Seasonal Flu 2008 - 2009

[HenryN]

Re: Seasonal Flu 2008 - 2009

Neuraminidase inhibitor susceptibility testing was not carried out during this Christmas - New Year holiday period.

Canada:

Since 1 September 2008, 20 influenza viruses have been
characterised: three influenza A/Brisbane/59/
2007(H1N1)-like, two A/Brisbane/10/2007 (H3N2)-like,
three influenza B/Florida/4/2006-like and 12 B/Malaysia/
2506/2004-like, the latter was a component of the 2007/
08 vaccine. Six influenza A (H1N1) isolates have been​

tested and found to be resistant to oseltamivir.

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

Colorado influenza summary - Week ending 12/27/08 ​

INFLUENZA ACTIVITY​

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Gradually increasing level of influenza activity, especially in El Paso County, based on the number of hospitalizations and increasing sentinel laboratory positivity.
Local activity was reported to CDC for the first time this season.​

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INFLUENZA-LIKE ILLNESS SURVEILLANCE FROM KAISER PERMANENTE​

(DENVER METRO REGION)​

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0.9% - week ending 12/13/08
0.8% - week ending 12/20/08
0.9% - week ending 12/27/08
NOTE: The inter-season range from June through September was 0.4% - 0.8%.​

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REPORTED INFLUENZA-ASSOCIATED HOSPITALIZATIONS​

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1 - week ending 12/13/08
1 - week ending 12/20/08​

3 - week ending 12/27/08​

7 (Cumulative 10/04/08 ? 12/27/08)​

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TYPE AND STRAIN INFORMATION​

(CUMULATIVE 12/02/08 ? 12/27/08)​

[FONT=Arial,Arial]

Type A Influenza = 20​

<DIR><DIR>

? Subtype H3 = 11
? Subtype H1 = 7​

</DIR></DIR>

Type B Influenza = 1
NOTE: Type and strain information is based on direct fluorescent antibody (DFA), RT-PCR and viral culture results. Results included in strain surveillance do not necessarily represent hospitalizations and should not be regarded as cases.​

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SENTINEL LABORATORY SURVEILLANCE​

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Based on 15 reporting labs, 386 specimens were tested for influenza of which 21 (5.4%) were positive for A.​

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REPORTS OF OUTBREAKS OF INFLUENZA​

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There were no influenza outbreaks reported in the past week.​

For additional information, please go to our web site at:
http://www.cdphe.state.co.us/dc/Influenza/index.html


http://www.cdphe.state.co.us/dc/Influenza/flu_sum.pdf
[/FONT]

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

Influenza Surveillance Program for 2008 - 2009

<HR noShade>Week 52 (Dec 21-27, ?08) Report
This Week"s Activity Level is:


<TABLE cellPadding=2 width="95%" align=center border=1><TBODY><TR><TD vAlign=top bgColor=#ffff00 colSpan=2>

?Local?
Reports from Sentinel Providers indicate an elevated level of influenza-like illness in one surveillance region the State AND there are now lab-confirmed cases of influenza.)

​

</TD></TR><TR><TD vAlign=top>Reports of visits for influenza-like illness (ILI) to sentinel providers. This week, a total of 59 visits for ILI were reported by 7 providers. The median percent of ILI visits in Maryland was 1.5%. This is below the state baseline of 3.6%.
Sentinel providers are health care providers who report to us the proportion of patient visits for influenza like illness. Because of the great variability in reported ILI proportions among providers each week, the median ILI is used instead of the average. Half of the ILI reports were below the median and half were above.
If you are interested in becoming a sentinel provider, please feel free to contact us at flu@dhmh.state.md or by phone at 410-767-6700.
</TD><TD vAlign=top>

Click on graph to enlarge​

</TD></TR><TR><TD vAlign=top>Reports of rapid influenza tests from clinical laboratories. During week 52, a total of 255 rapid influenza tests were reported by 9 reporting clinical laboratories. Of these, 18 tests (7.1%) were positive.
Because the sensitivity and specificity of rapid flu tests vary with the prevalence of influenza in the population*, rapid flu tests performed before the first DHMH lab-confirmed case are not counted as confirmed cases for the purpose of surveillance. Now that the DHMH laboratory has confirmed a case by reference methods, all rapid influenza tests will be counted as confirmed cases.
</TD><TD vAlign=top>

Click on graph to enlarge​

</TD></TR><TR><TD vAlign=top>Reports of reference testing on submitted specimens from the Public Health Laboratory. During week 52, a total of 19 specimens were submitted for testing at the DHMH laboratory. One (5.3%) of these were positive for influenza. This season, a total of 130 specimens have been submitted for testing at the DHMH laboratory. Of these, 7 (5.4%) have been positive by PCR. Four specimens (3.1%) were positive for influenza Type A, and three specimens (2.3%) were positive for influenza Type B.
For the purpose of influenza surveillance, cases are counted as ?confirmed? when they are based on more reliable reference test methods (PCR or culture) performed by the DHMH lab, or are based on other techniques such as rapid test for the detection of influenza antigen AFTER the DHMH lab has confirmed its first case of the season.
This is done because the sensitivity and specificity of rapid flu tests vary with the prevalence of influenza in the population*, and are less reliable when prevalence is low. This season, all positive clinical laboratory results from week 46 onward (45) are counted as confirmed cases, and of course, all the positive DHMH lab results (3).
The seven positive specimens identified by the DHMH lab have been typed as influenza A (4, 57%) and influenza B (3, 43%). To date, the CDC laboratory has identified two as type A (H1N1) Brisbane-like and another as type B Florida-like. Both strains are components of this season?s influenza vaccine. The type A (H1N1) isolate was found to be resistant to Oseltamivir (Tamiflu ?) but sensitive to Adamantanes and Zanamivir. Interim guidelines on the use of antivirals for influenza can be found at http://tinyurl.com/cdcinterim.</TD><TD vAlign=top>

Click on graph to enlarge​

</TD></TR><TR><TD vAlign=top>

Reports of outbreaks of influenza in schools and other institutions. One outbreak of pneumonia was reported to the Division of Outbreak Investigations this week.
Although influenza is not a reportable condition in Maryland, outbreaks of influenza in institutional settings are reportable. Please contact your local health department to report an outbreak.
For more information about outbreak investigations in Maryland, please visit:
http://edcp.org/html/otbkhmpg.html.
​

</TD><TD vAlign=top>

Click on graph to enlarge​

</TD></TR><TR><TD vAlign=top>Reports of hospitalizations due to influenza. No reports were filed this week due to the Holidays.
To date, there have been 84 (47, 56% adult, and 37, 44% pediatric) hospitalizations for influenza reported to DHMH. Last season, 715 (516, 72% adult, and 199, 28% pediatric) hospitalizations were reported.
The Emerging Infections Program collects information on a weekly basis from several hospitals in the Baltimore Metro Region on the number of hospitalizations associated with influenza.
</TD><TD vAlign=top>

Click on graph to enlarge​

</TD></TR><TR><TD vAlign=top>Reports from Maryland residents. A total of 444 participants signed up at http://tinyurl.com/flu-enroll by the end of week 52. Of the 444 residents who received the weekly survey, 224 (50%) responded to it. Among the respondents, 3 (1.3%) reported flu-like symptoms. One of the respondents reported getting his or her flu vaccine this week.
Because there is no baseline to compare these results, and the sample size is small (compared to the population), caution must be taken when interpreting the results.
We continue to recruit participants. Please enroll at the link above or pass on the link to anyone interested.
If you would like to participate in the resident flu tracking survey, please visit THIS SITE [https://www.surveymonkey.com/s.aspx?sm=eIGPl_2bIZTs3qV90lureTog_3d_3d]or email us at flu@dhmh.state.md.us.
</TD><TD vAlign=top>

Click on graph to enlarge​

</TD></TR><TR><TD vAlign=top> </TD><TD vAlign=top>

Click on graph to enlarge​

</TD></TR><TR><TD vAlign=top colSpan=2>

Click Here to Download This Week's Report in PDF Format ​

</TD></TR></TBODY></TABLE>

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

Iowa report

http://www.idph.state.ia.us/adper/common/pdf/flu/flu_report_51.pdf

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

Lab Surveillance: ​

[FONT=Times New Roman,Times New Roman]Laboratories report positive influenza tests to ADHS. Of the lab-confirmed influenza reported this season, 18 are influenza A, 7 are influenza B and 2 are unknown.

http://azdhs.gov/phs/oids/epi/flu/pdf/az_fluweb_52_0809.pdf
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[HenryN]

Re: Seasonal Flu 2008 - 2009

North Carolina

http://www.epi.state.nc.us/epi/gcdc/flu2009.html

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

Laboratory Data
Two WHO/NREVSS collaborating laboratories in Washington reported data for week 50. Three of the 183 (1.6%) specimens tested were positive for influenza. One was influenza A(H3N2) and two were influenza A(unknown subtype). To date, eight specimens tested by collaborating laboratories in Washington have been positive for influenza (two A-H1, one A-H3, four A-unknown subtype, and one B) since the start of the influenza surveillance season.
In the Pacific Region, six WHO/NREVSS collaborating laboratories reported testing 317 specimens during week 50. Twelve (3.8%) were positive (8 A-H1, 1 A-H3, and 3 A-unknown subtype). Last week 2.6% of specimens tested were positive for influenza. Since the beginning of influenza surveillance season, 3.5% of all specimens tested have been positive for influenza. The table and chart below show cumulative influenza isolates from the Pacific Region reported by WHO/NREVSS collaborating laboratories.

Pacific Region - Influenza Isolates​

<TABLE id=table6 width="100%" border=1><TBODY><TR><TD align=middle>A(H1)</TD><TD align=middle>A(H3)</TD><TD align=middle>A(Unk)</TD><TD align=middle>B </TD><TD align=middle width=78>Total Influenza</TD><TD align=middle width=89>Total # Tested</TD><TD align=middle width=69>% Positive</TD></TR><TR><TD align=middle>122</TD><TD align=middle>6</TD><TD align=middle>62</TD><TD align=middle>11</TD><TD align=middle width=78>201</TD><TD align=middle width=89>5709</TD><TD align=middle width=69>3.5</TD></TR></TBODY></TABLE>

http://www.doh.wa.gov/EHSPHL/Epidemiology/CD/fluupdate.htm

 

[vinny]

Re: Seasonal Flu 2008 - 2009

what are the chances of brisbane flu,i think that was what is was called,the one they have had in australia.that hit people quite hard,is it still around and what are the chances of it reaching the uk if it is.......?.


one more question if anyone can answer it please there has been a chesty cough virus going around the uk,with no other symptoms just those,any idea what it is.people get it and i thought if you had,had it your body would have a defence against you getting it again but it doesnt i have family and friends who have had this more than once.thanks for any advice.

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

what are the chances of brisbane flu,i think that was what is was called,the one they have had in australia.that hit people quite hard,is it still around and what are the chances of it reaching the uk if it is.......?.


one more question if anyone can answer it please there has been a chesty cough virus going around the uk,with no other symptoms just those,any idea what it is.people get it and i thought if you had,had it your body would have a defence against you getting it again but it doesnt i have family and friends who have had this more than once.thanks for any advice.

Both influenza sub-types are from Brisbane. H1N1 is Brisbane/59 while H3N2 is Brisbane/10. UK has both but 90% of infleunza A is H3N2.

However, UK also has the norovirus, which isn't flu and produces GI symtoms. There are also other respiratory viruses like RSV, which also are not flu.

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

http://dhs.wisconsin.gov/communicable/influenza/pdf_files/Surveillance08_50.pdf

<TABLE dir=ltr cellSpacing=0 cellPadding=7 width=835 border=1><TBODY><TR><TD vAlign=top colSpan=14 height=6>6. Antiviral resistance: ADAMANTANE RESISTANCE

​

</TD></TR><TR><TD vAlign=top width="26%" colSpan=2 height=19 rowSpan=3>Season/Lab

​

</TD><TD vAlign=top width="74%" colSpan=12 height=19>Influenza Subtype

​

</TD></TR><TR><TD vAlign=top width="15%" colSpan=4 height=6>A/H1

​

</TD><TD vAlign=top width="25%" colSpan=5 height=6>A/H3

​

</TD><TD vAlign=top width="34%" colSpan=3 height=6>B

​

</TD></TR><TR><TD vAlign=top width="2%" height=6>Tested

​

</TD><TD vAlign=top width="13%" colSpan=2 height=6>Resistant

​

</TD><TD vAlign=top width="13%" colSpan=3 height=6>Tested

​

</TD><TD vAlign=top width="13%" colSpan=2 height=6>Resistant

​

</TD><TD vAlign=top width="13%" colSpan=2 height=6>Tested

​

</TD><TD vAlign=top width="21%" colSpan=2 height=6>Resistant

​

</TD></TR><TR><TD vAlign=top width="14%" height=6>07-08

​

</TD><TD vAlign=top width="17%" colSpan=3 height=6>Combined

​

</TD><TD vAlign=top width="17%" colSpan=3 height=6>969

​

</TD><TD vAlign=top width="17%" colSpan=2 height=6>9.8%

​

</TD><TD vAlign=top width="17%" colSpan=4 height=6>571

​

</TD><TD vAlign=top width="17%" height=6>99.8%

​

</TD></TR><TR><TD vAlign=top width="14%" height=6>08-09

​

</TD><TD vAlign=top width="17%" colSpan=3 height=6>WI

​

</TD><TD vAlign=top width="17%" colSpan=3 height=6>-

​

</TD><TD vAlign=top width="17%" colSpan=2 height=6>-

​

</TD><TD vAlign=top width="17%" colSpan=4 height=6>-

​

</TD><TD vAlign=top width="17%" height=6>-

​

</TD></TR><TR><TD vAlign=top width="14%" height=6>08-09

​

</TD><TD vAlign=top width="17%" colSpan=3 height=6>CDC

​

</TD><TD vAlign=top width="17%" colSpan=3 height=6>50

​

</TD><TD vAlign=top width="17%" colSpan=2 height=6>0%

​

</TD><TD vAlign=top width="17%" colSpan=4 height=6>8

​

</TD><TD vAlign=top width="17%" height=6>100%

</TD></TR></TBODY></TABLE>

OSELTAMIVIR RESISTANCE
Influenza Subtype
A/H1
A/H3
B
Season/Lab
Tested
Resistant
Tested
Resistant
Tested
Resistant
07-08
Combined
1,062
11.3%
454
0%
350
0%
08-09
WI
-
-
-
-
-
-
08-09
CDC
50
98%
8
0%
20
0%​

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

Rhode Island

http://www.health.ri.gov/flu/activity.php

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

GA

http://health.state.ga.us/epi/graphs/Influenza weekly report-2008.doc

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

Alaska

http://www.epi.hss.state.ak.us/id/influenza/influenza.jsp

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

CT

http://www.ct.gov/dph/lib/dph/MMWRWK_51_Complete_Flu_Report_FNL.pdf

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

MO

http://www.dhss.mo.gov/Influenza/Week520809.pdf

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

Of the 608 specimens tested since the beginning of the 2008-09 flu season, 179 (29.4%) influenza isolates
have been detected by SLD. Of these, 4 (2%) were influenza A (subtype unknown), 166 (93%) were
influenza A(H1) and 5 (3%) were influenza A(H3). There have been 4 (2%) influenza B cases. Select​

isolates were sent to CDC for strain characterization.

http://hawaii.gov/health/about/fami...ports/Influenza Surveillance Week 51 2008.pdf

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

CDC has reported antigenic characterization results from 21 influenza isolates [11 influenza A/H1, 0 influenza A/H3, and 10 influenza B viruses] received from the Texas Department of State Health Services (DSHS) Laboratory since the beginning of the 2008-09 flu season.
Influenza A/H1 [11] ​

Eleven (100%) of the eleven viruses were characterized as A/Brisbane/59/2007, the influenza A/H1 component of the 2008-09 influenza vaccine for the Northern Hemisphere.

Influenza A/H3 [0]​

The DSHS lab has not isolated influenza A/H3 from any specimens yet this season.

http://www.dshs.state.tx.us/idcu/disease/influenza/surveillance/2009/CurrentFlu.pdf

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

?​

​

Five positive specimens
have been reported by the
state laboratory​

?​

​

Influenza A (H1) 2​

?​

​

Influenza A (H3) 3​

?​

​

Influenza A (unknown) 0​

? Influenza B 0
http://www.idph.state.il.us/flu/08-09/12_20_08.pdf

 

[HenryN]

Re: Seasonal Flu 2008 - 2009

Preliminary:

<TABLE cellSpacing=0 cellPadding=0 width=782 border=0><TBODY><TR><TD align=middle width=780 bgColor=#0063c8 height=1>[FONT=Arial, Helvetica, sans-serif][SIZE=-1]EISS - Weekly Electronic Bulletin [/SIZE][/FONT]</TD><TD width=1 bgColor=black height=1>

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</TD><TD width=780 bgColor=#0063c8 height=1><TABLE border=0><TBODY><TR bgColor=white><TD noWrap width=254 bgColor=#0063c8>[FONT=Arial, Helvetica, sans-serif][SIZE=-1]Week 52 : 22/12/2008-28/12/2008[/SIZE][/FONT]</TD><TD noWrap align=middle width=258 bgColor=#0063c8>[FONT=Arial, Helvetica, sans-serif][SIZE=-1][/SIZE][/FONT]</TD><TD noWrap align=right width=254 bgColor=#0063c8>[FONT=Arial, Helvetica, sans-serif][SIZE=-1], Issue N? 286[/SIZE][/FONT]</TD></TR></TBODY></TABLE></TD><TD width=1 bgColor=black height=1>

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</TD><TD width=780 bgColor=white><TABLE width=780 border=0><TBODY><TR><TD>[FONT=Arial, Helvetica, sans-serif][SIZE=+1]Map

The map presents the intensity of influenza activity and the geographical spread as assessed by each of the networks in EISS.

Clicking on the map will, if available, take you through to the national web site. If 'regional' activity is reported, a pop-up text box will appear which describes the activity in greater detail.

Clicking on England and France will provide you with regional data.

<MAP name=area><AREA shape=POLY alt="Northern Ireland" coords=140,289,150,289,153,309,142,312,127,301 href="http://www.cdscni.org.uk/"><AREA shape=POLY alt=Iceland coords=88,61,88,60,83,50,72,50,59,60,56,71,56,95,66,106,79,120,101,118,136,105,136,84,135,69,116,65,105,67 href="http://www.landspitali.is"><AREA shape=POLY alt=Denmark coords=173,161,176,165,171,173,170,180,169,182,163,181,162,176,162,167,161,164,168,160 href="http://www.ssi.dk/sw2796.asp"><AREA shape=POLY alt=Norway coords=332,79,328,90,322,100,314,114,312,120,302,142,296,152,288,153,279,166,257,185,255,238,266,258,282,259,297,245,305,238,310,240,313,240,314,227,322,220,322,213,318,209,322,198,318,188,314,171,318,153,324,148,329,149,331,145,328,137,333,130,333,117,345,89,341,85,347,78 href="http://www.fhi.no"><AREA shape=POLY alt=Norway coords=434,21,423,33,411,25,408,26,406,28,401,27,398,37,400,45,398,53,397,54,390,52,384,57,373,46,364,64,355,62,353,66,354,72,350,74,344,79,316,79,322,68,331,56,343,40,360,26,378,11,394,2,419,5,432,14,429,18 href="http://www.fhi.no"><AREA shape=POLY alt=Sweden coords=371,52,377,60,384,61,390,68,393,82,402,108,390,111,310,239,314,238,315,227,322,221,321,213,318,209,319,206,323,199,319,192,314,171,316,167,316,158,322,151,324,146,329,148,331,145,327,136,334,127,332,117,338,101,345,89,341,84,347,75,353,73,354,69,354,62,359,62,365,63,369,52 href="http://www.smittskyddsinstitutet.se/SMItemplates/Article.aspx?id=3021"><AREA shape=POLY alt=Sweden coords=385,118,316,226,310,239,310,255,321,280,324,293,326,307,336,305,339,305,342,300,342,298,341,297,357,291,361,289,366,266,362,247,377,231,377,217,361,200,363,178,373,159,384,144,387,133 href="http://www.smittskyddsinstitutet.se/SMItemplates/Article.aspx?id=3021"><AREA shape=POLY alt=Denmark coords=307,260,311,273,305,279,310,286,307,295,308,300,314,293,323,290,326,300,325,310,326,310,319,319,310,319,300,314,288,314,281,311,286,305,281,302,281,296,272,297,273,278,284,278,285,274,294,271 href="http://www.ssi.dk/sw2796.asp"><AREA shape=POLY alt=Scotland coords=195,225,190,222,184,230,182,234,170,232,161,242,160,231,149,235,149,242,141,248,140,258,150,256,152,263,142,267,148,271,144,282,151,288,151,291,156,294,155,302,160,304,170,304,181,295,185,293,189,287,187,279,191,273,191,270,197,259,196,252,180,250,189,240,194,231,196,225 href="http://www.show.scot.nhs.uk/scieh/"><AREA shape=POLY alt=Scotland coords=210,199,204,206,202,209,204,217,209,217,210,210,211,206,214,199 href="http://www.show.scot.nhs.uk/scieh/"><AREA shape=POLY alt=Finland coords=380,209,379,213,380,216,386,215,388,212,385,209 href="http://www.ktl.fi"><AREA shape=POLY alt=Sweden coords=379,245,379,251,375,256,372,262,373,269,374,276,375,276,377,270,381,263,381,257,385,253,381,252,382,245 href="http://www.smittskyddsinstitutet.se/SMItemplates/Article.aspx?id=3021"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=England coords=159,307,158,311,157,314,163,314,164,310,164,306,163,306 href="/cgi-files/regional.cgi?year=2008&week=52&region=England"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=England coords=190,287,185,291,184,294,182,294,173,302,169,305,171,313,174,317,172,327,170,331,171,333,182,332,197,329,205,328,203,317,200,312,194,306,193,289 href="/cgi-files/regional.cgi?year=2008&week=52&region=England"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=England coords=204,328,192,331,182,331,175,333,169,332,167,342,166,353,165,362,178,359,192,358,193,359,209,359,214,361,218,354,221,348,219,344,209,340,206,341,207,330 href="/cgi-files/regional.cgi?year=2008&week=52&region=England"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=England coords=213,360,203,359,191,359,190,358,174,359,169,362,165,365,159,363,147,367,141,375,133,378,133,383,142,383,150,380,159,384,163,377,170,380,181,381,200,382,212,377,215,369,210,367 href="/cgi-files/regional.cgi?year=2008&week=52&region=England"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Wales coords=171,328,170,328,168,337,168,344,167,350,165,357,167,362,163,364,158,362,154,358,147,357,144,352,146,348,151,346,156,343,159,336,155,337,152,336,152,333,155,331,155,323,158,324,166,326 href="/cgi-files/regional_comments.cgi?year=2008&week=52&region=Wales"><AREA shape=POLY alt=Ireland coords=141,287,138,284,126,285,126,290,121,292,123,297,123,300,114,296,107,296,105,306,103,313,108,318,101,328,93,331,95,345,100,348,120,346,127,343,136,344,142,337,145,319,143,312,137,307,136,306,134,307,129,303,128,300,134,293 href="http://www.ndsc.ie"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt="The Netherlands" coords=272,339,272,338,272,344,271,346,272,348,272,351,267,354,270,358,268,362,268,365,261,368,259,369,261,372,259,379,255,377,249,374,243,372,237,376,230,373,233,368,238,362,239,352,245,345,252,335,264,336 href="/cgi-files/regional_comments.cgi?year=2008&week=52&region=Netherlands"><AREA shape=POLY alt=Belgium coords=258,379,259,379,258,386,262,390,262,393,257,399,256,402,256,407,256,407,253,406,245,400,246,395,242,398,239,396,236,390,232,387,229,383,225,382,223,379,223,375,231,372,237,376,243,372,251,373 href="http://www.iph.fgov.be/flu/"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=France coords=223,376,212,378,211,391,195,396,192,401,182,399,181,393,172,394,174,413,164,409,159,405,144,405,138,408,139,422,151,428,153,434,161,435,162,442,168,454,174,453,178,451,179,448,177,444,180,441,192,442,200,448,200,452,217,453,221,450,229,450,236,456,244,454,248,451,252,454,262,451,268,445,272,443,274,431,276,424,280,419,277,416,266,413,261,407,254,407,246,400,246,396,242,400,240,395,235,390,228,383,223,382 href="/cgi-files/regional.cgi?year=2008&week=52&region=France"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=France coords=262,452,253,455,248,451,240,455,237,456,230,451,222,450,218,453,208,452,200,452,198,446,192,442,185,441,179,442,176,443,179,448,177,452,170,455,168,453,169,468,167,486,161,499,159,504,168,514,177,516,179,521,187,521,189,520,195,521,198,528,207,528,208,530,212,529,216,529,217,518,229,510,232,513,241,515,251,521,261,517,269,510,273,504,271,502,264,497,265,491,261,485,266,482,267,479,264,473,266,471,262,463,258,465,256,465,257,460,258,456 href="/cgi-files/regional.cgi?year=2008&week=52&region=France"><AREA shape=POLY alt=Switzerland coords=306,455,302,464,301,461,302,464,301,466,295,463,292,466,288,472,285,469,282,465,278,469,276,471,269,472,266,472,265,470,262,464,257,466,254,466,257,456,261,452,267,445,273,441,283,441,289,439,295,443,296,450,302,455 href="http://www.bag.admin.ch/sentinella"><AREA shape=POLY alt=Germany coords=300,313,302,320,314,320,311,330,315,327,325,320,295,443,290,440,285,440,280,442,273,442,274,431,277,423,280,419,277,417,268,414,261,407,261,402,260,397,262,391,259,386,259,379,261,375,261,374,259,368,263,366,266,365,269,359,268,355,265,354,270,351,272,347,270,345,273,343,270,338,269,337,271,334,279,331,282,335,286,330,286,327,284,321,282,311,290,314,296,314 href="http://www.influenza.rki.de/agi"><AREA shape=POLY alt=Germany coords=324,321,331,316,336,319,342,331,344,341,342,346,342,348,346,355,348,364,347,368,352,382,347,384,343,383,334,391,321,395,326,400,327,408,343,423,331,433,333,440,325,440,315,444,311,445,307,443,304,446,294,442 href="http://www.influenza.rki.de/agi"><AREA shape=POLY alt=Bulgaria coords=451,492,454,498,466,495,478,493,490,489,497,481,519,483,520,492,516,505,523,513,513,516,509,516,503,523,501,531,489,534,479,533,463,538,457,529,451,524,450,516,455,509 href=""><AREA shape=POLY alt="Czech Republic" coords=352,381,356,383,363,386,367,385,369,388,367,390,371,393,372,389,374,387,380,392,388,396,396,401,395,404,392,410,377,418,362,419,360,417,356,416,349,423,340,424,340,419,326,406,326,400,321,395,326,395,341,385,345,383,350,383 href="http://www.szu.cz/cema/aro/aro.htm"><AREA shape=POLY alt=Slovakia coords=435,406,434,406,430,405,425,401,419,400,417,404,412,403,410,406,403,404,400,402,394,404,387,412,378,417,374,421,377,428,378,432,384,435,389,435,395,434,398,429,406,425,411,424,415,417,421,417,428,418,429,420,431,419,433,417 href="http://www.sea.host.sk/chripka.htm"><AREA shape=POLY alt=Slovenia coords=371,452,371,458,369,461,368,466,365,466,363,467,364,472,363,476,354,477,352,477,346,480,340,479,340,475,341,467,338,464,340,461,345,461,353,461,358,457,363,458 href="http://www.ivz.si/ivz/"><AREA shape=POLY alt=Poland coords=344,340,340,328,359,321,362,315,375,308,385,315,397,315,418,313,424,311,431,315,439,340,432,346,439,353,441,365,448,378,438,390,435,400 href="http://www.pzh.gov.pl/aindex.html"><AREA shape=POLY alt=Poland coords=436,398,435,406,430,404,426,402,419,401,417,405,412,403,409,407,400,403,396,402,386,396,383,394,376,391,373,390,371,394,366,390,368,387,364,386,358,386,352,381,351,374,347,366,349,365,347,362,345,352,341,348,342,346,343,338 href="http://www.pzh.gov.pl/aindex.html"><AREA shape=POLY alt=Hungary coords=433,416,439,421,443,422,443,424,435,432,432,441,427,456,419,461,416,460,412,460,406,465,401,466,399,468,389,469,385,466,383,464,373,457,372,450,373,449,373,440,375,440,373,437,375,437,377,438,380,432,383,433,389,435,398,432,400,429,407,425,413,423,416,418,426,417,431,419 href="http://www.oek.hu"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=France coords=292,520,291,526,288,527,282,529,282,541,284,549,290,554,293,547,295,538,295,534,294,522 href="/cgi-files/regional.cgi?year=2008&week=52&region=France"><AREA shape=POLY alt=Italy coords=345,460,336,458,328,459,322,452,318,452,313,453,312,457,305,456,302,460,302,466,296,462,287,471,283,464,276,472,265,470,263,474,268,479,261,484,264,491,263,496,265,500,270,503,272,504,271,510,278,507,284,500,329,492,329,481,335,478,341,477,341,471,339,465,341,462 href="http://www.virologia.unimi.it/influenza"><AREA shape=POLY alt=Italy coords=364,537,376,537,378,542,375,547,393,555,405,560,409,568,406,574,405,575,390,564,385,574,393,582,394,590,379,611,372,610,372,603,374,595,378,586,369,575,360,571 href="http://www.virologia.unimi.it/influenza"><AREA shape=POLY alt=Italy coords=372,603,361,606,350,609,345,606,333,607,330,616,337,621,347,626,358,629,361,634,370,633,372,624,371,617 href="http://www.virologia.unimi.it/influenza"><AREA shape=POLY alt=Italy coords=328,491,291,497,293,504,301,509,301,527,303,532,334,551,350,565,363,571,365,539,350,527,345,511,331,501 href="http://www.virologia.unimi.it/influenza"><AREA shape=POLY alt=Italy coords=291,553,294,555,298,562,298,568,296,570,296,586,296,592,289,592,284,598,277,593,276,588,279,572,275,567,275,556,279,554,281,559,286,554 href="http://www.virologia.unimi.it/influenza"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Spain coords=204,528,207,530,219,529,219,536,214,543,202,549,185,554,182,560,170,574,171,588,174,589,166,596,157,609,148,610,135,622,116,618,100,620,93,625,80,621,79,610,74,599,202,528 href="/cgi-files/regional_comments.cgi?year=2008&week=52&region=Spain"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Spain coords=75,600,206,528,197,526,196,523,191,519,187,521,178,520,177,516,172,515,160,504,150,500,141,498,122,494,115,490,101,486,91,482,81,481,81,485,71,485,67,491,69,512,73,512,76,510,78,510,80,515,84,515,87,517,91,517,93,516,94,518,98,518,97,522,101,525,98,529,95,529,90,533,90,538,86,550,86,553,83,555,81,555,80,561,81,565,81,570,77,571,76,577,78,582,79,583,73,586,70,590,70,599 href="/cgi-files/regional_comments.cgi?year=2008&week=52&region=Spain"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Spain coords=227,571,221,570,220,575,216,575,212,571,206,573,202,576,201,581,207,582,208,586,215,583,218,578,230,575 href="/cgi-files/regional_comments.cgi?year=2008&week=52&region=Spain"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Spain coords=193,583,189,582,185,586,187,591,191,594,193,589 href="/cgi-files/regional_comments.cgi?year=2008&week=52&region=Spain"><AREA onclick="return popupregional(this, 'notes')" shape=POLY alt=Spain coords=58,616,70,616,72,616,70,627,66,627,56,622 href="/cgi-files/regional_comments.cgi?year=2008&week=52&region=Spain"><AREA shape=POLY alt=Portugal coords=69,511,73,513,77,509,79,515,84,516,86,517,91,516,94,515,94,518,99,519,98,521,100,526,99,528,94,530,90,532,86,549,86,555,81,555,79,561,82,562,81,570,78,571,76,576,76,581,78,584,70,590,70,598,65,600,53,598,48,596,33,591,34,587,38,587,44,592,49,594,51,587,54,573,50,570,47,564,51,553,59,542,65,530 href="http://www.dgsaude.pt/"><AREA shape=RECT alt="Portugal (Azores)" coords=2,544,22,559 href="http://www.dgsaude.pt/"><AREA onclick="return popup(this, 'notes')" shape=POLY alt=Greece coords=500,525,505,526,505,529,502,531,503,538,501,543,503,548,504,564,502,567,511,581,521,598,528,602,539,604,540,609,546,608,543,618,528,639,518,644,493,652,480,642,453,621,434,594,425,577,421,571,425,569,428,577,431,569,438,553,442,549,446,549,452,543,461,538,472,534,480,531,482,534,494,532,499,531 href="/cgi-files/regional.cgi?year=2008&week=52&region=Greece"><AREA shape=POLY alt=Estonia coords=401,248,427,247,459,252,454,233,455,218,440,214,422,219,406,225 href="http://www.tervisekaitse.ee"><AREA shape=POLY alt=Albania coords=415,537,414,528,417,522,421,525,426,525,431,533,430,544,439,554,428,576,426,570,416,563,415,553,417,543><AREA shape=POLY alt=Macedonia coords=431,533,430,544,438,553,443,549,447,548,452,543,457,543,462,538,460,530,451,523,445,526><AREA shape=POLY alt=Turkey coords=679,464,671,464,663,479,653,478,642,489,621,490,613,486,603,481,595,483,629,583,634,578,643,579,652,581,658,576,660,573,657,566,663,562,667,562,679,554,679,554><AREA shape=POLY alt=Turkey coords=596,482,566,508,542,522,521,515,508,514,500,524,506,525,505,529,502,533,503,538,500,542,504,564,502,567,516,588,525,588,524,595,530,602,539,600,541,608,548,604,557,610,578,609,579,597,598,598,609,602,619,599,629,585><AREA shape=POLY alt=Finland coords=423,32,413,26,410,24,405,28,400,28,398,37,400,45,397,53,389,51,385,56,373,45,370,50,375,58,378,61,385,63,392,73,395,92,401,108,433,66,431,62,427,56,420,56,420,46,418,42,421,39 href="http://www.ktl.fi"><AREA shape=POLY alt=Finland coords=432,67,431,75,431,82,442,96,442,114,448,123,454,127,452,134,457,140,388,160,384,157,390,152,403,127,409,111,401,106 href="http://www.ktl.fi"><AREA shape=POLY alt=Finland coords=458,139,464,147,467,152,450,191,452,195,408,218,393,214,391,204,384,159 href="http://www.ktl.fi"><AREA shape=POLY alt=Romania coords=519,483,510,483,503,480,497,483,492,483,486,491,460,493,455,496,450,489,445,482,439,484,435,481,434,476,427,473,417,461,422,459,427,453,431,439,435,430,441,423 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coords=434,20,444,20,458,23,467,24,500,35,514,50,530,48,519,38,508,14,528,9,540,17,545,16,555,0,679,0,679,177,451,193,452,182,459,170,466,151,461,140,452,134,452,129,454,126,451,124,442,113,440,94,431,81,431,72,433,67,427,57,422,57,419,50,419,44,419,41,423,33,424,31><AREA shape=POLY alt="" coords=452,194,457,203,448,212,456,224,451,234,457,245,459,253,466,270,451,282,456,293,452,309,436,320,440,339,434,347,448,378,680,373,680,172><AREA shape=POLY alt="" coords=449,376,437,390,434,398,434,406,432,415,441,423,460,421,465,423,480,411,487,410,490,420,504,432,504,448,514,457,521,451,527,451,536,427,543,375><AREA shape=POLY alt="" coords=671,463,667,453,636,442,615,434,596,429,587,441,573,454,560,443,552,437,535,424,541,374,679,371,679,465><AREA shape=POLY alt=Lithuania coords=414,278,401,286,402,300,417,300,421,304,421,312,428,314,433,323,439,321,450,309,452,302,456,292,452,283,446,279,437,275,434,278 href="http://www.aids.lt"><AREA shape=POLY alt="" coords=394,306,391,317,412,314,418,314,422,305,417,299,398,300><AREA shape=POLY alt=Luxembourg coords=255,400,254,407,260,408,263,402,261,395 href="http://www.ms.etat.lu/"><AREA shape=POLY alt=Latvia coords=398,283,430,279,449,281,464,270,457,251,439,247,423,250,396,250 href="http://www.sva.lv"><AREA shape=CIRCLE alt=Denmark coords=347,310,5 href="http://www.ssi.dk/sw2796.asp"><AREA shape=RECT alt=Norway coords=290,8,326,41 href="http://www.fhi.no"></MAP><FORM name=form1 action="" method=post>You may select the type of map :</B> Intensity <INPUT onclick="movepic('button','/bulletin_maps/2008_52_int_v2.png')" type=radio CHECKED value=radiobutton name=radiobutton> Geographical spread <INPUT onclick="movepic('button','/bulletin_maps/2008_52_v2.png')" type=radio value=radiobutton name=radiobutton> </FORM><CENTER>

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<CENTER><TABLE cellSpacing=5><TBODY><TR><TD vAlign=top noWrap>[FONT=Arial, Helvetica, sans-serif]A = Dominant virus A
H1N1 = Dominant virus A(H1N1)
H3N2 = Dominant virus A(H3N2)
H1N2 = Dominant virus A(H1N2)
B = Dominant virus B
A & B = Dominant virus A & B

= : stable clinical activity
+ : increasing clinical activity
- : decreasing clinical activity

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</TD><TD vAlign=top>[FONT=Arial, Helvetica, sans-serif]Low = no influenza activity or influenza at baseline levels
Medium = usual levels of influenza activity
High = higher than usual levels of influenza activity
Very high = particularly severe levels of influenza activity

No activity = no evidence of influenza virus activity (clinical activity remains at baseline levels)
Sporadic = isolated cases of laboratory confirmed influenza infection
Local outbreak = increased influenza activity in local areas (e.g. a city) within a region,
or outbreaks in two or more institutions (e.g. schools) within a region. Laboratory confirmed.
Regional activity = influenza activity above baseline levels in one or more regions with
a population comprising less than 50% of the country's total population. Laboratory confirmed.
Widespread = influenza activity above baseline levels in one or more regions with a population
comprising 50% or more of the country's population. Laboratory confirmed.

Finland : Where available, the epidemiological data are provided by a health-care district in
South-Western Finland (the health-care district serves 54,000 inhabitants i.e. approximately one
percent of the Finnish population).
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</TD><TD width=780 bgColor=white><TABLE><TBODY><TR><TD>[FONT=Arial, Helvetica, sans-serif][SIZE=-1][SIZE=+1]Network comments[/SIZE] [SIZE=-1](where available)[/SIZE]

<TABLE><TBODY><TR><TD width=20> </TD><TD width=700>[FONT=Arial, Helvetica, sans-serif][SIZE=-1]Italy
Three A/H3N2 influenza isolates have been reported during this week.
Latvia
Influenza activity is still very low .Second influenza A virus in this season , has been detected in last week from patient getting ill on the day of returning from England.
Netherlands
First week this season that a substantial proportion of specimens from sentinel ILI patients contained influenza virus: in 5 of 11 specimens A(H3N2) was detected. So far this season all influenza viruses detected in specimens from sentinel ILI patients were A(H3N2).
Switzerland
Influenza A, and exclusively influenza A (H3N2) are detected in Switzerland. Medical consultations remained below threshold last week.
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</TD><TD width=780 bgColor=black height=1>

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</TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width=782 border=0><TBODY><TR><TD width=1 bgColor=black height=1>

</TD><TD width=780 bgColor=#1d92ff height=5>

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</TD><TD width=780 bgColor=white><TABLE width=780><TBODY><TR><TD>[FONT=Arial, Helvetica, sans-serif][SIZE=-1][SIZE=+1]Table and graphs[/SIZE] [SIZE=-1](where available)[/SIZE]

<CENTER><TABLE cellSpacing=0 cellPadding=2 bgColor=white border=0><TBODY><TR><TD bgColor=#808080 colSpan=14>

</TD></TR><TR><TD vAlign=top bgColor=white>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD vAlign=top bgColor=white>[FONT=Arial, Helvetica, sans-serif]Intensity[/FONT]</TD><TD vAlign=top bgColor=white>[FONT=Arial, Helvetica, sans-serif]Geographic
Spread[/FONT]</TD><TD vAlign=top bgColor=white>[FONT=Arial, Helvetica, sans-serif]Sentinel
swabs[/FONT]</TD><TD vAlign=top bgColor=white>[FONT=Arial, Helvetica, sans-serif]Percentage
positive[/FONT]</TD><TD vAlign=top bgColor=white>[FONT=Arial, Helvetica, sans-serif]Dominant
type[/FONT]</TD><TD vAlign=top align=middle bgColor=white colSpan=2>[FONT=Arial, Helvetica, sans-serif]ILI per
100,000[/FONT]</TD><TD vAlign=top align=middle bgColor=white colSpan=2>[FONT=Arial, Helvetica, sans-serif]ARI per
100,000[/FONT]</TD><TD vAlign=top noWrap bgColor=white>[FONT=Arial, Helvetica, sans-serif]Virology graph
and pie chart[/FONT]</TD></TR><TR><TD bgColor=#808080 colSpan=13>

</TD></TR><TR id=r2c0><TD class=relative id=r2c1 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>[FONT=Arial, Helvetica, sans-serif]Belgium[/FONT]</TD><TD class=relative id=r2c2 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r2c3 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>[FONT=Arial, Helvetica, sans-serif]Sporadic[/FONT]</TD><TD class=relative id=r2c4 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>[FONT=Arial, Helvetica, sans-serif]10[/FONT]</TD><TD class=relative id=r2c5 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>[FONT=Arial, Helvetica, sans-serif]20.0%[/FONT]</TD><TD class=relative id=r2c6 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A[/FONT]</TD><TD class=relative id=r2c7 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11) align=right>[FONT=Arial, Helvetica, sans-serif]63.5[/FONT]</TD><TD class=relative id=r2c8 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r2c9 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11) align=right>[FONT=Arial, Helvetica, sans-serif]1518.7[/FONT]</TD><TD class=relative id=r2c10 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r2c11 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r3c0><TD class=relative id=r3c1 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>[FONT=Arial, Helvetica, sans-serif]Bulgaria[/FONT]</TD><TD class=relative id=r3c2 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r3c3 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r3c4 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r3c5 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r3c6 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11) noWrap>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r3c7 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r3c8 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r3c9 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11) align=right>[FONT=Arial, Helvetica, sans-serif]476.3 [/FONT]</TD><TD class=relative id=r3c10 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r3c11 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r4c0><TD class=relative id=r4c1 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>[FONT=Arial, Helvetica, sans-serif]Czech Republic[/FONT]</TD><TD class=relative id=r4c2 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r4c3 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r4c4 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>[FONT=Arial, Helvetica, sans-serif]11[/FONT]</TD><TD class=relative id=r4c5 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>[FONT=Arial, Helvetica, sans-serif]0%[/FONT]</TD><TD class=relative id=r4c6 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11) noWrap>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r4c7 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11) align=right>[FONT=Arial, Helvetica, sans-serif]12.9 [/FONT]</TD><TD class=relative id=r4c8 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r4c9 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11) align=right>[FONT=Arial, Helvetica, sans-serif]565.2 [/FONT]</TD><TD class=relative id=r4c10 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r4c11 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r5c0><TD class=relative id=r5c1 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>[FONT=Arial, Helvetica, sans-serif]Denmark[/FONT]</TD><TD class=relative id=r5c2 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r5c3 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r5c4 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>[FONT=Arial, Helvetica, sans-serif]3[/FONT]</TD><TD class=relative id=r5c5 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>[FONT=Arial, Helvetica, sans-serif]100.0%[/FONT]</TD><TD class=relative id=r5c6 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3N2[/FONT]</TD><TD class=relative id=r5c7 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11) align=right>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r5c8 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r5c9 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11) noWrap>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r5c10 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r5c11 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r6c0><TD class=relative id=r6c1 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>[FONT=Arial, Helvetica, sans-serif]England[/FONT]</TD><TD class=relative id=r6c2 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>[FONT=Arial, Helvetica, sans-serif]Medium[/FONT]</TD><TD class=relative id=r6c3 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r6c4 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>[FONT=Arial, Helvetica, sans-serif]146[/FONT]</TD><TD class=relative id=r6c5 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>[FONT=Arial, Helvetica, sans-serif]65.8%[/FONT]</TD><TD class=relative id=r6c6 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3[/FONT]</TD><TD class=relative id=r6c7 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11) align=right>[FONT=Arial, Helvetica, sans-serif]41.3 [/FONT]</TD><TD class=relative id=r6c8 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r6c9 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11) align=right>[FONT=Arial, Helvetica, sans-serif]701.1 [/FONT]</TD><TD class=relative id=r6c10 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r6c11 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r7c0><TD class=relative id=r7c1 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>[FONT=Arial, Helvetica, sans-serif]Estonia[/FONT]</TD><TD class=relative id=r7c2 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r7c3 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r7c4 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>[FONT=Arial, Helvetica, sans-serif]2[/FONT]</TD><TD class=relative id=r7c5 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>[FONT=Arial, Helvetica, sans-serif]0%[/FONT]</TD><TD class=relative id=r7c6 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11) noWrap>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r7c7 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11) align=right>[FONT=Arial, Helvetica, sans-serif]1.3[/FONT]</TD><TD class=relative id=r7c8 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r7c9 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11) align=right>[FONT=Arial, Helvetica, sans-serif]114.8[/FONT]</TD><TD class=relative id=r7c10 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r7c11 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r8c0><TD class=relative id=r8c1 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>[FONT=Arial, Helvetica, sans-serif]France[/FONT]</TD><TD class=relative id=r8c2 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>[FONT=Arial, Helvetica, sans-serif]Medium[/FONT]</TD><TD class=relative id=r8c3 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r8c4 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>[FONT=Arial, Helvetica, sans-serif]51[/FONT]</TD><TD class=relative id=r8c5 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>[FONT=Arial, Helvetica, sans-serif]27.5%[/FONT]</TD><TD class=relative id=r8c6 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3N2[/FONT]</TD><TD class=relative id=r8c7 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r8c8 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r8c9 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11) align=right>[FONT=Arial, Helvetica, sans-serif]2516.5 [/FONT]</TD><TD class=relative id=r8c10 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r8c11 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r9c0><TD class=relative id=r9c1 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>[FONT=Arial, Helvetica, sans-serif]Germany[/FONT]</TD><TD class=relative id=r9c2 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r9c3 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r9c4 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>[FONT=Arial, Helvetica, sans-serif]54[/FONT]</TD><TD class=relative id=r9c5 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>[FONT=Arial, Helvetica, sans-serif]74.1%[/FONT]</TD><TD class=relative id=r9c6 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3[/FONT]</TD><TD class=relative id=r9c7 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11) noWrap>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r9c8 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r9c9 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11) align=right>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r9c10 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r9c11 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r10c0><TD class=relative id=r10c1 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>[FONT=Arial, Helvetica, sans-serif]Greece[/FONT]</TD><TD class=relative id=r10c2 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r10c3 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r10c4 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>[FONT=Arial, Helvetica, sans-serif]0[/FONT]</TD><TD class=relative id=r10c5 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>[FONT=Arial, Helvetica, sans-serif]0%[/FONT]</TD><TD class=relative id=r10c6 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11) noWrap>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r10c7 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11) align=right>[FONT=Arial, Helvetica, sans-serif]63.8[/FONT]</TD><TD class=relative id=r10c8 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r10c9 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0[/FONT]</TD><TD class=relative id=r10c10 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r10c11 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r11c0><TD class=relative id=r11c1 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>[FONT=Arial, Helvetica, sans-serif]Hungary[/FONT]</TD><TD class=relative id=r11c2 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r11c3 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r11c4 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r11c5 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r11c6 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11) noWrap>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r11c7 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11) align=right>[FONT=Arial, Helvetica, sans-serif]36.8[/FONT]</TD><TD class=relative id=r11c8 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r11c9 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0[/FONT]</TD><TD class=relative id=r11c11 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r11c11 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r12c0><TD class=relative id=r12c1 onmouseover=crossRow_over(12,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(12,11)>[FONT=Arial, Helvetica, sans-serif]Ireland[/FONT]</TD><TD class=relative id=r12c2 onmouseover=crossRow_over(12,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(12,11)>[FONT=Arial, Helvetica, sans-serif]Medium[/FONT]</TD><TD class=relative id=r12c3 onmouseover=crossRow_over(12,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(12,11)>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r12c4 onmouseover=crossRow_over(12,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(12,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r12c5 onmouseover=crossRow_over(12,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(12,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r12c6 onmouseover=crossRow_over(12,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(12,11) noWrap>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r12c7 onmouseover=crossRow_over(12,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(12,11) align=right>[FONT=Arial, Helvetica, sans-serif]72.8 [/FONT]</TD><TD class=relative id=r12c8 onmouseover=crossRow_over(12,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(12,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r12c9 onmouseover=crossRow_over(12,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(12,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r12c10 onmouseover=crossRow_over(12,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(12,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r12c11 onmouseover=crossRow_over(12,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(12,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r13c0><TD class=relative id=r13c1 onmouseover=crossRow_over(13,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(13,11)>[FONT=Arial, Helvetica, sans-serif]Italy[/FONT]</TD><TD class=relative id=r13c2 onmouseover=crossRow_over(13,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(13,11)>[FONT=Arial, Helvetica, sans-serif]Medium[/FONT]</TD><TD class=relative id=r13c3 onmouseover=crossRow_over(13,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(13,11)>[FONT=Arial, Helvetica, sans-serif]Local[/FONT]</TD><TD class=relative id=r13c4 onmouseover=crossRow_over(13,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(13,11)>[FONT=Arial, Helvetica, sans-serif]15[/FONT]</TD><TD class=relative id=r13c5 onmouseover=crossRow_over(13,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(13,11)>[FONT=Arial, Helvetica, sans-serif]13.3%[/FONT]</TD><TD class=relative id=r13c6 onmouseover=crossRow_over(13,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(13,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3[/FONT]</TD><TD class=relative id=r13c7 onmouseover=crossRow_over(13,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(13,11) align=right>[FONT=Arial, Helvetica, sans-serif]138.0 [/FONT]</TD><TD class=relative id=r13c8 onmouseover=crossRow_over(13,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(13,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r13c9 onmouseover=crossRow_over(13,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(13,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r13c10 onmouseover=crossRow_over(13,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(13,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r13c11 onmouseover=crossRow_over(13,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(13,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r14c0><TD class=relative id=r14c1 onmouseover=crossRow_over(14,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(14,11)>[FONT=Arial, Helvetica, sans-serif]Latvia[/FONT]</TD><TD class=relative id=r14c2 onmouseover=crossRow_over(14,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(14,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r14c3 onmouseover=crossRow_over(14,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(14,11)>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r14c4 onmouseover=crossRow_over(14,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(14,11)>[FONT=Arial, Helvetica, sans-serif]0[/FONT]</TD><TD class=relative id=r14c5 onmouseover=crossRow_over(14,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(14,11)>[FONT=Arial, Helvetica, sans-serif]0%[/FONT]</TD><TD class=relative id=r14c6 onmouseover=crossRow_over(14,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(14,11) noWrap>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r14c7 onmouseover=crossRow_over(14,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(14,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r14c8 onmouseover=crossRow_over(14,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(14,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r14c9 onmouseover=crossRow_over(14,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(14,11) align=right>[FONT=Arial, Helvetica, sans-serif]452.9 [/FONT]</TD><TD class=relative id=r14c10 onmouseover=crossRow_over(14,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(14,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r14c11 onmouseover=crossRow_over(14,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(14,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r15c0><TD class=relative id=r15c1 onmouseover=crossRow_over(15,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(15,11)>[FONT=Arial, Helvetica, sans-serif]Lithuania[/FONT]</TD><TD class=relative id=r15c2 onmouseover=crossRow_over(15,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(15,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r15c3 onmouseover=crossRow_over(15,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(15,11)>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r15c4 onmouseover=crossRow_over(15,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(15,11)>[FONT=Arial, Helvetica, sans-serif]0[/FONT]</TD><TD class=relative id=r15c5 onmouseover=crossRow_over(15,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(15,11)>[FONT=Arial, Helvetica, sans-serif]0%[/FONT]</TD><TD class=relative id=r15c6 onmouseover=crossRow_over(15,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(15,11) noWrap>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r15c7 onmouseover=crossRow_over(15,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(15,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.5 [/FONT]</TD><TD class=relative id=r15c8 onmouseover=crossRow_over(15,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(15,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r15c9 onmouseover=crossRow_over(15,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(15,11) align=right>[FONT=Arial, Helvetica, sans-serif]212.6 [/FONT]</TD><TD class=relative id=r15c10 onmouseover=crossRow_over(15,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(15,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r15c11 onmouseover=crossRow_over(15,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(15,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r16c0><TD class=relative id=r16c1 onmouseover=crossRow_over(16,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(16,11)>[FONT=Arial, Helvetica, sans-serif]Luxembourg[/FONT]</TD><TD class=relative id=r16c2 onmouseover=crossRow_over(16,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(16,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r16c3 onmouseover=crossRow_over(16,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(16,11)>[FONT=Arial, Helvetica, sans-serif]Sporadic[/FONT]</TD><TD class=relative id=r16c4 onmouseover=crossRow_over(16,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(16,11)>[FONT=Arial, Helvetica, sans-serif]14[/FONT]</TD><TD class=relative id=r16c5 onmouseover=crossRow_over(16,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(16,11)>[FONT=Arial, Helvetica, sans-serif]50.0%[/FONT]</TD><TD class=relative id=r16c6 onmouseover=crossRow_over(16,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(16,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A[/FONT]</TD><TD class=relative id=r16c7 onmouseover=crossRow_over(16,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(16,11) align=right>[FONT=Arial, Helvetica, sans-serif]151.2 [/FONT]</TD><TD class=relative id=r16c8 onmouseover=crossRow_over(16,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(16,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r16c9 onmouseover=crossRow_over(16,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(16,11) align=right>[FONT=Arial, Helvetica, sans-serif]3282.2 [/FONT]</TD><TD class=relative id=r16c10 onmouseover=crossRow_over(16,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(16,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r16c11 onmouseover=crossRow_over(16,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(16,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r17c0><TD class=relative id=r17c1 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>[FONT=Arial, Helvetica, sans-serif]Malta[/FONT]</TD><TD class=relative id=r17c2 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r17c3 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r17c4 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>[FONT=Arial, Helvetica, sans-serif]2[/FONT]</TD><TD class=relative id=r17c5 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>[FONT=Arial, Helvetica, sans-serif]100.0%[/FONT]</TD><TD class=relative id=r17c6 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11) noWrap>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r17c7 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11) align=right>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r17c8 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r17c9 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11) noWrap>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r17c10 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r17c11 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r18c0><TD class=relative id=r18c1 onmouseover=crossRow_over(18,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(18,11)>[FONT=Arial, Helvetica, sans-serif]Netherlands[/FONT]</TD><TD class=relative id=r18c2 onmouseover=crossRow_over(18,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(18,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r18c3 onmouseover=crossRow_over(18,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(18,11)>[FONT=Arial, Helvetica, sans-serif]Regional[/FONT]</TD><TD class=relative id=r18c4 onmouseover=crossRow_over(18,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(18,11)>[FONT=Arial, Helvetica, sans-serif]11[/FONT]</TD><TD class=relative id=r18c5 onmouseover=crossRow_over(18,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(18,11)>[FONT=Arial, Helvetica, sans-serif]45.5%[/FONT]</TD><TD class=relative id=r18c6 onmouseover=crossRow_over(18,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(18,11) noWrap>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r18c7 onmouseover=crossRow_over(18,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(18,11) align=right>[FONT=Arial, Helvetica, sans-serif]47.6 [/FONT]</TD><TD class=relative id=r18c8 onmouseover=crossRow_over(18,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(18,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r18c9 onmouseover=crossRow_over(18,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(18,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r18c10 onmouseover=crossRow_over(18,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(18,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r18c11 onmouseover=crossRow_over(18,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(18,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r19c0><TD class=relative id=r19c1 onmouseover=crossRow_over(19,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(19,11)>[FONT=Arial, Helvetica, sans-serif]Northern Ireland[/FONT]</TD><TD class=relative id=r19c2 onmouseover=crossRow_over(19,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(19,11)>[FONT=Arial, Helvetica, sans-serif]Medium[/FONT]</TD><TD class=relative id=r19c3 onmouseover=crossRow_over(19,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(19,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r19c4 onmouseover=crossRow_over(19,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(19,11)>[FONT=Arial, Helvetica, sans-serif]25[/FONT]</TD><TD class=relative id=r19c5 onmouseover=crossRow_over(19,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(19,11)>[FONT=Arial, Helvetica, sans-serif]56.0%[/FONT]</TD><TD class=relative id=r19c6 onmouseover=crossRow_over(19,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(19,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A[/FONT]</TD><TD class=relative id=r19c7 onmouseover=crossRow_over(19,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(19,11) align=right>[FONT=Arial, Helvetica, sans-serif]68.5 [/FONT]</TD><TD class=relative id=r19c8 onmouseover=crossRow_over(19,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(19,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r19c9 onmouseover=crossRow_over(19,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(19,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r19c10 onmouseover=crossRow_over(19,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(19,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r19c11 onmouseover=crossRow_over(19,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(19,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r21c0><TD class=relative id=r21c1 onmouseover=crossRow_over(21,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(21,11)>[FONT=Arial, Helvetica, sans-serif]Poland[/FONT]</TD><TD class=relative id=r21c2 onmouseover=crossRow_over(21,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(21,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r21c3 onmouseover=crossRow_over(21,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(21,11)>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r21c4 onmouseover=crossRow_over(21,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(21,11)>[FONT=Arial, Helvetica, sans-serif]1[/FONT]</TD><TD class=relative id=r21c5 onmouseover=crossRow_over(21,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(21,11)>[FONT=Arial, Helvetica, sans-serif]0%[/FONT]</TD><TD class=relative id=r21c6 onmouseover=crossRow_over(21,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(21,11) noWrap>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r21c7 onmouseover=crossRow_over(21,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(21,11) align=right>[FONT=Arial, Helvetica, sans-serif]36.4 [/FONT]</TD><TD class=relative id=r21c8 onmouseover=crossRow_over(21,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(21,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r21c9 onmouseover=crossRow_over(21,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(21,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r21c10 onmouseover=crossRow_over(21,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(21,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r21c11 onmouseover=crossRow_over(21,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(21,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r22c0><TD class=relative id=r22c1 onmouseover=crossRow_over(22,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(22,11)>[FONT=Arial, Helvetica, sans-serif]Portugal[/FONT]</TD><TD class=relative id=r22c2 onmouseover=crossRow_over(22,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(22,11)>[FONT=Arial, Helvetica, sans-serif]High[/FONT]</TD><TD class=relative id=r22c3 onmouseover=crossRow_over(22,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(22,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r22c4 onmouseover=crossRow_over(22,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(22,11)>[FONT=Arial, Helvetica, sans-serif]32[/FONT]</TD><TD class=relative id=r22c5 onmouseover=crossRow_over(22,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(22,11)>[FONT=Arial, Helvetica, sans-serif]84.4%[/FONT]</TD><TD class=relative id=r22c6 onmouseover=crossRow_over(22,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(22,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3[/FONT]</TD><TD class=relative id=r22c7 onmouseover=crossRow_over(22,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(22,11) align=right>[FONT=Arial, Helvetica, sans-serif]165.8 [/FONT]</TD><TD class=relative id=r22c8 onmouseover=crossRow_over(22,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(22,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r22c9 onmouseover=crossRow_over(22,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(22,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r22c10 onmouseover=crossRow_over(22,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(22,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r22c11 onmouseover=crossRow_over(22,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(22,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r23c0><TD class=relative id=r23c1 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>[FONT=Arial, Helvetica, sans-serif]Romania[/FONT]</TD><TD class=relative id=r23c2 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r23c3 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r23c4 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>[FONT=Arial, Helvetica, sans-serif]0[/FONT]</TD><TD class=relative id=r23c5 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>[FONT=Arial, Helvetica, sans-serif]0%[/FONT]</TD><TD class=relative id=r23c6 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11) noWrap>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r23c7 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r23c8 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r23c9 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11) align=right>[FONT=Arial, Helvetica, sans-serif]694.6 [/FONT]</TD><TD class=relative id=r23c10 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r23c11 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r25c0><TD class=relative id=r25c1 onmouseover=crossRow_over(25,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(25,11)>[FONT=Arial, Helvetica, sans-serif]Serbia[/FONT]</TD><TD class=relative id=r25c2 onmouseover=crossRow_over(25,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(25,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r25c3 onmouseover=crossRow_over(25,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(25,11)>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r25c4 onmouseover=crossRow_over(25,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(25,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r25c5 onmouseover=crossRow_over(25,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(25,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r25c6 onmouseover=crossRow_over(25,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(25,11) noWrap>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r25c7 onmouseover=crossRow_over(25,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(25,11) align=right>[FONT=Arial, Helvetica, sans-serif]55.2[/FONT]</TD><TD class=relative id=r25c8 onmouseover=crossRow_over(25,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(25,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r25c9 onmouseover=crossRow_over(25,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(25,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0[/FONT]</TD><TD class=relative id=r25c10 onmouseover=crossRow_over(25,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(25,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r25c11 onmouseover=crossRow_over(25,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(25,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r26c0><TD class=relative id=r26c1 onmouseover=crossRow_over(26,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(26,11)>[FONT=Arial, Helvetica, sans-serif]Slovakia[/FONT]</TD><TD class=relative id=r26c2 onmouseover=crossRow_over(26,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(26,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r26c3 onmouseover=crossRow_over(26,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(26,11)>[FONT=Arial, Helvetica, sans-serif]Sporadic[/FONT]</TD><TD class=relative id=r26c4 onmouseover=crossRow_over(26,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(26,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r26c5 onmouseover=crossRow_over(26,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(26,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r26c6 onmouseover=crossRow_over(26,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(26,11) noWrap>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r26c7 onmouseover=crossRow_over(26,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(26,11) align=right>[FONT=Arial, Helvetica, sans-serif]120.8 [/FONT]</TD><TD class=relative id=r26c8 onmouseover=crossRow_over(26,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(26,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r26c9 onmouseover=crossRow_over(26,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(26,11) align=right>[FONT=Arial, Helvetica, sans-serif]1116.4 [/FONT]</TD><TD class=relative id=r26c10 onmouseover=crossRow_over(26,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(26,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r26c11 onmouseover=crossRow_over(26,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(26,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r27c0><TD class=relative id=r27c1 onmouseover=crossRow_over(27,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(27,11)>[FONT=Arial, Helvetica, sans-serif]Slovenia[/FONT]</TD><TD class=relative id=r27c2 onmouseover=crossRow_over(27,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(27,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r27c3 onmouseover=crossRow_over(27,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(27,11)>[FONT=Arial, Helvetica, sans-serif]Sporadic[/FONT]</TD><TD class=relative id=r27c4 onmouseover=crossRow_over(27,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(27,11)>[FONT=Arial, Helvetica, sans-serif]1[/FONT]</TD><TD class=relative id=r27c5 onmouseover=crossRow_over(27,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(27,11)>[FONT=Arial, Helvetica, sans-serif]0%[/FONT]</TD><TD class=relative id=r27c6 onmouseover=crossRow_over(27,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(27,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A[/FONT]</TD><TD class=relative id=r27c7 onmouseover=crossRow_over(27,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(27,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r27c8 onmouseover=crossRow_over(27,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(27,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r27c9 onmouseover=crossRow_over(27,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(27,11) align=right>[FONT=Arial, Helvetica, sans-serif]728.4 [/FONT]</TD><TD class=relative id=r27c10 onmouseover=crossRow_over(27,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(27,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r27c11 onmouseover=crossRow_over(27,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(27,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r28c0><TD class=relative id=r28c1 onmouseover=crossRow_over(28,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif]Spain[/FONT]</TD><TD class=relative id=r28c2 onmouseover=crossRow_over(28,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif]Medium[/FONT]</TD><TD class=relative id=r28c3 onmouseover=crossRow_over(28,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif]Regional[/FONT]</TD><TD class=relative id=r28c4 onmouseover=crossRow_over(28,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif]48[/FONT]</TD><TD class=relative id=r28c5 onmouseover=crossRow_over(28,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif]16.7%[/FONT]</TD><TD class=relative id=r28c6 onmouseover=crossRow_over(28,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(28,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3N2[/FONT]</TD><TD class=relative id=r28c7 onmouseover=crossRow_over(28,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(28,11) align=right>[FONT=Arial, Helvetica, sans-serif]148.2 [/FONT]</TD><TD class=relative id=r28c8 onmouseover=crossRow_over(28,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r28c9 onmouseover=crossRow_over(28,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(28,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r28c10 onmouseover=crossRow_over(28,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r28c11 onmouseover=crossRow_over(28,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r30c0><TD class=relative id=r30c1 onmouseover=crossRow_over(30,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(30,11)>[FONT=Arial, Helvetica, sans-serif]Switzerland[/FONT]</TD><TD class=relative id=r30c2 onmouseover=crossRow_over(30,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(30,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r30c3 onmouseover=crossRow_over(30,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(30,11)>[FONT=Arial, Helvetica, sans-serif]Sporadic[/FONT]</TD><TD class=relative id=r30c4 onmouseover=crossRow_over(30,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(30,11)>[FONT=Arial, Helvetica, sans-serif]9[/FONT]</TD><TD class=relative id=r30c5 onmouseover=crossRow_over(30,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(30,11)>[FONT=Arial, Helvetica, sans-serif]44.4%[/FONT]</TD><TD class=relative id=r30c6 onmouseover=crossRow_over(30,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(30,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3[/FONT]</TD><TD class=relative id=r30c7 onmouseover=crossRow_over(30,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(30,11) align=right>[FONT=Arial, Helvetica, sans-serif]22.2 [/FONT]</TD><TD class=relative id=r30c8 onmouseover=crossRow_over(30,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(30,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r30c9 onmouseover=crossRow_over(30,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(30,11) noWrap>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r30c10 onmouseover=crossRow_over(30,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(30,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r30c11 onmouseover=crossRow_over(30,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(30,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r31c0><TD class=relative id=r31c1 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>[FONT=Arial, Helvetica, sans-serif]Wales[/FONT]</TD><TD class=relative id=r31c2 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r31c3 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>[FONT=Arial, Helvetica, sans-serif]Regional[/FONT]</TD><TD class=relative id=r31c4 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r31c5 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r31c6 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11) noWrap>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r31c7 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11) align=right>[FONT=Arial, Helvetica, sans-serif]21.5 [/FONT]</TD><TD class=relative id=r31c8 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r31c9 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r31c10 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r31c11 onmouseover=crossRow_over(31,11) onmouseout=crossRow_out(31,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r32c0><TD class=relative id=r32c1 onmouseover=crossRow_over(32,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(32,11)>[FONT=Arial, Helvetica, sans-serif]Europe[/FONT]</TD><TD class=relative id=r32c2 onmouseover=crossRow_over(32,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(32,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r32c3 onmouseover=crossRow_over(32,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(32,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r32c4 onmouseover=crossRow_over(32,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(32,11)>[FONT=Arial, Helvetica, sans-serif]435[/FONT]</TD><TD class=relative id=r32c5 onmouseover=crossRow_over(32,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(32,11)>[FONT=Arial, Helvetica, sans-serif]51.5%[/FONT]</TD><TD class=relative id=r32c6 onmouseover=crossRow_over(32,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(32,11) noWrap>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r32c7 onmouseover=crossRow_over(32,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(32,11) align=right>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r32c8 onmouseover=crossRow_over(32,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(32,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r32c9 onmouseover=crossRow_over(32,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(32,11) noWrap>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r32c10 onmouseover=crossRow_over(32,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(32,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r32c11 onmouseover=crossRow_over(32,11) style="BACKGROUND: #ffffff; CURSOR: hand" onmouseout=crossRow_out(32,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR><TD bgColor=#808080 colSpan=14>

</TD></TR><TR><TD colSpan=14>[FONT=Arial, Helvetica, sans-serif]Preliminary data[/FONT]</TD><TR><TD colSpan=14>[FONT=Arial, Helvetica, sans-serif]
Intensity: Low = no influenza activity or influenza activity at baseline level; Medium= usual levels of influenza activity; High = higher than usual levels of influenza activity; Very high = particularly severe levels of influenza activity.
Percentage positive: percentage of sentinel swabs that tested positive for influenza A or B
Dominant type: this assessment is based on data from sentinel and non-sentinel sources
ARI: acute respiratory infection
ILI: influenza-like illness
Population: per 100,000 population
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</TD><TD width=780 bgColor=white><TABLE><TBODY><TR><TD>[FONT=Arial, Helvetica, sans-serif][SIZE=-1]<TABLE><TBODY><TR><TD>[FONT=Arial, Helvetica, sans-serif][SIZE=-2]The bulletin text was written by an editorial team at the European Centre for Disease Prevention and Control (ECDC) and the Community Network of Reference Laboratories for Human Influenza in Europe (CNRL). Team members are Flaviu Plata, Phillip Zucs and Bruno Ciancio from ECDC, and Adam, Meijer Rod Daniels Alan Hay and Maria Zambon from CNRL. The bulletin text was reviewed by Olav Hungnes (Norwegian Institute of Public Health, Oslo, Norway), and Anne Mazick (Statens Serum Institut, Copenhagen, Denmark) on behalf of the EISS members.

Neither the European Centre for Disease Prevention and Control (ECDC), nor any person acting on his behalf is liable for the use that may be made of the information contained in this bulletin. Maps and commentary used in this Bulletin do not imply any opinions whatsoever of ECDC or its partners on the legal status of the countries and territories shown or concerning their borders. [/SIZE][/FONT]</TD></TR></TBODY></TABLE>[/SIZE][/FONT]</TD></TR></TBODY></TABLE></TD><TD width=1 bgColor=black height=1>

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</TD><TD align=middle width=780 bgColor=#0063c8>[FONT=Arial, Helvetica, sans-serif]EISS : Weekly Electronic Bulletin[/FONT]</TD></TR></TBODY></TABLE>

 

[Giuseppe]

Re: Seasonal Flu 2008 - 2009

EISS - Weekly Electronic Bulletin Week 52 : 22/12/2008-28/12/2008 - 01 January 2009, Issue N? 286. Influenza season started in seven countries of Western/Southern Europe. EISS - Bulletin Review

EISS - Weekly Electronic Bulletin Week 52 : 22/12/2008-28/12/2008 - 01 January 2009, Issue N? 286. Influenza season started in seven countries of Western/Southern Europe.


-- Summary:

In week 52/2008, influenza activity of high intensity in Portugal and medium intensity in Ireland, Spain and the UK (England and Northern Ireland) was maintained, whilst activity reached medium intensity in France and Italy.

Most of the viruses isolated so far are type A of which the majority are of the H3 subtype.

Given the current epidemiological and virological situation, and despite lowered reporting over the Christmas holiday period, it is anticipated that in the coming weeks seasonal influenza will continue to spread and become more intense in a number of Eastern-Northern European countries.

Vaccination of those still at risk should be expedited.


-- Epidemiological situation - week 52/2008:

For the intensity indicator, the national network levels of influenza-like illness (ILI) and/or acute respiratory infection (ARI) were high in Portugal and medium in France, Ireland, Italy, Spain and the UK (England and Northern Ireland).

The remaining 17 countries providing data reported low intensity with increasing trends, compared to week 51/2008, in Ireland, Italy, Luxembourg, Portugal, Spain and Wales.

For the geographical spread indicator, widespread influenza activity occurred in France, Portugal and the UK (England and Northern Ireland), while regional activity was reported in Netherlands, Spain and the UK (Wales) and local activity in Italy.

Sporadic activity was observed in five countries (Belgium, Luxembourg, Slovakia, Slovenia and Switzerland) while no activity was apparent in the other 11 countries reporting for week 52/2008.


-- Cumulative epidemiological situation ? 2008-2009 season (weeks 40-52/2008):

The majority of countries participating in European influenza surveillance continue to report low intensity of influenza activity with sporadic/regional cases at most.

Seven Western/Southern European countries are currently experiencing medium to high intensity which is also reported to be widespread in France, Portugal and the UK (England and Northern Ireland).

The first countries in Europe to report medium intensity of influenza activity (i.e. consultation rates being above the national baseline thresholds that are set at levels usually seen outside the winter period) were Ireland, Northern Ireland and Portugal (in week 49/2008) and England (in week 50/2008).

Subsequently, Spain (since week 51/2008), France and Italy (in week 52/2008) have reported influenza activities greater than baseline levels.

Portugal has reported high activity since week 51/2008.

Generally, the highest consultation rates have been reported for the 0-4 age group, but England, Ireland, Northern Ireland, Portugal, Switzerland and Wales have been reporting high ILI consultation rates in the 15-64 age group compared to the other age groups.


-- Virological situation - week 52/2008:

The total number of respiratory specimens collected by sentinel physicians in week 52/2008 was 435, of which 224 (51.5%) were positive for influenza virus: 218 type A (140 subtype H3, seven H1 and 71 not subtyped) and six type B.

In addition, 223 non-sentinel source specimens (e.g. specimens collected for diagnostic purposes in hospitals) were reported positive for influenza virus: 211 type A (14 subtype H3, one subtype H1 and 196 not subtyped) and 12 type B.

Overall, across Europe detection of influenza viruses was reported from 16 of 21 countries providing virological data for week 52/2008 and included the first 2008-2009 seasonal-influenza detections for Greece and Malta.


-- Cumulative virological situation ? 2008-2009 season (weeks 40-52/2008):

Of 2650 virus detections (sentinel and non-sentinel) since week 40/2008, 2534 were type A (1030 subtype H3, 71 subtype H1 and 1433 not subtyped) and 116 were type B.

Based on the antigenic and/or genetic characterisation of 262 influenza viruses, 233 were reported as A/Brisbane/10/2007 (H3N2)-like, 19 as A/Brisbane/59/2007 (H1N1)-like, six as B/Malaysia/2506/2004-like (B/Victoria/2/87 lineage) and four as B/Florida/4/2006-like (B/Yamagata/16/88 lineage).

These characterisations match the current WHO recommendations for H1N1, H3N2 and B/Yamagata lineage virus components for the Northern Hemisphere vaccine.

Three countries (Norway, Sweden and UK) have reported sequence-based antiviral testing with the majority of those viruses analysed from the UK also being assessed phenotypically for neuraminidase inhibitor susceptibility.

Fifty-eight A(H3N2) viruses have been tested for antiviral susceptibility so far this season; all those tested were sensitive to neuraminidase inhibitors (58 for oseltamivir, 56 for zanamivir) and resistant to the M2 inhibitors (56).

Of 30 A(H1N1) viruses analysed, all were sensitive to zanamivir and 29 were resistant to oseltamivir, whilst all of the 19 tested were M2 inhibitor sensitive.

Both B viruses tested were sensitive to neuraminidase inhibitors (one was tested against both zanamivir and oseltamivir and one against oseltamivir only).

But for oseltamivir resistant A(H1N1) viruses from Norway (two) and Sweden (one), all other viruses tested have been from the UK.


-- Comment:

Six countries are now reporting medium influenza intensity and Portugal has reported maintained widespread high intensity in week 52/2008.

Six of these seven countries are on the western seaboard of Europe, whilst Italy has a Mediterranean coastline.

Whilst some of the neighbouring Central and Northern European countries continued to show rising ILI/ARI consultation rates in week 52/2008 the majority, together with most Eastern European countries, continued to report low influenza intensity.

However, consultation rates for week 52/2008 should be interpreted with caution since this week spans the Christmas holiday period when access to primary care and patient swabbing procedures is likely to have been sub-optimal.

This is reflected in the overall number of sentinel specimens collected for virological testing decreasing from 1062 in week 51 to 435 (a 59% reduction) in week 52/2008.

Despite lower sentinel sampling, the proportion of specimens testing positive for influenza virus detection rose from 32.6% in week 51 to 51.5% in week 52/2008.

With this rising trend, the number of countries, especially in the Eastern-Northern parts of Europe, with levels of influenza activity above their baseline thresholds is expected to grow over the coming weeks.

So far this season, the majority (93.6%) of H-subtyped type A viruses have been H3.

These observations consolidate earlier indications that the 2008-2009 influenza season in Europe will probably be dominated by H3 viruses.


-- Background:

The Weekly Electronic Bulletin presents and comments on influenza activity in the 30 European countries that are members of EISS.

Of these countries, 24 reported clinical data, 21 reported virological data and 18 reported both clinical and virological data to EISS in week 52/2008.

The spread of influenza virus strains and their epidemiological impact in Europe are being monitored by EISS under the aegis of the European Centre for Disease Prevention and Control in Stockholm (Sweden) in collaboration with the WHO Collaborating Centre in London (UK).


-- Map

The map presents the intensity of influenza activity and the geographical spread as assessed by each of the networks in EISS.

<table style="width: auto;"><tbody><tr><td></td></tr><tr><td style="font-family: arial,sans-serif; font-size: 11px; text-align: right;">From MAPS</td></tr></tbody></table>

<table style="width: auto;"><tbody><tr><td></td></tr><tr><td style="font-family: arial,sans-serif; font-size: 11px; text-align: right;">From MAPS</td></tr></tbody></table>

Europe Year 2008 / Week 52

A = Dominant virus A
H1N1 = Dominant virus A(H1N1)
H3N2 = Dominant virus A(H3N2)
H1N2 = Dominant virus A(H1N2)
B = Dominant virus B
A & B = Dominant virus A & B

= : stable clinical activity
+ : increasing clinical activity
- : decreasing clinical activity

Low = no influenza activity or influenza at baseline levels
Medium = usual levels of influenza activity
High = higher than usual levels of influenza activity
Very high = particularly severe levels of influenza activity

No activity = no evidence of influenza virus activity (clinical activity remains at baseline levels)
Sporadic = isolated cases of laboratory confirmed influenza infection
Local outbreak = increased influenza activity in local areas (e.g. a city) within a region,or outbreaks in two or more institutions (e.g. schools) within a region. Laboratory confirmed.
Regional activity = influenza activity above baseline levels in one or more regions witha population comprising less than 50% of the country's total population. Laboratory confirmed.
Widespread = influenza activity above baseline levels in one or more regions with a population comprising 50% or more of the country's population. Laboratory confirmed.

Finland : Where available, the epidemiological data are provided by a health-care district in South-Western Finland (the health-care district serves 54,000 inhabitants i.e. approximately one percent of the Finnish population).


-- Network comments (where available)

* Italy: Three A/H3N2 influenza isolates have been reported during this week.
* Latvia: Influenza activity is still very low. Second influenza A virus in this season , has been detected in last week from patient getting ill on the day of returning from England.
* Netherlands: First week this season that a substantial proportion of specimens from sentinel ILI patients contained influenza virus: in 5 of 11 specimens A(H3N2) was detected. So far this season all influenza viruses detected in specimens from sentinel ILI patients were A(H3N2).
* Switzerland: Influenza A, and exclusively influenza A (H3N2) are detected in Switzerland. Medical consultations remained below threshold last week.
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<cite cite="http://www.eiss.org/cgi-files/bulletin_v2.cgi">EISS - Bulletin Review</cite>