required hospital admission in the last week. The cumulative total of laboratory confirmed hospitalised cases is 380 (as at midday Monday 19 October). Since the start of September the number of hospitalised cases has more than doubled ? this is predominantly a result of the increase in cases being hospitalised in the last two weeks. This, however, is within the levels we would expect at this stage in the pandemic curve.

There has been a further death reported since the previous report. The total number of deaths among confirmed Influenza A H1N1v cases in Scotland is now fifteen (as at midday Monday 19 October).
 
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