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Seasonal Flu 2008 - 2009

Re: Seasonal Flu 2008 - 2009

Commentary

United States H1N1 With Tamflu and Adamantane Resistance
Recombinomics Commentary 19:03
January 16, 2009


The CDC flu report for week 1 describes antiviral resistance results on 15 additional H1N1 isolates. As expected, all 15 have H274Y. However, one of those 15 also has adamantine resistance. H1N1 with resistance to both antivirals had been reported in isolates from Hong Kong last season. However, these were clade 2C (Hong Kong/2652) isolates and all 2C isolates were adamantane resistant (S31N), and the acquisition of H274Y was not unexpected.

However, this season results from Japan and Korea indicate clade 2C isolates are rare, since almost all isolates have H274Y and are adamantine sensitive. This pattern had also been observed in the United States. Last season clade 2C was frequently detected in western states, and were most common in Hawaii. Sequences from Hawaii were clade 2B and were from isolates that were adamantane sensitive, while clade 2C isoaltes were adamnatane resistant but oseltamivir sensitive.

The finding of adamantine resistance in an H1N1 that was oseltamivir resistance could represent a clade 2C isolate similar to those reported in Hong Kong. Alternatively, this isolate could be clade 2B which has developed adamantine resistance due to use of rimantadine in areas which had high levels of H1N1, which is the current situation in almost all areas of the United States.

The H1N1 is characterized as Brisbane/59-like, but those determinations are based on cross reactivity with ferret antisera, which varies from batch to batch. A classification based on phylogenetic analysis would be more precise. Last season all H1N1 in the US was Brisbane (clade 2B ) or Hong Kong (clade 2C), yet all were called Solomon Island-like (clade 2A) based on cross reactivities with ferret antisera directed against H1N1 grown in chicken eggs, which produced broad cross reactivities among all three clade 2 groupings, but antisera generated with H1N1 in mammalian cells produced activities which readily distinguished clade 2B from clade 2C or clade 2A.

Thus, it remains unclear if the H1N1 that is sensitive to oseltamivir and adamantanes is clade 2C, as had been seen previously in Hong Kong, or was clade 2B that had developed adamantine resistance, which had not been reported previously.

More information on the isolate with resistance to oseltamivir and adamantanes would be useful.

.
 
Re: Seasonal Flu 2008 - 2009

<TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD>January 4, 20098 to January 10, 2009 (Week 01)

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  • <A class=nav href="http://www.phac-aspc.gc.ca/fluwatch/08-09/w01_09/index-eng.php#map"><ACRONYM title="Influenza-like illness">ILI</ACRONYM> activity by province
Other information





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Overall influenza activity in Canada remains low
During week 01, influenza activity in Canada remained low overall with the majority of the influenza surveillance regions still reporting no activity. Nineteen regions (in NT, BC, AB, ON, QC & NB) reported sporadic influenza activity and localized activity was reported in 3 regions (in SK and in ON) (see map). The proportion of tests that were positive for influenza continued to increase steadily with a percentage positive of 3.6% (118/3,306) this week (see table). The majority of influenza virus detections to date this season were influenza A viruses (54% or 223/414); however influenza B detections have slowly increased over the last several weeks. In week 01, the ILI consultation rate declined slightly from the previous week to 18 ILI consultations per 1,000 patient visits (see ILI graph), and it remains below the expected range for this week. The sentinel response rate was 64%. In week 01, 2 new influenza outbreaks were reported (1 LTCF outbreak in ON and 1 other outbreak in SK).
Other Respiratory Viruses: RSV detections for Canada as a whole in week 01 remain high; however the percent positive for this week is slightly less than observed in the previous week. Detections for adenoviruses and parainfluenza viruses remain at fairly low levels (see graph).
Antigenic Characterization:
Since 1 September 2008, the NML has antigenically characterized 69 influenza viruses: 16 influenza A/Brisbane/59/2007(H1N1)-like (from BC, AB, ON & NS), 2 influenza A/Brisbane/10/2007(H3N2)-like (from BC & ON), 4 influenza B/Florida/4/2006-like (from AB & ON) and 47 B/Malaysia/2506/2004-like (from QC, ON & AB). A/Brisbane/59/2007(H1N1), A/Brisbane/10/2007(H3N2) and B/Florida/4/2006 are the influenza A and influenza B components recommended for the 2008-09 influenza vaccine. B/Malaysia/2506/2004 was the influenza B component for the 2007-2008 season vaccine (see pie chart).
Antiviral Resistance:
Results from the NML:
Since the start of the season, the NML has tested 23 influenza A isolates (16 H1N1 and 7 H3N2) for amantadine resistance. All of the H1N1 isolates were susceptible; however all of the H3N2 isolates were resistant to amantadine (resistance = 100% or 7/7). The resistant isolates were from ON, AB and BC.
The NML has also tested 51 influenza isolates (15 A/H1N1, 2 A/H3N2 & 34 B) for oseltamivir (Tamiflu) resistance. All of the A/H3N2 and B isolates were sensitive; however all of the A/H1N1 isolates were resistant to oseltamivir due to the H274Y mutation (resistance = 100% or 15/15). The resistant isolates were from NS, ON, AB and BC.
All 47 influenza isolates (11 A/H1N1, 2 A/H3N2 & 34 B) tested for zanamivir resistance to date were sensitive to zanamivir.
Oseltamivir resistance findings from Provincial laboratories:
To date this season, 37 influenza isolates in BC have been sub-typed as A/H1 and were assessed genotypically for oseltamivir resistance using an SNP assay. Twenty-eight isolates tested positive for the H274Y mutation (resistance = 100% or 28/28), with the other 9 specimens still pending confirmatory testing.
Influenza-associated Paediatric Hospitalizations:
No laboratory-confirmed influenza-associated paediatric hospitalizations have been reported through the Immunization Monitoring Program Active (IMPACT) network for the 2008-09 season.
International:

CDC: During week 53, influenza activity in the United States remained at approximately the same level as in the previous week. More states reported regional and local influenza activity compared to previous weeks, however the majority still reported either no activity or sporadic activity. Of the 2,488 specimens tested this week for influenza viruses, 79 (3.2%) were positive. Since 1 October 2008, the CDC has antigenically characterized 110 influenza viruses: 68 influenza A(H1) (all A/Brisbane/59/2007-like), 13 A(H3) (all A/Brisbane/10/2007-like) and 29 influenza B (9 were B/Florida/04/2006-like belonging to the B/Yamagata lineage and the other 20 belonged to the B/Victoria lineage). Since 1 October, 2008, 142 influenza viruses (88 A(H1N1), 14 A (H3N2), and 40 B) have been tested for resistance to neuraminidase inhibitors. Of the A(H1N1) viruses tested, 98% (86/88) were resistant to oseltamivir however all were sensitive to zanamivir. All of the A(H3N2) and B viruses tested were sensitive to both oseltamivir and zanamivir. The CDC tested 102 influenza A viruses (88 H1, 14 H3) for amantadine resistance: all of the H1N1 viruses were sensitive to amantadine however all the H3N2 viruses were resistant.
  • <A href="http://www.cdc.gov/flu/weekly/" target=_blank rel=x><ACRONYM title="Centers for Disease Control and Prevention">CDC</ACRONYM>
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EISS: Influenza activity continued to spread across Europe with most countries now reporting medium intensity. Most of the influenza virus detections so far have been for influenza A viruses of which the majority were A(H3). Of the 93 A(H3N2) isolates that were also tested for adamantanes susceptibility, 88 (95%) were resistant. Of the 52 A(H1N1) virus isolates tested for resistance against neuraminidase inhibitors, 51 were resistant to oseltamivir (resistance=98%), but all were sensitive to zanamivir.
  • <A href="http://www.eiss.org/cgi-files/bulletin_v2.cgi" target=_blank rel=x><ACRONYM title=" European Influenza Surveillance Scheme">EISS</ACRONYM>
    newwindow.gif
Human Avian Influenza: Since 10 January 2009, the WHO has reported 1 new case of human H5N1 avian influenza infection from Egypt. The case was a 21-month-old female from Kerdasa District who developed symptoms on 9 January 2009, was hospitalized on 10 January and is currently in a stable condition. Investigations into the source of her infection indicate a recent history of contact with sick and dead poultry.
  • <A href="http://www.who.int/csr/disease/avian_influenza/en/index.html" target=_blank rel=x><ACRONYM title="World Health Organization">WHO</ACRONYM>
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<HR>Total number of influenza tests performed and number of positive tests by province/territory of testing laboratory, Canada, 2008-2009

<TABLE id=fluwatchtable cellSpacing=0 cellPadding=2 width="100%" border=1><TBODY><TR class=bg-colour-blue vAlign=top><TD class=alignCenter rowSpan=3>Province of
reporting
laboratories
</TD><TD class=alignCenter vAlign=bottom colSpan=4>Report Period:
January 4, 2009 to January 10, 2009
</TD><TD class=alignCenter vAlign=bottom colSpan=4>Season to Date:
August 24, 2008 to January 10, 2009
</TD></TR><TR class=bg-colour-blue><TD class=alignCenter rowSpan=2>Total #
Influenza
Tests
</TD><TD class=alignCenter colSpan=3># of Positive Tests </TD><TD class=alignCenter rowSpan=2>Total #
Influenza
Tests
</TD><TD class=alignCenter colSpan=3># of Positive Tests </TD></TR><TR class=bg-colour-blue vAlign=top><TD class=alignCenter vAlign=center>Influenza A</TD><TD class=alignCenter vAlign=center>Influenza B</TD><TD class=alignCenter vAlign=center>Total </TD><TD class=alignCenter vAlign=center>Influenza A</TD><TD class=alignCenter vAlign=center>Influenza B</TD><TD class=alignCenter vAlign=center>Total </TD></TR><TR><TD class=bg-colour-blue>NL
</TD><TD class=alignCenter>22</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>205</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD></TR><TR><TD class=bg-colour-blue>PE
</TD><TD class=alignCenter>7</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>63</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD></TR><TR><TD class=bg-colour-blue>NS
</TD><TD class=alignCenter>27</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>285</TD><TD class=alignCenter>1</TD><TD class=alignCenter>0</TD><TD class=alignCenter>1</TD></TR><TR><TD class=bg-colour-blue>NB
</TD><TD class=alignCenter>30</TD><TD class=alignCenter>1</TD><TD class=alignCenter>0</TD><TD class=alignCenter>1</TD><TD class=alignCenter>226</TD><TD class=alignCenter>1</TD><TD class=alignCenter>0</TD><TD class=alignCenter>1</TD></TR><TR><TD class=bg-colour-blue>QC
</TD><TD class=alignCenter>874</TD><TD class=alignCenter>13</TD><TD class=alignCenter>1</TD><TD class=alignCenter>14</TD><TD class=alignCenter>7955</TD><TD class=alignCenter>65</TD><TD class=alignCenter>5</TD><TD class=alignCenter>70</TD></TR><TR><TD class=bg-colour-blue>ON
</TD><TD class=alignCenter>1138</TD><TD class=alignCenter>21</TD><TD class=alignCenter>45</TD><TD class=alignCenter>66</TD><TD class=alignCenter>10109</TD><TD class=alignCenter>44</TD><TD class=alignCenter>118</TD><TD class=alignCenter>162</TD></TR><TR><TD class=bg-colour-blue>MB
</TD><TD class=alignCenter>99</TD><TD class=alignCenter>0</TD><TD class=alignCenter>1</TD><TD class=alignCenter>1</TD><TD class=alignCenter>939</TD><TD class=alignCenter>0</TD><TD class=alignCenter>1</TD><TD class=alignCenter>1</TD></TR><TR><TD class=bg-colour-blue>SK
</TD><TD class=alignCenter>186</TD><TD class=alignCenter>3</TD><TD class=alignCenter>0</TD><TD class=alignCenter>3</TD><TD class=alignCenter>1588</TD><TD class=alignCenter>3</TD><TD class=alignCenter>0</TD><TD class=alignCenter>3</TD></TR><TR><TD class=bg-colour-blue>AB
</TD><TD class=alignCenter>833</TD><TD class=alignCenter>16</TD><TD class=alignCenter>3</TD><TD class=alignCenter>19</TD><TD class=alignCenter>8907</TD><TD class=alignCenter>58</TD><TD class=alignCenter>64</TD><TD class=alignCenter>122</TD></TR><TR><TD class=bg-colour-blue>BC
</TD><TD class=alignCenter>90</TD><TD class=alignCenter>12</TD><TD class=alignCenter>2</TD><TD class=alignCenter>14</TD><TD class=alignCenter>744</TD><TD class=alignCenter>51</TD><TD class=alignCenter>3</TD><TD class=alignCenter>54</TD></TR><TR><TD class=bg-colour-blue>Canada
</TD><TD class=alignCenter>3306</TD><TD class=alignCenter>66</TD><TD class=alignCenter>52</TD><TD class=alignCenter>118</TD><TD class=alignCenter>31021</TD><TD class=alignCenter>223</TD><TD class=alignCenter>191</TD><TD class=alignCenter>414</TD></TR></TBODY></TABLE>

Specimens from NT, YT, and NU are sent to reference laboratories in other provinces.
Note: Cumulative data includes updates to previous weeks; due to reporting delays, the sum of weekly report totals do not add up to cumulative totals.
Abbreviations: Newfoundland/Labrador (NL), Prince Edward Island (PE), New Brunswick (NB), Nova Scotia (NS), Quebec (QC), Ontario (ON), Manitoba (MB), Saskatchewan (SK), Alberta (AB), British Columbia (BC), Yukon (YT), Northwest Territories (NT), Nunavut (NU)
Respiratory virus laboratory detections in Canada, by geographic regions, are available weekly on the following website:
<http://www.phac-aspc.gc.ca/bid-bmi/dsd-dsm/rvdi-divr/index-eng.php>



Number of influenza surveillance regions? reporting widespread or localized influenza activity, Canada, by report week, 2008-2009 (N=54)

0109fg1-eng.gif

flu0809-leg1-eng.gif

? sub-regions within the province or territory as defined by the provincial/territorial epidemiologist. Graph may change as late returns come in.


<TABLE width="100%"><TBODY><TR vAlign=top align=middle><TD colSpan=2>Influenza Activity Level by Provincial and Territorial
Influenza Surveillance Regions, Canada,
January 4, 2009 to January 10, 2009 (Week 01)


</TD></TR><TR vAlign=top align=middle><TD class=alignCenter>
</TD><TD><TABLE cellSpacing=0 cellPadding=1 border=0><TBODY><TR><TD align=middle><TABLE class=border-lite cellSpacing=1 cellPadding=1><TBODY><TR align=middle><TD>No Data </TD><TD>
leg_dots.gif
</TD></TR><TR align=middle><TD>No Activity</TD><TD>
leg_ffffff.gif
</TD></TR><TR align=middle><TD>Sporadic Activity</TD><TD>
leg_ccccff.gif
</TD></TR><TR align=middle><TD>Localized Activity</TD><TD>
leg_6666ff.gif
</TD></TR><TR align=middle><TD>Widespread
Activity
</TD><TD>
leg_000066.gif
</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
Note: Influenza activity levels, as represented on this map, are assigned and reported by Provincial and Territorial Ministries of Health, based on laboratory confirmations, sentinel ILI rates (see graphs and tables) and outbreaks. Please refer to detailed definitions. For areas where no data is reported, late reports from these provinces and territories will appear on the FluWatch website. Select single maps by report week to get this updated information.
<http://dsol-smed.phac-aspc.gc.ca/dsol-smed/fluwatch/fluwatch.phtml?lang=e>
Click on the map to view provinces/territories and maps for other weeks.


Influenza tests reported and percentage of tests positive, Canada, by report week, 2008-2009

0109fg2-eng.gif



Percent positive influenza tests, compared to other respiratory viruses, Canada, by reporting week, 2008-2009

0109fg3-eng.gif



flu0809-leg3-eng.gif



Influenza strain characterization, Canada, cumulative, 2008-2009 influenza season by the Respiratory Viruses Section at the National Microbiology Laboratory
[N=69]


0109fg4-eng.gif

{Strain characterization, number identified, per cent of total number}
NACI recommends that the trivalent vaccine for the 2008-2009 season in Canada contain
A/Brisbane/59/2007 (H1N1)-like virus; an A/Brisbane/10/2007 (H3N2)-like virus; and a B/Florida/4/2006-like virus.



Influenza-like illness (ILI) consultation rates, Canada, by report week,
2008-2009 compared to 1996/97 through to 2007/08 seasons


0109fg5-eng.gif

flu0809-leg5-eng.gif

Note: No data available for mean rate in previous years for weeks 19 to 39 (1996-1997 through 2002-2003 seasons).


Number of New Outbreaks in Long Term Care Facilities, Canada, by Report Week, 2008-2009

0109fg6-eng.gif

flu0809-leg6-eng.gif

Please note that the above graphs may change as late returns come in.
Single Maps | Dual Maps | Animated Maps | FluWatch Reports
Definitions for the 2008-2009 season

http://www.phac-aspc.gc.ca/fluwatch/08-09/w01_09/index-eng.php

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Re: Seasonal Flu 2008 - 2009

[FONT=?l?r ?S?V?b?N][FONT=?l?r ?S?V?b?N]
Testing in Canada
indicated that 26% of last season?s A/H1N1
isolates were resistant to oseltamivir. To date
(January 15), BCCDC has assessed 37 A/H1N1
isolates for oseltamivir resistance; 28 show
genotypic evidence of oseltamivir resistance,
and the other 9 are indeterminate and
undergoing further assessment through
sequencing of the neuraminidase gene. None of
these specimens was associated with an
outbreak. Thus, all A/H1N1 specimens for which
oseltamivir sensitivity could be determined have
so far been found resistant to date in BC during
the 2008-09 season.

Drug susceptibility testing at the NML as of Jan
14 showed that all (n=15) H1N1 isolates tested
to date were resistant to oseltamivir

http://www.bccdc.org/downloads/pdf/epid/reports/InfluUpdate_Number06_Weeks53-1_0809.pdf
[/FONT]
[/FONT]
 
Re: Seasonal Flu 2008 - 2009


<?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /><st1:State w:st="on"><st1:place w:st="on">Pennsylvania</st1:place></st1:State> Influenza Cases confirmed by the Bureau of Laboratories
(as of 01/20/2009)
<TABLE style="MARGIN: auto auto auto 5.4pt; BORDER-COLLAPSE: collapse" cellSpacing=0 cellPadding=0 border=0><THEAD><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=96>District (#)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108>County
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>Subtype
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Oseltamivir Resistance (Yes or No)
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 1in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=96 rowSpan=3>NW (4)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=108><st1:City w:st="on"><st1:place w:st="on">Erie</st1:place></st1:City>
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=120>1, A(H1N1)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: yellow; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Yes
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=108><st1:City w:st="on"><st1:place w:st="on">Warren</st1:place></st1:City>
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=120>2, A(H3N2)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=252>Results pending
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=108><st1:City w:st="on"><st1:place w:st="on">Warren</st1:place></st1:City>
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=120>1 A(not typed)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=252>Results pending
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 1in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=96 rowSpan=7>NE (15)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108>Lehigh
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, A(H1N1)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: yellow; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Yes
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108>Luzerne
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, Influenza B
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108><st1:place w:st="on"><st1:City w:st="on">Bethlehem</st1:City></st1:place>
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>4, A(H3N2)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108><st1:place w:st="on"><st1:City w:st="on">Bethlehem</st1:City></st1:place>
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, A(H1N1)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108><st1:City w:st="on"><st1:place w:st="on">Allentown</st1:place></st1:City>
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>2, A(H3N2)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108><st1:place w:st="on"><st1:City w:st="on">Northampton</st1:City></st1:place>
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>5, A(H1N1)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108><st1:City w:st="on"><st1:place w:st="on">Northampton</st1:place></st1:City>
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, A(H3N2)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 1in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=96 rowSpan=3>NC (6)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=108>Centre
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=120>2, A(H1N1)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=252>Results pending
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=108>Centre
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=120>2, Influenza B
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=252>Results pending
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=108>Montour
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=120>2, A(H1N1)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=252>Results pending
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 1in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=96 rowSpan=3>SE (5)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108><st1:place w:st="on"><st1:City w:st="on">Chester</st1:City></st1:place>
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, A (H3N2)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108>Berks
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>3, A(H1N1)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108>Bucks
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, A(H1N1)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: yellow; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Yes
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 1in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=96>SC (1)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=108>Blair
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=120>1, A(H1N1)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent" vAlign=top width=252>Results pending
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: windowtext 1pt solid; WIDTH: 1in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=96 rowSpan=2>SW (2)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108><st1:City w:st="on"><st1:place w:st="on">Butler</st1:place></st1:City>
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, A(H1N1)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
</TD></TR><TR><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 81pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=108>Allegheny
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 1.25in; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=120>1, A(H1N1)
</TD><TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; BACKGROUND: #cccccc; PADDING-BOTTOM: 0in; BORDER-LEFT: #ece9d8; WIDTH: 189pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid" vAlign=top width=252>Results pending
</TD></TR></THEAD><TBODY></TBODY></TABLE>


Results in the table above are based on tests done on a few specimens that are submitted to the State lab by physicians, hospitals and nursing homes. The State lab sends subtyped flu isolates to CDC for further testing.

http://www.dsf.health.state.pa.us/health/cwp/view.asp?a=171&q=246529

 
Re: Seasonal Flu 2008 - 2009

[ITALY: VIROLOGICAL SURVEILLANCE - DATA BY INFLUCIRI - http://www.influciri.it/frsetcn.html - EDITED. IOH]
-
<table style="width: auto;"><tbody><tr><td></td></tr><tr><td style="font-family: arial,sans-serif; font-size: 11px; text-align: right;">From TABLES</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 TABLES</td></tr></tbody></table>
 
Re: Seasonal Flu 2008 - 2009

Italy. Global Incidence of Influenza-like Illness - 2008/2009 Influenza Season, epidemiological surveillance (Data from CIRI Jan 21 2009)

Epidemiological Surveillance for Influenza-like Illness performed by CIRI (Centro Interuniversitario per lo Studio dell'Influenza) and the network of sentinel family doctors.

More information (in Italian) at CIRI website.


<table style="width: auto;"><tbody><tr><td></td></tr><tr><td style="font-family: arial,sans-serif; font-size: 11px; text-align: right;">From TABLES</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 TABLES</td></tr></tbody></table>
Updated at 21-01-2009 10:57:49GMT+1

[Surveillance Week / Sentinel Family Doctors participants / Outpatients / CASES / Class ages: 0-4 / 5-14 / 15-65 / +65 / TOTAL INCIDENCE]

2008-42 - 392 - 511610 - 141 - 0,59 - 0,2 - 0,3 - 0,16 - 0,28
2008-43 - 386 - 509332 - 133 - 0,57 - 0,4 - 0,25 - 0,14 - 0,26
2008-44 - 405 - 535482 - 147 - 0,7 - 0,22 - 0,29 - 0,16 - 0,27
2008-45 - 410 - 538634 - 177 - 0,96 - 0,44 - 0,3 - 0,2 - 0,33
2008-46 - 394 - 516856 - 177 - 0,51 - 0,49 - 0,36 - 0,16 - 0,34
2008-47 - 411 - 541846 - 272 - 1,47 - 0,65 - 0,47 - 0,27 - 0,5
2008-48 - 420 - 554658 - 337 - 1,39 - 0,81 - 0,6 - 0,32 - 0,61
2008-49 - 416 - 550130 - 413 - 2,13 - 1,31 - 0,68 - 0,34 - 0,75
2008-50 - 420 - 553598 - 491 - 2,66 - 1,49 - 0,82 - 0,32 - 0,89
2008-51 - 404 - 534261 - 704 - 3,43 - 2,4 - 1,18 - 0,68 - 1,32
2008-52 - 398 - 527808 - 756 - 4 - 2,96 - 1,23 - 0,65 - 1,43
2009-01 - 395 - 522450 - 1369 - 4,98 - 2,82 - 2,76 - 1,51 - 2,62
2009-02 - 408 - 536130 - 2053 - 6,54 - 4,67 - 4,1 - 1,88 - 3,83
2009-03 - 377 - 497046 - 2361 - 11,25 - 8,41 - 4,5 - 1,92 - 4,75

Global incidence is now above the peak value for 2007/2008 season. Highest incidence is among population in 0-4 class age (11.25 per 1,000 inhabitants; 1125 per 100,000).
-
------
 
Re: Seasonal Flu 2008 - 2009

Italy. 2008/2009 Influenza Season - Virologic Surveillance Update - Week: 03/09 [Min. della Salute]

VIROLOGICAL SURVEILLANCE OF INFLUENZA

January 21, 2009

Weekly Update 3/09

[Original PDF Document is available in Italian at Ministry of Health website; please follow this LINK. EDITED. Manual Translation from Italian by IOH]

From this update, an overview of influenza viruses surveillance for antivirals resistance will be added.

-- ITALY

During latest surveillance week 142 clinical samples have been collected. Among them, 40 samples have been found positive for influenza viruses, of these 27 were A/H3 and 5 A/H1.

All of the five A/H1 influenza viruses were isolated by Parma's University and they are the first H1 isolates since the start of this season.

Table below summarizes virological surveillance findings since the start of the season (sett. 46-08) to date (sett. 3-09).


[WEEK: 46 - 47 - 48 - 49 - 50 - 51 - 52 - 1 - 2 - 3 - TOT POSITIVE SAMPLES]


- FLU A - 3 - 4 - 4 - 5 - 5 - 10 - 14 - 32 - 41 - 40 - 158
- A (unsubtyped) - ... - ... - ... - ... - ... - 2 - 2 - 12 - 18 - 8 - 42
- A/H3N2 - 3 - 4 - 4 - 5 - 5 - 8 - 12 - 20 - 23 - 27 - 111
- A/H1N1 - ... - ... - ... - ... - ... - ... - ... - ... - ... - 5 - 5
- FLU B - 0 - 0 - 2 - 0 - 1 - 0 - 0 - 1 - 0 - 0 - 4
- TOTAL POSITIVE SAMPLES - 3 - 4 - 6 - 5 - 6 - 10 - 14 - 33 - 41 - 40 - 162


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

-- From the WORLD

- EUROPE

Virological surveillance across Europe indicate an increasing circulation of influenza viruses. 2150 samples have been collected. Among them 1275, (59.3%), were influenza virus positive; of these 1229 were type A (360 H3, 11 H1 and the remaining 858 not yet subtyped). Only 46 isolates were type B. Influenza viruses type A are at the moment the predominant strains.

Further information at:
http://www.eiss.org/index.cgi
http://www.grog.org/


-- USA

Influenza viruses circulation is increasing. 3066 samples have been collected, among them 221, (7.2%), were influenza positive. Of these, 29 were type A/H1, 12 type A/H3, and the remaining 133 were type A but further subtyping is ongoing. 47 were type B.

For further information:
http://www.cdc.gov/flu/


[-- ANTIVIRALS RESISTANCE]

None of the influenza viruses type A/H3N2 isolated to date in Italy has been demonstrated to be resistant to oseltamivir.


-- Situation in Europe:

Preliminary results for detection of resistant viruses demonstrate that of 93 influenza viruses type A/H3N2 analyzed to date, all of them were susceptible to both oseltamivir and zanamivir. Viral samples came from Italy, Norway, Spain and Sweden.

However, 98% of the influenza type A/H1N1 viruses analyzed to date were resistant to oseltamivir but retained susceptibility to zanamivir. See (http://ecdc.europa.eu). Table 1: results from Germany, Norway, United Kingdom, Spain and Sweden.


-- Situation in Italy:

None of the influenza type A/H3N2 viruses isolated in Italy to date was oseltamivir-zanamivir resistant.

Table 1 .
Virus A/H1N1 resistant to Oseltamivir in Europe

Country - virus A/H1N1 isolated - virus A/H1N1 resistant to Oseltamivir - % virus resistant

* Germany - 8 - 8 - 100
* Norway - 9 - 9 - 100
* Spain - 5 - 5 - 100
* Sweden - 1 - 1 - 100
* United Kingdom - 37 - 36 - 97.3
* Europe - 60 - 59 - 98.3


Table 2.
Current season cumulative number of influenza viruses tested for antivirals resistance

Cumulative number - virus A/H3N2 - virus A/H1N1 - Oseltamivir and Zanamivir resistant isolates
19 - 19 - 0 - 0

Antivirals resistance assays performed by NIC - ISS.
-
-----
 
Re: Seasonal Flu 2008 - 2009

HPA Weekly National Influenza Report​
Summary of UK* surveillance of influenza and other seasonal respiratory illness​
21 January 2009 (Week 04​
)

Summary
Clinical indices of acute respiratory illness​
(England, Wales, Scotland and Northern Ireland)

The overall influenza-like illness incidence rate**
decreased from 44.3 per 100,000 in week 02/09 to 31.6
per 100,000 in week 03/09. This rate is still above the
baseline threshold of 30 per 100,000. The rates for all
three regions decreased correspondingly. The rate in
the northern region was lowest at 22.2 per 100,000, in
the central region it was 26.9 per 100,000 and in the
south the rate was 38.2 per 100,000. The rates have​
*​
Incorporating data from the Royal College of General Practitioners (RCGP) (England and Wales), The National Public Health
Service for Wales (NPHS), Health Protection Scotland (HPS), Communicable Disease Surveillance Centre Northern Ireland
(CDSC Northern Ireland), the Office for National Statistics (ONS) (England and Wales), Medical Officers of Schools Association
(MOSA) (England), NHS Direct (England and Wales) and Q Surveillance (England, Northern Ireland, Scotland and Wales).

Figure 1​
: RCGP consultation rate for influenza ? like illness, 2008/09 and recent years, England and Wales

Influenza activity is decreasing across the UK.
In week 03/09 GP consultation rates remained above the threshold levels but have decreased in England and
Scotland. In Wales the rate has increased slightly but remains below baseline. In Northern Ireland the consultation
rate has decreased but thresholds have not yet been set. The proportion of cold/flu calls to NHS direct in England and
Wales has decreased, and the proportion of fever calls in those aged 5-14 has increased slightly but remains below
baseline.
In week 03/09 48 specimens tested positive for influenza virus (six influenza A (H1), 39 influenza A (H3) and three
influenza B) at the Centre for Infections? Respiratory Virus Unit (RVU). Other NHS and HPA laboratories in England
and Wales reported 95 influenza A, and three influenza B positive specimens in week 03/09. Seventy-six Scottish and
13 Northern Irish influenza positive specimens were reported in week 03/09. Six outbreaks of respiratory illness were
reported recently in care homes, a hospital and a school in different parts of England. The proportion of people over
65 years who have received this season?s influenza vaccine was 73.9% in week 03/09, and 46.5% in those aged
under 65 years in risk groups. Characterisation of 375 influenza viruses since week 40/08 by RVU have shown that
the majority of circulating strains are well-matched to the current influenza vaccine.
Most European countries reported influenza activity of medium intensity with only a limited number of countries,
mostly in east and north east Europe, reporting low influenza activity in week 02/09.​
England and Wales​
Royal College of General Practitioners​
(​
http://www.rcgp.org.uk/bru/index.asp)

Covered in this report:​
Data, except that from ONS, MOSA and non-UK sources: 12/01/09 - 18/01/09 (Week 03, 2009 )
Data from ONS, MOSA and non-UK sources: 05/12/08 - 11/01/09 (Week 02, 2009)​
** RCGP incidence rates in this report only refer to first or new episodes of infection diagnosed by a GP.
Since week 40/08 all of the influenza A (H3) isolates that have been tested for drug sensitivity have been found to be
sensitive to oseltamivir and zanamivir, but resistant to amantadine. Forty influenza A (H1) specimens have been
tested for anti-viral drug resistance, 39 of these were resistant to oseltamivir and all were sensitive to zanamivir and
amantadine.Two influenza B specimens have been tested so far and both were sensitive to oseltamivir and zanamivir.​
Antiviral drug susceptibility testing​
decreased in most age groups with the highest now in
the 65-74 year group at 45.2 per 100,000, which is a
slight increase from the rate of 42.3 per 100,000 in the
previous week , but is not as high as the peak in this age
group of 70.2 per 100,000 in week 01/09. (Figure 2).
The rate for acute bronchitis also decreased from 182.7
per 100,000 in week 02/09 to 129.8 per 100,000 in week
03/09 . The highest rate is still in the over 75 year group
at 416.7 per 100,000 in week 02/09, though this has
decreased from 542.1 per 100,000 in week 02/09.​
2​
0
2 5
5 0
7 5
1 0 0
1 2 5
1 5 0
1 7 5
2 0 0
2 2 5
4 0 4 2 4 4 4 6 4 8 5 0 5 2 2 4 6 8 1 0 1 2 1 4 1 6 1 8 2 0​
W e e k​
Rate per 100 000 population​
E n g l a n d ( R C G P )
S c o t l a n d ( H P S )
W a l e s ( N P H S )
N o r t h e r n I r e l a n d ( C D S C N I )​
Figure 3​
: GP Consultation rates for influenza/influenza-like illness in the U.K

QSurveillance​
HPA and Nottingham University Division of Primary
Care.​
(​
http://www.qresearch.org)

Northern Ireland​
CDSC Northern Ireland​
(​
http://www.cdscni.org.uk/)

The combined rate for influenza and influenza-like illness
decreased from 157.3 per 100,000 in week 02/09 to 112.6
per 100,000 in week 03/09 (Figure 3). No threshold has
been set for Northern Ireland.
This primary care surveillance system uses
QSurveillance, a database of general practice derived
data. During week 03/09, over 3200 practices reported
from England, Wales, Scotland and Northern Ireland
covering a population of over 21 million. The rate of
influenza-like illness decreased from 30.3 per 100,000
in week 02/09 to 18.7 per 100,000 in week 03/09. The
highest rate is in the 45-64 year age group (25.1 per
100,000). The rates were highest in Northern Ireland,
the south west of England and London.​
NHS Direct total call activity​
England and Wales​
(​
http://www.nhsdirect.nhs.uk/)

The proportions of cold/flu calls decreased from 1.2 % in
week 02/09 to 0.8% in week 03/09, which is below the
threshold of 1.2%. The proportion of fever calls in 5-14
year olds increased from 4.9% in week 02/09 to 6.6% in
week 03/09 but remains below the threshold of 9%.​
Wales​
National Public Health Service​
(​
http://www.wales.nhs.uk/sites/home.cfm?OrgID=368)

GP consultation rates for influenza increased slightly from
11.6 per 100,000 in week 02/09 to 12.8 per 100,000 in
week 03/09. Both figures are below the baseline
threshold of 25 consultations per 100,000 (Figure 3).​
Figure 2​
: RCGP Episode incidence rates for influenza-like illness (ILI) by age group, England and Wales.

0
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
1 0 0
4 0 4 2 4 4 4 6 4 8 5 0 5 2 2 4 6 8 1 0 1 2 1 4 1 6 1 8 2 0​
W e e k
Rate per 100 000 population
0 - 1
1 - 4
5 - 1 4
1 5 - 4 4
4 5 - 6 4
6 5 - 7 4
> 7 5​
Medical Officers of Schools Association (MOSA)
Scotland​
Health Protection Scotland​
(​
http://www.hps.scot.nhs.uk/)

GP consultation rates for influenza decreased from 92.0
per 100,000 in week 02/09 to 68.0 per 100,000 in week
03/09 (Figure 3). This still exceeds the Scottish baseline
threshold of 50 consultations per 100,000.
In week 02/09 25 schools reported data. There were 13
new episodes of upper respiratory tract infection giving
a rate of 1.94 per 1000, which is low compared to the
peak this season in week 50/08 with 260 episodes giving
a rate of 118.4 per 1000. In week 02/09 there were five
new episodes of influenza or ILI which gives a rate of
0.75 per 1000. This is also low compared the the peak
of 23 episodes and a rate of 10.4 per 1000 in week 49/
08​
3​
Respiratory Virus Unit (RVU) Influenza Reference
Laboratory, CfI​
In week 03/09 48 specimens tested positive for influenza;
six A (H1), 39 A (H3) and 3 B (table 1). Since week 40/08
347 viruses have been characterised: 34 A (H1) Brisbane/
59/2007 (H1N1)-like, 321 A (H3) A/Brisbane/10/2007
(H3N2)-like, four B/Florida/4/2006-like which are all vaccine
strains, and 16 B/Malaysia/2506/2004-like.​
19.1% of
specimens from the RCGP surveillance scheme were
positive for influenza in week 03/09 (figure 4), this is a
decrease from 26.7% positive in week 02/09.
Since
week 40/08, all 101 A (H3) isolates that have been tested
have been found to be resistant to amantadine, of these
74 have been tested and found to be sensitive to
oseltamivir and zanamivir. Forty influenza A (H1) specimens
have been tested for anti-viral resistance since week 40/
08, 39 of these were resistant to oseltamivir and all were
sensitive to zanamivir and amantadine. Two influenza B
specimens have been tested so far and were sensitive to
oseltamivir and zanamivir.

* RSV detection is by PCR only​
Other NHS and HPA laboratories (England and
Wales)​
The number of specimens positive for influenza A has
decreased from 168 in week 02/09 to 95 in week 03/
09, the number of influenza B positives has stayed fairly
constant at three in week 03/09 and the number of RSV
positives decreased (from 264 to 219) in the same
time period (Table 2).​
Please note that these data are provisional.​
Laboratory indices of acute respiratory illness​
*​
Detections of RSV by isolation are not included.

Table 1 ?Detections? (PCR and isolation) of influenza and
RSV made by RVU (CfI) Reference Laboratory.
Samples from community and hospital sources,
by week of report.​
11 211 15 5
11 278 6 10
38 550 27 28
2 7 0 0
1 2 0 0
0 7 0 0​
63 1055 48 43
Influenza Detections by
PCR and Isolation
A (H1) A (H3) B RSV*
Cumulative to date
Northern England
Central England
Southern England
Wales
Scotland
Northern Ireland
Cumulative Total
Influenza type ( subtype)
Week 02/09
Week 03/09
(week 40/08 ? 02/09)
356 336 3922​
Table 2 ??Detections? (isolation, PCR, direct
immunofluorescence and paired sera tests) of
influenza and RSV reported to CfI by NHS and
HPA microbiology laboratories. Data for England
and Wales by RCGP region, by week of report​
Week 02/09
Week 03/09
Cumulative to Date
(week 40/08 - 03/09)
Northern England
Central England
Southern England
Wales
Cumulative Total​
Detection (isolates, DIF and PCR)​
Influenza A Influenza B RSV*​
168 4 264
95 3 219​
267 17 1355
328 8 623
384 4 1894
46 0 279​
1025 29 4151​
4 61 5 3
6 39 3 3​
Figure 4 : Proportion of RCGP specimens positive for influenza detected (PCR and Isolation) by RVU,CfI, by week of
specimen​
0
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
4 0 4 2 4 4 4 6 4 8 5 0 5 2 2 4 6 8 1 0 1 2 1 4 1 6 1 8 2 0
W e e k​
Percentage positive​
% I n f l u e n z a B
% I n f l u e n z a A ( H 1 )
% I n f l u e n z a A ( H 3 )​
Four (20%) of 20 samples submitted in weeks 01 and
02/09 from this parallel GP sentinel scheme were
positive for influenza A. Between weeks 40/08 and 02/
08, 645 specimens have been submitted and 213
(33%) have been positive for influenza; 200 influenza A
and 13 influenza B.​
HPA CfI Virological Surveillance of Influenza
(England)​
Please note that these data are provisional.​
4​
Avian Influenza​
The WHO continues to monitor and report on new cases
of human infection with A(H5N1) avian influenza when
they occur. On 19 January WHO reported three cases of
influenza A (H5N1) in different provinces of China, one
has died. According to WHO, the total number of
confirmed human infections worldwide with H5N1, since
December 2003, is 397 of which 249 (63%) have died.​
Useful links:​
Situation updates from WHO (human):​
Situation summary from the HPA (avian and human):​
Virological data from Northern Ireland​
(​
http://www.cdscni.org.uk/)

Five sentinel samples were tested in week 03/09 of
which three (21%) were positive for influenza (two A
and one B). Of the 62 non-sentinel samples tested,
10 (16%) were positive for influenza (nine A and one
B) and 12 for RSV.​
Flu Vaccination Campaign 2008/09 (England)​
Data on influenza vaccination uptake is taken weekly from
a sample of GPs in England.
Steady increasing trends have been seen since since
the start of the campaign in September 2008.
In week 03/09 the proportion vaccinated in the over 65
year age group reached 73.9% and in the under 65 years
at risk group, the proportion vaccinated was 46.5%.​
Outbreak Reports:​
There have been six outbreaks of respiratory disease
reported recently, four of which have been confirmed as
influenza A. Four are from care homes in England; one
in the east of the country, two in the south east, one in the
west Midlands, which may be linked to an outbreak in a
hospital in the same area. One outbreak has been
reported from a school in Yorkshire and the Humber.
CfI welcomes reports of respiratory illness outbreaks.
A reporting form can be found at:​
or by emailing the influenza team on

respcdsc@hpa.org.uk​
.

Mortality Data
Office for National Statistics​
(​
http://www.statistics.gov.uk)

In week 02/09 an estimated 15,233 deaths were
registered, with 3334 (21.9%) giving respiratory disease
as an underlying cause. In week 01/09 an estimated
3035 (22.4%) of 13,560 registered deaths were due to
respiratory illness. In the five week period from week
50/08 to week 02/09 HPA estimates that there have been
approximately 6300 all-cause excess deaths compared
the expected number at this time of year. It should be
noted that this excess mortality is due to all causes and
cannot be specifically attributed to influenza. The
estimated weekly all-cause registered deaths are shown
in figure 5.​
Other Reports (UK)​
During week 03/09, 12 (29%) out of 41 sentinel
samples were positive for influenza; nine A (three A
(H3)) and three B. Two sentinel samples were positive
for RSV and two were positive for other viruses. One
hundred and five routine samples were also tested; 64
(77%) were positive for influenza; 54 A and ten B; two of
the influenza A positive samples were also positive for
RSV and 41 further were positive for RSV alone.​
Figure 5 : Weekly all cause registered deaths in England and Wales​
0
2 0 0 0
4 0 0 0
6 0 0 0
8 0 0 0
1 0 0 0 0
1 2 0 0 0
1 4 0 0 0
1 6 0 0 0​
4 0 4 2 4 4 4 6 4 8 5 0 5 2 2 4 6 8 1 0 1 2 1 4 1 6 1 8 2 0
W e e k N u m b e r
Number of Deaths​
O b s e r v e d
E x p e c t e d
9 5 % U p p e r L i m i t​
Data Source: The National Influenza Vaccine Uptake
Monitoring Programme (HPA/DH)​
Virological data from Scotland​
(​
http://www.show.scot.nhs.uk/scieh/)

Virological data from Wales​
)

In week 02/09 two (13%) of 15 sentinel samples were
positive for influenza A. To date this season 15 of 77
(19%) sentinel samples and 49 non-sentinel samples
have been positive for influenza A.​
* Provisional data, above threshold​
5​
Data for this report were collated by the Influenza/
Respiratory Virus Team:
Estelle McLean, Joy Field, Richard Pebody and John
Watson
Respiratory and Systemic Infections Department
HPA Centre for Infections, 61 Colindale Avenue
London NW9 5EQ, United Kingdom
Tel: (0)20 8327 7768; Fax: (0)20 8200 7868
E-mail:​
respcdsc@hpa.org.uk

Maria Zambon, Joanna Ellis, Angie Lackenby, Alison
Bermingham and Praveen Sebastianpillai
Respiratory Virus Unit, Virus Reference Department
HPA Centre for Infections, 61 Colindale Avenue
London NW9 5HT, United Kingdom
Tel: (0)20 8327 6239; Fax: (0)20 8205 8195
E-mail:​
ernvl@hpa.org.uk

If you wish to be included on our email notification list
please send your address to:​
respcdsc@hpa.org.uk

Acknowledgements​
Canada​
Public Health Agency of Canada​
(​
http://www.phac-aspc.gc.ca/fluwatch/index.html)

During week 02/09, influenza activity remained low with
the majority of the influenza surveillance regions reporting
no activity, 19 regions reporting sporadic activity and three
reporting localised influenza activity. Overall, there was a
decrease in the consultation rates. One hundred and
eighteen of 3306 (3.6%) specimens tested positive for
influenza and two influenza outbreaks were reported in
week 01/09.
Since 1 September 2008, 69 influenza viruses have been
characterised: 16 influenza A/Brisbane/59/2007(H1N1)-
like, two A/Brisbane/10/2007 (H3N2)-like, four influenza
B/Florida/4/2006-like and 47 B/Malaysia/2506/2004-like,
the latter was a component of the 2007/08 vaccine.
Forty-three influenza A (H1N1) isolates have been tested
and found to be resistant to oseltamivir.​
Ireland​
Health Protection Surveillance Centre (HPSC)​
(​
http://www.hpsc.ie/)

The Irish ILI consultation rate decreased from 120.5
(updated rate) per 100,00 in week 02/09 to 103.1 per
100,000 population in week 03/09. Both rates are well
above the Irish baseline threshold of 17.8 per 100,000
population.
In week 03/09 14 (50%) of 34 sentinel samples were
positive for influenza (seven A (H3), five A untyped and
two B) and three (2.5%) of 122 non-sentinel samples
were positive for influenza A and ten for RSV.​
Other country reports can be obtained from the World
Health Organisation:​
Europe​
European Influenza Surveillance System (EISS)​
(​
www.eiss.org)

Most European countries are now experiencing influenza
activity of medium intensity. Only a limited number of
countries, mostly in east and north east Europe are still
reporting low influenza activity. In week 02/09,​
influenza
activity was reported as high in Switzerland and Ireland,
medium intensity in 17 countries and low in 10
countries. Geographical spread was reported as
widespread in 14 countries; regional in three countries;
local in two countries; sporadic in six countries; and
no activity was reported in four.

Out of the total 1448 respiratory specimens collected by
sentinel physicians during week 02/09, 573 (39.6%)
specimens tested positive for influenza, 274 type A (not
subtyped), 262 A (H3), seven A (H1) and 30 type B. In
addition, 702 non-sentinel specimens tested positive
including 584 influenza A (not subtyped), 98 A (H3), four
A (H1), and 16 type B.
Since week 40/08, 374 viruses have been characterised;
360 of these seem to be a good match to the strains
recommended for the 2008-09 vaccine, the remaining
14 were B/Malaysia/2506/2004-like.​
Influenza activity outside the UK​
United States of America​
Centers for Disease Control and Prevention (CDC)​
(​
http://www.cdc.gov/flu/weekly/)

During week 02/09, influenza levels remained low but
increased from the previous week. One state (Virginia)
reported widespread activity, five states reported regional
activity, 10 states reported local influenza activity, the
District of Columbia, Puerto Rico and 33 states reported
sporadic influenza activity, and one state reported no
activity.
In week 01/09 WHO and NREVSS laboratories reported
3394 specimens tested for influenza viruses, 242 (7.1%)
of which were positive: 47 influenza A (H1), 11 A (H3), 156
A (not subtyped) and 28 influenza B.
Since week 40/08 158 influenza viruses have been
characterised; 93 A/Brisbane/59/2007 (H1N1)-like, 13 A/
Brisbane/10/2007 (H3N2)-like, 17 B/Florida/04/2006-like,
which are the components recommended for the 2008-
09 vaccine, and 35 from the B/Victoria lineage. Of the 103
influenza A (H1) viruses tested this season, 101 have
been found to be resistant to oseltamivir, but all are​
sensitive to zanamivir.

http://www.hpa.org.uk/web/HPAwebFile/HPAweb_C/1232527287207
 
Re: Seasonal Flu 2008 - 2009

<TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR title="Click on column header to change the sort order"><TD class=viewDataBorderTBRBold>Country</TD><TD class=viewDataBorderBold>Subgroup</TD><TD class=viewDataBorderBold align=middle>Period</TD><TD class=viewDataBorderBold align=middle>Year</TD><TD class=viewDataBorderBold align=middle>Value</TD><TD class=viewDataBorderBold align=middle>Source</TD></TR><TR><TD class=categoryPath align=middle colSpan=7>Communicable Diseases -> Influenza -> Influenza viruses detected</TD></TR><TR><TD class=indicatorInfo align=middle colSpan=7>(Periodicity: Week, Applied Time Period: from 1/2009 to 3/2009)</TD></TR><TR><TD class=content vAlign=top>1.</TD><TD class=content vAlign=top width=161>Belgium</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>2.</TD><TD class=content vAlign=top width=161>Belgium</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>8</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>3.</TD><TD class=content vAlign=top width=161>Belgium</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>11</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>4.</TD><TD class=content vAlign=top width=161>Brazil</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>5.</TD><TD class=content vAlign=top width=161>Brazil</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>6.</TD><TD class=content vAlign=top width=161>Brazil</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>5</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>7.</TD><TD class=content vAlign=top width=161>Cameroon</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>8.</TD><TD class=content vAlign=top width=161>Cameroon</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>9.</TD><TD class=content vAlign=top width=161>Cameroon</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>10.</TD><TD class=content vAlign=top width=161>Cameroon</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>11.</TD><TD class=content vAlign=top width=161>Cameroon</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>12.</TD><TD class=content vAlign=top width=161>Cameroon</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>13.</TD><TD class=content vAlign=top width=161>Canada</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>14.</TD><TD class=content vAlign=top width=161>Canada</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>15.</TD><TD class=content vAlign=top width=161>Canada</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>16.</TD><TD class=content vAlign=top width=161>Canada</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>17.</TD><TD class=content vAlign=top width=161>Canada</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>43</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>18.</TD><TD class=content vAlign=top width=161>Canada</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>66</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>19.</TD><TD class=content vAlign=top width=161>Chile</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>20.</TD><TD class=content vAlign=top width=161>Chile</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>21.</TD><TD class=content vAlign=top width=161>Chile</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>22.</TD><TD class=content vAlign=top width=161>Chile</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>23.</TD><TD class=content vAlign=top width=161>Chile</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>24.</TD><TD class=content vAlign=top width=161>Chile</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>25.</TD><TD class=content vAlign=top width=161>Chile</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>26.</TD><TD class=content vAlign=top width=161>Chile</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>27.</TD><TD class=content vAlign=top width=161>Chile</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>28.</TD><TD class=content vAlign=top width=161>China</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>83</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>29.</TD><TD class=content vAlign=top width=161>China</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>64</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>30.</TD><TD class=content vAlign=top width=161>China</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>45</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>31.</TD><TD class=content vAlign=top width=161>China</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>7</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>32.</TD><TD class=content vAlign=top width=161>China</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>9</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>33.</TD><TD class=content vAlign=top width=161>China</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>17</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>34.</TD><TD class=content vAlign=top width=161>China</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>35.</TD><TD class=content vAlign=top width=161>China</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>36.</TD><TD class=content vAlign=top width=161>China</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>4</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>37.</TD><TD class=content vAlign=top width=161>Croatia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>38.</TD><TD class=content vAlign=top width=161>Croatia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>39.</TD><TD class=content vAlign=top width=161>Croatia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>40.</TD><TD class=content vAlign=top width=161>Croatia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>41.</TD><TD class=content vAlign=top width=161>Croatia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>42.</TD><TD class=content vAlign=top width=161>Croatia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>15</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>43.</TD><TD class=content vAlign=top width=161>Croatia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>44.</TD><TD class=content vAlign=top width=161>Croatia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>45.</TD><TD class=content vAlign=top width=161>Croatia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>46.</TD><TD class=content vAlign=top width=161>Denmark</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>47.</TD><TD class=content vAlign=top width=161>Denmark</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>48.</TD><TD class=content vAlign=top width=161>Denmark</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>49.</TD><TD class=content vAlign=top width=161>Denmark</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>33</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>50.</TD><TD class=content vAlign=top width=161>Denmark</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>62</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>51.</TD><TD class=content vAlign=top width=161>Denmark</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>91</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>52.</TD><TD class=content vAlign=top width=161>Denmark</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>4</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>53.</TD><TD class=content vAlign=top width=161>Denmark</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>54.</TD><TD class=content vAlign=top width=161>Denmark</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>55.</TD><TD class=content vAlign=top width=161>Estonia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>56.</TD><TD class=content vAlign=top width=161>Estonia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>57.</TD><TD class=content vAlign=top width=161>Estonia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>58.</TD><TD class=content vAlign=top width=161>Estonia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>59.</TD><TD class=content vAlign=top width=161>Estonia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>5</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>60.</TD><TD class=content vAlign=top width=161>Estonia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>61.</TD><TD class=content vAlign=top width=161>Estonia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>62.</TD><TD class=content vAlign=top width=161>Estonia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>7</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>63.</TD><TD class=content vAlign=top width=161>Estonia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>10</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>64.</TD><TD class=content vAlign=top width=161>Finland</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>65.</TD><TD class=content vAlign=top width=161>Finland</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>66.</TD><TD class=content vAlign=top width=161>Finland</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>67.</TD><TD class=content vAlign=top width=161>Finland</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>68.</TD><TD class=content vAlign=top width=161>Finland</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>69.</TD><TD class=content vAlign=top width=161>Finland</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>70.</TD><TD class=content vAlign=top width=161>Finland</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>6</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>71.</TD><TD class=content vAlign=top width=161>Finland</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>5</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>72.</TD><TD class=content vAlign=top width=161>Finland</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>45</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>73.</TD><TD class=content vAlign=top width=161>France</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>74.</TD><TD class=content vAlign=top width=161>France</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>75.</TD><TD class=content vAlign=top width=161>France</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>76.</TD><TD class=content vAlign=top width=161>France</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>77.</TD><TD class=content vAlign=top width=161>France</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>78.</TD><TD class=content vAlign=top width=161>France</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>79.</TD><TD class=content vAlign=top width=161>France</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>80.</TD><TD class=content vAlign=top width=161>France</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>81.</TD><TD class=content vAlign=top width=161>France</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>82.</TD><TD class=content vAlign=top width=161>Germany</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>83.</TD><TD class=content vAlign=top width=161>Germany</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>4</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>84.</TD><TD class=content vAlign=top width=161>Germany</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>11</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>85.</TD><TD class=content vAlign=top width=161>Germany</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>19</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>86.</TD><TD class=content vAlign=top width=161>Germany</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>97</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>87.</TD><TD class=content vAlign=top width=161>Germany</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>215</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>88.</TD><TD class=content vAlign=top width=161>Germany</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>89.</TD><TD class=content vAlign=top width=161>Germany</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>90.</TD><TD class=content vAlign=top width=161>Germany</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>91.</TD><TD class=content vAlign=top width=161>Greece</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>92.</TD><TD class=content vAlign=top width=161>Greece</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>93.</TD><TD class=content vAlign=top width=161>Greece</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>94.</TD><TD class=content vAlign=top width=161>Greece</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>95.</TD><TD class=content vAlign=top width=161>Greece</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>96.</TD><TD class=content vAlign=top width=161>Greece</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>5</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>97.</TD><TD class=content vAlign=top width=161>Greece</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>98.</TD><TD class=content vAlign=top width=161>Greece</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>99.</TD><TD class=content vAlign=top width=161>Greece</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>100.</TD><TD class=content vAlign=top width=161>Honduras</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>101.</TD><TD class=content vAlign=top width=161>Honduras</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>102.</TD><TD class=content vAlign=top width=161>Honduras</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>103.</TD><TD class=content vAlign=top width=161>Honduras</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>104.</TD><TD class=content vAlign=top width=161>Honduras</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>105.</TD><TD class=content vAlign=top width=161>Honduras</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>106.</TD><TD class=content vAlign=top width=161>Iran (Islamic Republic of)</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>107.</TD><TD class=content vAlign=top width=161>Iran (Islamic Republic of)</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>108.</TD><TD class=content vAlign=top width=161>Iran (Islamic Republic of)</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>109.</TD><TD class=content vAlign=top width=161>Iran (Islamic Republic of)</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>110.</TD><TD class=content vAlign=top width=161>Iran (Islamic Republic of)</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>9</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>111.</TD><TD class=content vAlign=top width=161>Iran (Islamic Republic of)</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>112.</TD><TD class=content vAlign=top width=161>Iran (Islamic Republic of)</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>113.</TD><TD class=content vAlign=top width=161>Iran (Islamic Republic of)</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>114.</TD><TD class=content vAlign=top width=161>Iran (Islamic Republic of)</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>115.</TD><TD class=content vAlign=top width=161>Israel</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>116.</TD><TD class=content vAlign=top width=161>Israel</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>117.</TD><TD class=content vAlign=top width=161>Israel</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>118.</TD><TD class=content vAlign=top width=161>Israel</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>119.</TD><TD class=content vAlign=top width=161>Israel</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>120.</TD><TD class=content vAlign=top width=161>Israel</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>121.</TD><TD class=content vAlign=top width=161>Israel</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>4</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>122.</TD><TD class=content vAlign=top width=161>Israel</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>15</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>123.</TD><TD class=content vAlign=top width=161>Israel</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>13</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>124.</TD><TD class=content vAlign=top width=161>Italy</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>125.</TD><TD class=content vAlign=top width=161>Italy</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>126.</TD><TD class=content vAlign=top width=161>Italy</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>5</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>127.</TD><TD class=content vAlign=top width=161>Italy</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>128.</TD><TD class=content vAlign=top width=161>Italy</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>11</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>129.</TD><TD class=content vAlign=top width=161>Italy</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>27</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>130.</TD><TD class=content vAlign=top width=161>Italy</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>6</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>131.</TD><TD class=content vAlign=top width=161>Italy</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>19</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>132.</TD><TD class=content vAlign=top width=161>Italy</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>8</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>133.</TD><TD class=content vAlign=top width=161>Japan</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>4</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>134.</TD><TD class=content vAlign=top width=161>Japan</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>31</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>135.</TD><TD class=content vAlign=top width=161>Japan</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>136.</TD><TD class=content vAlign=top width=161>Japan</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>9</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>137.</TD><TD class=content vAlign=top width=161>Japan</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>138.</TD><TD class=content vAlign=top width=161>Japan</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>139.</TD><TD class=content vAlign=top width=161>Kazakhstan</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>140.</TD><TD class=content vAlign=top width=161>Kazakhstan</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>141.</TD><TD class=content vAlign=top width=161>Kazakhstan</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>142.</TD><TD class=content vAlign=top width=161>Kazakhstan</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>143.</TD><TD class=content vAlign=top width=161>Kazakhstan</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>144.</TD><TD class=content vAlign=top width=161>Kazakhstan</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>145.</TD><TD class=content vAlign=top width=161>Latvia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>146.</TD><TD class=content vAlign=top width=161>Latvia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>147.</TD><TD class=content vAlign=top width=161>Latvia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>148.</TD><TD class=content vAlign=top width=161>Latvia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>4</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>149.</TD><TD class=content vAlign=top width=161>Latvia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>4</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>150.</TD><TD class=content vAlign=top width=161>Latvia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>4</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>151.</TD><TD class=content vAlign=top width=161>Luxembourg</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>152.</TD><TD class=content vAlign=top width=161>Luxembourg</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>153.</TD><TD class=content vAlign=top width=161>Luxembourg</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>4</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>154.</TD><TD class=content vAlign=top width=161>Mongolia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>155.</TD><TD class=content vAlign=top width=161>Mongolia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>156.</TD><TD class=content vAlign=top width=161>Mongolia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>157.</TD><TD class=content vAlign=top width=161>Mongolia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>158.</TD><TD class=content vAlign=top width=161>Mongolia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>159.</TD><TD class=content vAlign=top width=161>Mongolia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>160.</TD><TD class=content vAlign=top width=161>Mongolia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>161.</TD><TD class=content vAlign=top width=161>Mongolia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>8</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>162.</TD><TD class=content vAlign=top width=161>Mongolia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>9</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>163.</TD><TD class=content vAlign=top width=161>Netherlands</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>164.</TD><TD class=content vAlign=top width=161>Netherlands</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>7</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>165.</TD><TD class=content vAlign=top width=161>Netherlands</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>6</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>166.</TD><TD class=content vAlign=top width=161>New Caledonia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>167.</TD><TD class=content vAlign=top width=161>New Caledonia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>168.</TD><TD class=content vAlign=top width=161>New Caledonia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>169.</TD><TD class=content vAlign=top width=161>Norway</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>170.</TD><TD class=content vAlign=top width=161>Norway</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>171.</TD><TD class=content vAlign=top width=161>Norway</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>172.</TD><TD class=content vAlign=top width=161>Norway</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>9</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>173.</TD><TD class=content vAlign=top width=161>Norway</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>33</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>174.</TD><TD class=content vAlign=top width=161>Norway</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>10</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>175.</TD><TD class=content vAlign=top width=161>Norway</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>75</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>176.</TD><TD class=content vAlign=top width=161>Norway</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>71</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>177.</TD><TD class=content vAlign=top width=161>Norway</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>72</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>178.</TD><TD class=content vAlign=top width=161>Poland</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>179.</TD><TD class=content vAlign=top width=161>Poland</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>180.</TD><TD class=content vAlign=top width=161>Poland</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>181.</TD><TD class=content vAlign=top width=161>Poland</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>182.</TD><TD class=content vAlign=top width=161>Poland</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>183.</TD><TD class=content vAlign=top width=161>Poland</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>184.</TD><TD class=content vAlign=top width=161>Poland</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>185.</TD><TD class=content vAlign=top width=161>Poland</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>186.</TD><TD class=content vAlign=top width=161>Poland</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>187.</TD><TD class=content vAlign=top width=161>Portugal</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>4</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>188.</TD><TD class=content vAlign=top width=161>Portugal</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>189.</TD><TD class=content vAlign=top width=161>Portugal</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>190.</TD><TD class=content vAlign=top width=161>Portugal</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>27</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>191.</TD><TD class=content vAlign=top width=161>Portugal</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>9</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>192.</TD><TD class=content vAlign=top width=161>Portugal</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>6</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>193.</TD><TD class=content vAlign=top width=161>Portugal</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>12</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>194.</TD><TD class=content vAlign=top width=161>Portugal</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>25</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>195.</TD><TD class=content vAlign=top width=161>Portugal</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>13</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>196.</TD><TD class=content vAlign=top width=161>Republic of Korea</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>83</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>197.</TD><TD class=content vAlign=top width=161>Republic of Korea</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>198.</TD><TD class=content vAlign=top width=161>Republic of Korea</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>199.</TD><TD class=content vAlign=top width=161>Romania</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>200.</TD><TD class=content vAlign=top width=161>Romania</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>201.</TD><TD class=content vAlign=top width=161>Romania</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>202.</TD><TD class=content vAlign=top width=161>Romania</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>203.</TD><TD class=content vAlign=top width=161>Romania</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>204.</TD><TD class=content vAlign=top width=161>Romania</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>9</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>205.</TD><TD class=content vAlign=top width=161>Romania</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>206.</TD><TD class=content vAlign=top width=161>Romania</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>207.</TD><TD class=content vAlign=top width=161>Romania</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>208.</TD><TD class=content vAlign=top width=161>Russian Federation</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>4</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>209.</TD><TD class=content vAlign=top width=161>Russian Federation</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>210.</TD><TD class=content vAlign=top width=161>Russian Federation</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>4</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>211.</TD><TD class=content vAlign=top width=161>Russian Federation</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>212.</TD><TD class=content vAlign=top width=161>Russian Federation</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>213.</TD><TD class=content vAlign=top width=161>Russian Federation</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>214.</TD><TD class=content vAlign=top width=161>Serbia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>215.</TD><TD class=content vAlign=top width=161>Serbia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>216.</TD><TD class=content vAlign=top width=161>Serbia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>217.</TD><TD class=content vAlign=top width=161>Serbia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>218.</TD><TD class=content vAlign=top width=161>Serbia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>219.</TD><TD class=content vAlign=top width=161>Serbia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>220.</TD><TD class=content vAlign=top width=161>Serbia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>221.</TD><TD class=content vAlign=top width=161>Serbia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>222.</TD><TD class=content vAlign=top width=161>Serbia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>223.</TD><TD class=content vAlign=top width=161>Slovenia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>224.</TD><TD class=content vAlign=top width=161>Slovenia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>225.</TD><TD class=content vAlign=top width=161>Slovenia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>226.</TD><TD class=content vAlign=top width=161>Slovenia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>6</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>227.</TD><TD class=content vAlign=top width=161>Slovenia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>39</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>228.</TD><TD class=content vAlign=top width=161>Slovenia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>92</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>229.</TD><TD class=content vAlign=top width=161>Slovenia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>230.</TD><TD class=content vAlign=top width=161>Slovenia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>231.</TD><TD class=content vAlign=top width=161>Slovenia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>4</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>232.</TD><TD class=content vAlign=top width=161>Spain</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>233.</TD><TD class=content vAlign=top width=161>Spain</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>234.</TD><TD class=content vAlign=top width=161>Spain</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>54</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>235.</TD><TD class=content vAlign=top width=161>Spain</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>13</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>236.</TD><TD class=content vAlign=top width=161>Spain</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>46</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>237.</TD><TD class=content vAlign=top width=161>Spain</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>35</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>238.</TD><TD class=content vAlign=top width=161>Switzerland</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>239.</TD><TD class=content vAlign=top width=161>Switzerland</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>240.</TD><TD class=content vAlign=top width=161>Switzerland</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>241.</TD><TD class=content vAlign=top width=161>Switzerland</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>6</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>242.</TD><TD class=content vAlign=top width=161>Switzerland</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>8</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>243.</TD><TD class=content vAlign=top width=161>Switzerland</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>244.</TD><TD class=content vAlign=top width=161>Switzerland</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>7</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>245.</TD><TD class=content vAlign=top width=161>Switzerland</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>78</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>246.</TD><TD class=content vAlign=top width=161>Switzerland</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>45</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>247.</TD><TD class=content vAlign=top width=161>Tunisia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>248.</TD><TD class=content vAlign=top width=161>Tunisia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>249.</TD><TD class=content vAlign=top width=161>Tunisia</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>250.</TD><TD class=content vAlign=top width=161>Tunisia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>251.</TD><TD class=content vAlign=top width=161>Tunisia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>252.</TD><TD class=content vAlign=top width=161>Tunisia</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>253.</TD><TD class=content vAlign=top width=161>Tunisia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>254.</TD><TD class=content vAlign=top width=161>Tunisia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>255.</TD><TD class=content vAlign=top width=161>Tunisia</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>256.</TD><TD class=content vAlign=top width=161>Turkey</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>257.</TD><TD class=content vAlign=top width=161>Turkey</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>258.</TD><TD class=content vAlign=top width=161>Turkey</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>259.</TD><TD class=content vAlign=top width=161>United Kingdom of Great Britain and Northern Ireland</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>260.</TD><TD class=content vAlign=top width=161>United Kingdom of Great Britain and Northern Ireland</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>6</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>261.</TD><TD class=content vAlign=top width=161>United Kingdom of Great Britain and Northern Ireland</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>103</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>262.</TD><TD class=content vAlign=top width=161>United Kingdom of Great Britain and Northern Ireland</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>76</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>263.</TD><TD class=content vAlign=top width=161>United Kingdom of Great Britain and Northern Ireland</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>264.</TD><TD class=content vAlign=top width=161>United Kingdom of Great Britain and Northern Ireland</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>265.</TD><TD class=content vAlign=top width=161>United States of America</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>55</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>266.</TD><TD class=content vAlign=top width=161>United States of America</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>47</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>267.</TD><TD class=content vAlign=top width=161>United States of America</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>8</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>268.</TD><TD class=content vAlign=top width=161>United States of America</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>11</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>269.</TD><TD class=content vAlign=top width=161>United States of America</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>1</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>106</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>270.</TD><TD class=content vAlign=top width=161>United States of America</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>2</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>156</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>271.</TD><TD class=content vAlign=top width=161>Venezuela</TD><TD class=content vAlign=top>A (H1)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>272.</TD><TD class=content vAlign=top width=161>Venezuela</TD><TD class=content vAlign=top>A (H3)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR><TR><TD class=content vAlign=top>273.</TD><TD class=content vAlign=top width=161>Venezuela</TD><TD class=content vAlign=top>A (not suptyped)</TD><TD class=content vAlign=top align=middle>3</TD><TD class=content vAlign=top align=middle>2009</TD><TD class=content vAlign=top align=middle>0</TD><TD class=content vAlign=top align=middle>view</TD></TR></TBODY></TABLE><!-- END OF CONTENT -->
 
Re: Seasonal Flu 2008 - 2009

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</TD><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 3 : 12/01/2009-18/01/2009[/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? 289[/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=2009&week=3&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=2009&week=3&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=2009&week=3&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=2009&week=3&region=England"><AREA 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="http://www2.nphs.wales.nhs.uk/icds/page.cfm?pid=507"><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 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="http://www.virology.nl/research/influenza.asp"><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=2009&week=3&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=2009&week=3&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/k_m_meldesystem/00736/00816/index.html?lang=en"><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=2009&week=3&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 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="http://vgripe.isciii.es/gripe/inicio.do"><AREA 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="http://vgripe.isciii.es/gripe/inicio.do"><AREA 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="http://vgripe.isciii.es/gripe/inicio.do"><AREA shape=POLY alt=Spain coords=193,583,189,582,185,586,187,591,191,594,193,589 href="http://vgripe.isciii.es/gripe/inicio.do"><AREA shape=POLY alt=Spain coords=58,616,70,616,72,616,70,627,66,627,56,622 href="http://vgripe.isciii.es/gripe/inicio.do"><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=2009&week=3&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=FYROM 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 href="http://www.cantacuzino.ro"><AREA shape=POLY alt=Romania coords=516,482,520,482,520,466,528,460,528,450,520,450,515,456,513,457,504,447,503,431,488,418,486,410,481,408,473,417,464,423,460,421,441,421,441,424 href="http://www.cantacuzino.ro"><AREA shape=POLY alt=Malta coords=355,644,357,648,357,651,364,649,364,646,360,643 href="http://www.sahha.gov.mt"><AREA shape=POLY alt=Cyprus coords=635,595,626,604,614,607,614,612,607,617,611,624,624,620,629,616,636,611,631,607,639,597><AREA shape=POLY alt=Austria coords=375,419,374,422,379,432,380,435,375,438,373,436,372,438,373,441,372,450,361,458,358,457,352,461,342,460,331,458,327,457,324,453,314,453,311,458,297,453,295,449,294,443,298,443,303,445,308,442,312,445,320,441,326,439,331,441,333,438,330,433,339,424,344,422,348,424,357,415,360,416,363,419,372,418><AREA shape=POLY alt=Croatia coords=406,464,409,472,409,478,408,479,398,476,389,476,379,478,371,476,368,478,377,501,390,518,396,524,387,526,372,521,358,506,341,487,340,478,345,481,351,477,355,478,364,474,364,467,367,466,370,459,372,458,383,465,391,470,400,468 href="http://www.hzjz.hr"><AREA shape=POLY alt="Boznia and Herzegovina" coords=407,478,412,477,414,479,410,490,415,496,414,500,416,503,413,509,405,516,404,524,394,524,378,505,373,494,368,482,369,476,376,478,392,476,400,475><AREA shape=POLY alt=Montenegro coords=413,511,424,527,418,525,416,539,397,525><AREA shape=POLY alt=Serbia coords=418,461,418,462,425,469,434,477,435,482,441,484,447,482,450,491,448,495,453,504,455,509,451,515,452,524,431,533,426,525,427,524,427,524,424,523,422,521,419,517,414,510,414,504,412,498,414,496,410,488,413,479,409,477,407,463,412,460 href="http://www.batut.org.yu/"><AREA shape=POLY alt="" 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 onclick="return popupregional(this, 'notes')" shape=POLY alt=Latvia coords=398,283,430,279,449,281,464,270,457,251,439,247,423,250,396,250 href="/cgi-files/regional_comments.cgi?year=2009&week=3&region=Latvia"><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/2009_03_int_v2.png')" type=radio CHECKED value=radiobutton name=radiobutton> Geographical spread <INPUT onclick="movepic('button','/bulletin_maps/2009_03_v2.png')" type=radio value=radiobutton name=radiobutton> </FORM><CENTER>
2009_03_int_v2.png
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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
During this last week, among the 40 samples resulted positive for influenza A, the first isolates belonging to H1N1 subtype have been reported in Italy, together with further 27 H3N2 viruses.
Serbia
Influenza B/Malaysia/2506/2004-like virus strains were confirmed by Real-time PCR and isolation in MDCK cells in two patients (12 years and 23 years old). Influenza A(H3) was confirmed by Real-time PCR in the samples of a 24 year-old patient
Sweden
We had a medium level of inluenza actvity among ILI cases BUT a continue high level of non-sentinel laboratory diagnoses.
Switzerland
Influenza activity continued to increase last week. Influenza A are mainly detected. B remained reall sporadic. Influenza A are related to influenza A/Brisbane/10/07 (H3N2) vaccine strain.
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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>
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</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>
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</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
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</TD></TR><TR id=r1c0><TD class=relative id=r1c1 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>[FONT=Arial, Helvetica, sans-serif]Austria[/FONT]</TD><TD class=relative id=r1c2 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>[FONT=Arial, Helvetica, sans-serif]High[/FONT]</TD><TD class=relative id=r1c3 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r1c4 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>[FONT=Arial, Helvetica, sans-serif]220[/FONT]</TD><TD class=relative id=r1c5 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>[FONT=Arial, Helvetica, sans-serif]38.6%[/FONT]</TD><TD class=relative id=r1c6 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3N2[/FONT]</TD><TD class=relative id=r1c7 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11) align=right>[FONT=Arial, Helvetica, sans-serif]1840.3[/FONT]</TD><TD class=relative id=r1c8 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r1c9 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0[/FONT]</TD><TD class=relative id=r1c10 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r1c11 onmouseover=crossRow_over(1,11) onmouseout=crossRow_out(1,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><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]Medium[/FONT]</TD><TD class=relative id=r2c3 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r2c4 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>[FONT=Arial, Helvetica, sans-serif]126[/FONT]</TD><TD class=relative id=r2c5 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11)>[FONT=Arial, Helvetica, sans-serif]54.0%[/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, Subtype H3N2[/FONT]</TD><TD class=relative id=r2c7 onmouseover=crossRow_over(2,11) onmouseout=crossRow_out(2,11) align=right>[FONT=Arial, Helvetica, sans-serif]658.8[/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]2138.5[/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]Medium[/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]65[/FONT]</TD><TD class=relative id=r3c5 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11)>[FONT=Arial, Helvetica, sans-serif]0%[/FONT]</TD><TD class=relative id=r3c6 onmouseover=crossRow_over(3,11) onmouseout=crossRow_out(3,11) noWrap>[FONT=Arial, Helvetica, sans-serif]None[/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]1039.0 [/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]Medium[/FONT]</TD><TD class=relative id=r4c3 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>[FONT=Arial, Helvetica, sans-serif]Local[/FONT]</TD><TD class=relative id=r4c4 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>[FONT=Arial, Helvetica, sans-serif]53[/FONT]</TD><TD class=relative id=r4c5 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11)>[FONT=Arial, Helvetica, sans-serif]28.3%[/FONT]</TD><TD class=relative id=r4c6 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3[/FONT]</TD><TD class=relative id=r4c7 onmouseover=crossRow_over(4,11) onmouseout=crossRow_out(4,11) align=right>[FONT=Arial, Helvetica, sans-serif]48.6 [/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]1060.9 [/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]High[/FONT]</TD><TD class=relative id=r5c3 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r5c4 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>[FONT=Arial, Helvetica, sans-serif]44[/FONT]</TD><TD class=relative id=r5c5 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>[FONT=Arial, Helvetica, sans-serif]52.3%[/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]311.8 [/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) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r5c10 onmouseover=crossRow_over(5,11) onmouseout=crossRow_out(5,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/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]Regional[/FONT]</TD><TD class=relative id=r6c4 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>[FONT=Arial, Helvetica, sans-serif]123[/FONT]</TD><TD class=relative id=r6c5 onmouseover=crossRow_over(6,11) onmouseout=crossRow_out(6,11)>[FONT=Arial, Helvetica, sans-serif]25.2%[/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]31.6 [/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]702.6 [/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]Local[/FONT]</TD><TD class=relative id=r7c4 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>[FONT=Arial, Helvetica, sans-serif]16[/FONT]</TD><TD class=relative id=r7c5 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11)>[FONT=Arial, Helvetica, sans-serif]25.0%[/FONT]</TD><TD class=relative id=r7c6 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3[/FONT]</TD><TD class=relative id=r7c7 onmouseover=crossRow_over(7,11) onmouseout=crossRow_out(7,11) align=right>[FONT=Arial, Helvetica, sans-serif]3.3[/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]341.5[/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]175[/FONT]</TD><TD class=relative id=r8c5 onmouseover=crossRow_over(8,11) onmouseout=crossRow_out(8,11)>[FONT=Arial, Helvetica, sans-serif]42.9%[/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]3298.8 [/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]Medium[/FONT]</TD><TD class=relative id=r9c3 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r9c4 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>[FONT=Arial, Helvetica, sans-serif]362[/FONT]</TD><TD class=relative id=r9c5 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>[FONT=Arial, Helvetica, sans-serif]67.1%[/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) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r9c8 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r9c9 onmouseover=crossRow_over(9,11) onmouseout=crossRow_out(9,11) align=right>[FONT=Arial, Helvetica, sans-serif]1365.0 [/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]Medium[/FONT]</TD><TD class=relative id=r10c3 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>[FONT=Arial, Helvetica, sans-serif]Sporadic[/FONT]</TD><TD class=relative id=r10c4 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>[FONT=Arial, Helvetica, sans-serif]22[/FONT]</TD><TD class=relative id=r10c5 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11)>[FONT=Arial, Helvetica, sans-serif]31.8%[/FONT]</TD><TD class=relative id=r10c6 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3N2[/FONT]</TD><TD class=relative id=r10c7 onmouseover=crossRow_over(10,11) onmouseout=crossRow_out(10,11) align=right>[FONT=Arial, Helvetica, sans-serif]97.2[/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]Sporadic[/FONT]</TD><TD class=relative id=r11c4 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>[FONT=Arial, Helvetica, sans-serif]22[/FONT]</TD><TD class=relative id=r11c5 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11)>[FONT=Arial, Helvetica, sans-serif]13.6%[/FONT]</TD><TD class=relative id=r11c6 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type B[/FONT]</TD><TD class=relative id=r11c7 onmouseover=crossRow_over(11,11) onmouseout=crossRow_out(11,11) align=right>[FONT=Arial, Helvetica, sans-serif]147.3[/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) onmouseout=crossRow_out(12,11)>[FONT=Arial, Helvetica, sans-serif]Ireland[/FONT]</TD><TD class=relative id=r12c2 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>[FONT=Arial, Helvetica, sans-serif]High[/FONT]</TD><TD class=relative id=r12c3 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r12c4 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>[FONT=Arial, Helvetica, sans-serif]28[/FONT]</TD><TD class=relative id=r12c5 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>[FONT=Arial, Helvetica, sans-serif]50.0%[/FONT]</TD><TD class=relative id=r12c6 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3[/FONT]</TD><TD class=relative id=r12c7 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11) align=right>[FONT=Arial, Helvetica, sans-serif]103.1 [/FONT]</TD><TD class=relative id=r12c8 onmouseover=crossRow_over(12,11) onmouseout=crossRow_out(12,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r12c9 onmouseover=crossRow_over(12,11) 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) onmouseout=crossRow_out(12,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r12c11 onmouseover=crossRow_over(12,11) 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) onmouseout=crossRow_out(13,11)>[FONT=Arial, Helvetica, sans-serif]Italy[/FONT]</TD><TD class=relative id=r13c2 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>[FONT=Arial, Helvetica, sans-serif]Medium[/FONT]</TD><TD class=relative id=r13c3 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r13c4 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>[FONT=Arial, Helvetica, sans-serif]111[/FONT]</TD><TD class=relative id=r13c5 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>[FONT=Arial, Helvetica, sans-serif]27.9%[/FONT]</TD><TD class=relative id=r13c6 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3N2[/FONT]</TD><TD class=relative id=r13c7 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11) align=right>[FONT=Arial, Helvetica, sans-serif]597.0 [/FONT]</TD><TD class=relative id=r13c8 onmouseover=crossRow_over(13,11) onmouseout=crossRow_out(13,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r13c9 onmouseover=crossRow_over(13,11) 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) onmouseout=crossRow_out(13,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r13c11 onmouseover=crossRow_over(13,11) 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) onmouseout=crossRow_out(14,11)>[FONT=Arial, Helvetica, sans-serif]Latvia[/FONT]</TD><TD class=relative id=r14c2 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r14c3 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>[FONT=Arial, Helvetica, sans-serif]Regional[/FONT]</TD><TD class=relative id=r14c4 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>[FONT=Arial, Helvetica, sans-serif]2[/FONT]</TD><TD class=relative id=r14c5 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>[FONT=Arial, Helvetica, sans-serif]100.0%[/FONT]</TD><TD class=relative id=r14c6 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3N2[/FONT]</TD><TD class=relative id=r14c7 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11) align=right>[FONT=Arial, Helvetica, sans-serif]887.2 [/FONT]</TD><TD class=relative id=r14c8 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r14c9 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11) align=right>[FONT=Arial, Helvetica, sans-serif]13.6 [/FONT]</TD><TD class=relative id=r14c10 onmouseover=crossRow_over(14,11) onmouseout=crossRow_out(14,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r14c11 onmouseover=crossRow_over(14,11) 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) onmouseout=crossRow_out(15,11)>[FONT=Arial, Helvetica, sans-serif]Lithuania[/FONT]</TD><TD class=relative id=r15c2 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r15c3 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r15c4 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r15c5 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r15c6 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11) noWrap>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r15c7 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11) align=right>[FONT=Arial, Helvetica, sans-serif]2.1 [/FONT]</TD><TD class=relative id=r15c8 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r15c9 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11) align=right>[FONT=Arial, Helvetica, sans-serif]541.1 [/FONT]</TD><TD class=relative id=r15c10 onmouseover=crossRow_over(15,11) onmouseout=crossRow_out(15,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r15c11 onmouseover=crossRow_over(15,11) 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) onmouseout=crossRow_out(16,11)>[FONT=Arial, Helvetica, sans-serif]Luxembourg[/FONT]</TD><TD class=relative id=r16c2 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>[FONT=Arial, Helvetica, sans-serif]High[/FONT]</TD><TD class=relative id=r16c3 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r16c4 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>[FONT=Arial, Helvetica, sans-serif]92[/FONT]</TD><TD class=relative id=r16c5 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>[FONT=Arial, Helvetica, sans-serif]63.0%[/FONT]</TD><TD class=relative id=r16c6 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3N2[/FONT]</TD><TD class=relative id=r16c7 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11) align=right>[FONT=Arial, Helvetica, sans-serif]826.3 [/FONT]</TD><TD class=relative id=r16c8 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r16c9 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11) align=right>[FONT=Arial, Helvetica, sans-serif]3929.9 [/FONT]</TD><TD class=relative id=r16c10 onmouseover=crossRow_over(16,11) onmouseout=crossRow_out(16,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r16c11 onmouseover=crossRow_over(16,11) 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]Low[/FONT]</TD><TD class=relative id=r17c3 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>[FONT=Arial, Helvetica, sans-serif]Sporadic[/FONT]</TD><TD class=relative id=r17c4 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r17c5 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>[FONT=Arial, Helvetica, sans-serif][/FONT]</TD><TD class=relative id=r17c6 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11) noWrap>[FONT=Arial, Helvetica, sans-serif][/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) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r17c10 onmouseover=crossRow_over(17,11) onmouseout=crossRow_out(17,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/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) onmouseout=crossRow_out(18,11)>[FONT=Arial, Helvetica, sans-serif]Netherlands[/FONT]</TD><TD class=relative id=r18c2 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>[FONT=Arial, Helvetica, sans-serif]Medium[/FONT]</TD><TD class=relative id=r18c3 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r18c4 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>[FONT=Arial, Helvetica, sans-serif]52[/FONT]</TD><TD class=relative id=r18c5 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>[FONT=Arial, Helvetica, sans-serif]42.3%[/FONT]</TD><TD class=relative id=r18c6 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3N2[/FONT]</TD><TD class=relative id=r18c7 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11) align=right>[FONT=Arial, Helvetica, sans-serif]131.3 [/FONT]</TD><TD class=relative id=r18c8 onmouseover=crossRow_over(18,11) onmouseout=crossRow_out(18,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r18c9 onmouseover=crossRow_over(18,11) 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) onmouseout=crossRow_out(18,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r18c11 onmouseover=crossRow_over(18,11) 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]5[/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]60.0%[/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]112.6 [/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=r20c0><TD class=relative id=r20c1 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>[FONT=Arial, Helvetica, sans-serif]Norway[/FONT]</TD><TD class=relative id=r20c2 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>[FONT=Arial, Helvetica, sans-serif]Medium[/FONT]</TD><TD class=relative id=r20c3 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r20c4 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>[FONT=Arial, Helvetica, sans-serif]13[/FONT]</TD><TD class=relative id=r20c5 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>[FONT=Arial, Helvetica, sans-serif]69.2%[/FONT]</TD><TD class=relative id=r20c6 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3N2[/FONT]</TD><TD class=relative id=r20c7 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11) align=right>[FONT=Arial, Helvetica, sans-serif]149.4 [/FONT]</TD><TD class=relative id=r20c8 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r20c9 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r20c10 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r20c11 onmouseover=crossRow_over(20,11) onmouseout=crossRow_out(20,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r21c0><TD class=relative id=r21c1 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>[FONT=Arial, Helvetica, sans-serif]Poland[/FONT]</TD><TD class=relative id=r21c2 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>[FONT=Arial, Helvetica, sans-serif]Medium[/FONT]</TD><TD class=relative id=r21c3 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>[FONT=Arial, Helvetica, sans-serif]Sporadic[/FONT]</TD><TD class=relative id=r21c4 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>[FONT=Arial, Helvetica, sans-serif]84[/FONT]</TD><TD class=relative id=r21c5 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>[FONT=Arial, Helvetica, sans-serif]1.2%[/FONT]</TD><TD class=relative id=r21c6 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11) noWrap>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r21c7 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11) align=right>[FONT=Arial, Helvetica, sans-serif]137.5 [/FONT]</TD><TD class=relative id=r21c8 onmouseover=crossRow_over(21,11) onmouseout=crossRow_out(21,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r21c9 onmouseover=crossRow_over(21,11) 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) onmouseout=crossRow_out(21,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r21c11 onmouseover=crossRow_over(21,11) 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) onmouseout=crossRow_out(22,11)>[FONT=Arial, Helvetica, sans-serif]Portugal[/FONT]</TD><TD class=relative id=r22c2 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>[FONT=Arial, Helvetica, sans-serif]Medium[/FONT]</TD><TD class=relative id=r22c3 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r22c4 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>[FONT=Arial, Helvetica, sans-serif]24[/FONT]</TD><TD class=relative id=r22c5 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>[FONT=Arial, Helvetica, sans-serif]41.7%[/FONT]</TD><TD class=relative id=r22c6 onmouseover=crossRow_over(22,11) 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) onmouseout=crossRow_out(22,11) align=right>[FONT=Arial, Helvetica, sans-serif]73.8 [/FONT]</TD><TD class=relative id=r22c8 onmouseover=crossRow_over(22,11) onmouseout=crossRow_out(22,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r22c9 onmouseover=crossRow_over(22,11) 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) onmouseout=crossRow_out(22,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r22c11 onmouseover=crossRow_over(22,11) 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]Medium[/FONT]</TD><TD class=relative id=r23c3 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>[FONT=Arial, Helvetica, sans-serif]Local[/FONT]</TD><TD class=relative id=r23c4 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>[FONT=Arial, Helvetica, sans-serif]37[/FONT]</TD><TD class=relative id=r23c5 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11)>[FONT=Arial, Helvetica, sans-serif]51.4%[/FONT]</TD><TD class=relative id=r23c6 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3N2[/FONT]</TD><TD class=relative id=r23c7 onmouseover=crossRow_over(23,11) onmouseout=crossRow_out(23,11) align=right>[FONT=Arial, Helvetica, sans-serif]1.8 [/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]1177.4 [/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=r24c0><TD class=relative id=r24c1 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>[FONT=Arial, Helvetica, sans-serif]Scotland[/FONT]</TD><TD class=relative id=r24c2 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>[FONT=Arial, Helvetica, sans-serif]Medium[/FONT]</TD><TD class=relative id=r24c3 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>[FONT=Arial, Helvetica, sans-serif]Sporadic[/FONT]</TD><TD class=relative id=r24c4 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>[FONT=Arial, Helvetica, sans-serif]14[/FONT]</TD><TD class=relative id=r24c5 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>[FONT=Arial, Helvetica, sans-serif]35.7%[/FONT]</TD><TD class=relative id=r24c6 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11) noWrap>[FONT=Arial, Helvetica, sans-serif]None[/FONT]</TD><TD class=relative id=r24c7 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11) align=right>[FONT=Arial, Helvetica, sans-serif]9.5 [/FONT]</TD><TD class=relative id=r24c8 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r24c9 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r24c10 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r24c11 onmouseover=crossRow_over(24,11) onmouseout=crossRow_out(24,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r25c0><TD class=relative id=r25c1 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>[FONT=Arial, Helvetica, sans-serif]Serbia[/FONT]</TD><TD class=relative id=r25c2 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>[FONT=Arial, Helvetica, sans-serif]Low[/FONT]</TD><TD class=relative id=r25c3 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>[FONT=Arial, Helvetica, sans-serif]Sporadic[/FONT]</TD><TD class=relative id=r25c4 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>[FONT=Arial, Helvetica, sans-serif]6[/FONT]</TD><TD class=relative id=r25c5 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>[FONT=Arial, Helvetica, sans-serif]50.0%[/FONT]</TD><TD class=relative id=r25c6 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type B[/FONT]</TD><TD class=relative id=r25c7 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11) align=right>[FONT=Arial, Helvetica, sans-serif]69.6[/FONT]</TD><TD class=relative id=r25c8 onmouseover=crossRow_over(25,11) onmouseout=crossRow_out(25,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r25c9 onmouseover=crossRow_over(25,11) 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) onmouseout=crossRow_out(25,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r25c11 onmouseover=crossRow_over(25,11) 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]10[/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]20.0%[/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]None[/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]176.0 [/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]1498.4 [/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) onmouseout=crossRow_out(27,11)>[FONT=Arial, Helvetica, sans-serif]Slovenia[/FONT]</TD><TD class=relative id=r27c2 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>[FONT=Arial, Helvetica, sans-serif]Medium[/FONT]</TD><TD class=relative id=r27c3 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r27c4 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>[FONT=Arial, Helvetica, sans-serif]65[/FONT]</TD><TD class=relative id=r27c5 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>[FONT=Arial, Helvetica, sans-serif]84.6%[/FONT]</TD><TD class=relative id=r27c6 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A, Subtype H3[/FONT]</TD><TD class=relative id=r27c7 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11) align=right>[FONT=Arial, Helvetica, sans-serif]76.7 [/FONT]</TD><TD class=relative id=r27c8 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r27c9 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11) align=right>[FONT=Arial, Helvetica, sans-serif]1698.7 [/FONT]</TD><TD class=relative id=r27c10 onmouseover=crossRow_over(27,11) onmouseout=crossRow_out(27,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r27c11 onmouseover=crossRow_over(27,11) 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) onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif]Spain[/FONT]</TD><TD class=relative id=r28c2 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif]Medium[/FONT]</TD><TD class=relative id=r28c3 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r28c4 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif]192[/FONT]</TD><TD class=relative id=r28c5 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif]38.0%[/FONT]</TD><TD class=relative id=r28c6 onmouseover=crossRow_over(28,11) 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) onmouseout=crossRow_out(28,11) align=right>[FONT=Arial, Helvetica, sans-serif]208.8 [/FONT]</TD><TD class=relative id=r28c8 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r28c9 onmouseover=crossRow_over(28,11) 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) onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r28c11 onmouseover=crossRow_over(28,11) onmouseout=crossRow_out(28,11)>[FONT=Arial, Helvetica, sans-serif]Click here[/FONT]</TD><TR id=r29c0><TD class=relative id=r29c1 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>[FONT=Arial, Helvetica, sans-serif]Sweden[/FONT]</TD><TD class=relative id=r29c2 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>[FONT=Arial, Helvetica, sans-serif]Medium[/FONT]</TD><TD class=relative id=r29c3 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>[FONT=Arial, Helvetica, sans-serif]Widespread[/FONT]</TD><TD class=relative id=r29c4 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>[FONT=Arial, Helvetica, sans-serif]96[/FONT]</TD><TD class=relative id=r29c5 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>[FONT=Arial, Helvetica, sans-serif]37.5%[/FONT]</TD><TD class=relative id=r29c6 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11) noWrap>[FONT=Arial, Helvetica, sans-serif]Type A[/FONT]</TD><TD class=relative id=r29c7 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11) align=right>[FONT=Arial, Helvetica, sans-serif]17.6 [/FONT]</TD><TD class=relative id=r29c8 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r29c9 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11) align=right>[FONT=Arial, Helvetica, sans-serif]0.0 [/FONT]</TD><TD class=relative id=r29c10 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>[FONT=Arial, Helvetica, sans-serif](graphs)[/FONT]</TD><TD class=relative id=r29c11 onmouseover=crossRow_over(29,11) onmouseout=crossRow_out(29,11)>[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]High[/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]Widespread[/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]106[/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]43.4%[/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]368.8 [/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]None[/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]12.8 [/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]2495[/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]41.2%[/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>
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</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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Re: Seasonal Flu 2008 - 2009

Week 3 : 12/01/2009-18/01/2009

23 January 2009, Issue N? 289


Medium to high influenza activity in most European countries

Summary: In week 03/2009, influenza activity continued to intensify and spread across Europe with most countries now reporting medium to high intensity. In Portugal and the UK (England) activity has continued to decrease. The majority of the viruses identified were influenza A(H3) that continues to be the predominant circulating virus. All the A(H3N2) viruses tested for antiviral resistance were susceptible to neuraminidase inhibitors. Vaccination of risk groups according to national recommendations remains indicated.

Epidemiological situation - week 03/2009: For the intensity indicator, the national network levels of influenza-like illness (ILI) and/or acute respiratory infection (ARI) were high in Austria, Denmark, Ireland, Luxembourg and Switzerland, medium in 15 countries and the UK (England, Northern Ireland and Scotland), and low in the other seven countries and one part of the UK (Wales) that reported this indicator. Of the 21 countries that reported medium or high influenza activity this week, two (Czech Republic and Romania) did so for the first time during the current season.

For the geographical spread indicator, widespread influenza activity was reported in 15 countries and the UK (Northern Ireland), regional activity in one country and the UK (England), local activity in three countries and sporadic or no activity in the remaining eight countries and the UK (Scotland and Wales). Six of the seven countries (Estonia, Hungary, Latvia, Lithuania, Serbia and Slovakia) where the influenza season has not started yet are located in the eastern and north-eastern part of Europe.

All of these reported increasing intensity during week 03/2009 as compared with the previous week. Consultation rates for ILI in the UK (England) peaked in week 1/2009 and have decreased since then. Definitions for the epidemiological indicators can be found here.

Cumulative epidemiological situation ? 2008-2009 season (weeks 40/2008-03/2009): Consultation rates for ILI and/or ARI above baseline levels were first reported in Portugal, Ireland and the UK (England and Northern Ireland) in week 49/2008. Subsequently consultations rates rose above baseline levels in Spain (week 51/2008), France and Italy (week 52/2008), Austria, Denmark, Germany, Sweden, Switzerland and the Netherlands (week 01/2009), Belgium, Bulgaria, Greece, Norway, Poland, Slovenia and the UK (Scotland; week 02/2009) and Czech Republic and Romania (week 3/2009) .

High influenza activity has been reported in Portugal (week 51/2008), Ireland (week 01/2009), Switzerland (week 02/2009), Austria, Denmark and Luxembourg (week 3/2009). Influenza activity is now declining in Portugal (since week 52/2008) and the UK (England; since week 2/2009). Generally, the highest consultation rates have been reported for the 0-4 age group, but Ireland, UK and Norway have reported their highest ILI consultation rates in the 15-64 age group.

Virological situation - week 03/2009: The total number of respiratory specimens collected by sentinel physicians in week 03/2009 was 2287, of which 968 (42.3%) were positive for influenza virus: 932 type A (492 subtype H3, 31 subtype H1 and 409 not subtyped) and 36 type B.

In addition, 742 non-sentinel source specimens (e.g. specimens collected for diagnostic purposes in hospitals) were reported positive for influenza virus: 731 type A (185 subtype H3, six subtype H1 and 540 not subtyped) and 11 type B.

Cumulative virological situation
? 2008-2009 season (weeks 40/2008-03/2009): Of 7951 virus detections (sentinel and non-sentinel) since week 40/2008, 7662 were type A (3130 subtype H3, 199 subtype H1 and 4333 not subtyped) and 289 were type B. Based on the antigenic and/or genetic characterisation of 794 influenza viruses, 714 were reported as A/Brisbane/10/2007(H3N2)-like, 47 as A/Brisbane/59/2007(H1N1)-like, 11 as B/Florida/4/2006-like (B/Yamagata/16/88 lineage) and 22 as B/Malaysia/2506/2004-like (B/Victoria/2/87 lineage) .

All influenza A(H3N2) viruses tested were sensitive to oseltamivir and zanamivir, whereas 99% of those tested were resistant to M2 inhibitors.

The few influenza B viruses analysed were sensitive to oseltamivir and zanamivir.

All influenza A(H1N1) viruses analysed were sensitive to zanamivir and M2 inhibitors but 98% were resistant to oseltamivir.


Comment: Influenza activity has continued to intensify in Europe with three additional countries reporting high intensity. The west-to-east spread of influenza has continued with two additional countries in eastern Europe reporting medium influenza intensity.

It is anticipated that influenza activity will spread further in the coming weeks and affect the few remaining eastern countries. In a few western countries recent influenza activity has already peaked and started to decline. The proportion of sentinel specimens which tested positive for influenza this week remained high (42.3%).

So far type A(H3) has been the dominant influenza virus circulating in Europe. A higher number of viruses have now been antigenically and/or genetically characterised. These data indicate that, with the exception of the few B/Victoria lineage viruses, the viruses circulating are similar to the three components (A(H1N1), A(H3N2) and B/Yamagata lineage) included in the current influenza vaccine.

Background: The Weekly Electronic Bulletin presents and comments on influenza activity in the 30 European countries that are members of EISS. Of these countries, 28 reported both clinical and virological data and two reported clinical data only to EISS in week 03/2009. 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).

http://www.eiss.org/cgi-files/bulletin_v2.cgi
 
Re: Seasonal Flu 2008 - 2009

As of week 53, twenty samples were found to be positive by viral culture for influenza AH1,
AH3 and influenza B. Rapid and culture results by county are displayed below.​
Week 40 to Week 53 Week 51, 52, 53
County​
A RapBid * A/ Culture* Rapid* Culture*

B
A
H1
A
H3
A
UNK
B A B A/B A H1 A
H3
A
UNK
B​
Atlantic County​
0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bergen County​
3 0 0 1 0 0 0 2 0 0 1 0 0 0

Burlington County​
9 0 0 0 0 0 0 4 0 0 0 0 0 0

Camden County​
0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cape May County​
0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cumberland County​
0 0 0 0 0 0 0 0 0 0 0 0 0 0

Essex County​
18 8 4 1 1 0 0 8 4 1 1 1 0 0

Gloucester County​
0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hudson County​
6 2 0 1 0 0 0 5 1 0 0 0 0 0

Hunterdon County​
0 0 8 5 0 0 1 0 0 3 2 0 0 1

Mercer County​
1 0 0 0 0 0 0 0 0 0 0 0 0 0

Middlesex County​
3 0 0 3 0 0 0 2 0 0 0 0 0 0

Monmouth County​
8 0 3 1 1 0 1 0 0 0 1 1 0 0

Morris County​
0 0 0 2 0 0 0 0 0 0 2 0 0 0

Ocean County​
0 0 0 0 0 0 0 0 0 0 0 0 0 0

Passaic County​
11 1 0 0 0 0 0 8 1 0 0 0 0 0

Salem County​
0 0 0 0 0 0 0 0 0 0 0 0 0 0

Somerset County​
0 0 0 0 0 0 0 0 0 0 0 0 0 0

Sussex County​
3 2 0 0 0 0 0 0 2 0 0 0 0 0

Union County​
1 1 0 1 0 0 1 1 0 0 0 0 0 0

Warren County​
0 0 0 0 0 0 0 0 0 0 0 0 0 0

Unknown​
0 0 0 0 0 0 0 0 0 0 0 0 0 0

State Total​
63 14 15 15 2 0 3 30 8 4 7 2 0 1
*Rapid data is acquired from facilities reporting rapid influenza tests via NREVSS or CDRSS ILI module. Culture
results are obtained from the LIMS system at PHEL, hospital viral culture laboratories via NREVSS or commercial
laboratories reporting in CDRSS. County of residence as provided by the laboratory is used to assign culture results
to a county. If county is residence is not available, the county of the facility reporting is utilized.

3

http://www.state.nj.us/health/flu/documents/stats08/flummwr_01.pdf
 
Re: Seasonal Flu 2008 - 2009

2008-2009 Influenza Season Week 1 ending January 17, 2009
(All data are preliminary and may change as more reports are received.)
Synopsis:

During week 2 (January 11-17, 2009), influenza activity continued to slowly increase in the United States.
  • Four hundred nine (11.5%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
  • The proportion of deaths attributed to pneumonia and influenza (P&I) was below the epidemic threshold.
  • Two influenza-associated pediatric deaths were reported.
  • The proportion of outpatient visits for influenza-like illness (ILI) was below national and region-specific baseline levels.
  • One state reported widespread influenza activity, six states reported regional activity; 11 states reported local influenza activity; the District of Columbia, Puerto Rico and 30 states reported sporadic influenza activity; and two states reported no influenza activity.
<TABLE class=table cellSpacing=0 cellPadding=3 align=center border=0><CAPTION>National and Regional Summary of Select Surveillance Components

</CAPTION><TBODY><TR vAlign=top><TH vAlign=bottom width=85 rowSpan=2>
Region​
</TH><TH noWrap align=middle width=300 colSpan=3>Data for current week</STRONG></TH><TH noWrap align=middle width=276 colSpan=5>Data cumulative for the season</TH></TR><TR vAlign=top><TH align=middle width=72>Out-patient ILI*</TH><TH align=middle width=72>% positive for flu?</TH><TH align=middle width=96>Number of jurisdictions reporting regional or widespread activity?</TH><TH noWrap align=middle width=48>A (H1)</TH><TH noWrap align=middle width=48>A (H3)</TH><TH align=middle width=60>A Unsub-typed</TH><TH noWrap align=middle width=48>B</TH><TH align=middle width=72>Pediatric Deaths</TH></TR><TR><TD align=left width=85>Nation</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>11.5 % </TD><TD noWrap align=middle width=96>7 of 51 </TD><TD noWrap align=middle width=48>641</TD><TD noWrap align=middle width=48>104</TD><TD noWrap align=middle width=60>1292</TD><TD noWrap align=middle width=48>413</TD><TD noWrap align=middle width=72>2</TD></TR><TR><TD align=left width=85>New England</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>5.2 % </TD><TD noWrap align=middle width=96>1 of 6</TD><TD noWrap align=middle width=48>24</TD><TD noWrap align=middle width=48>5</TD><TD noWrap align=middle width=60>45</TD><TD noWrap align=middle width=48>8</TD><TD noWrap align=middle width=72>0</TD></TR><TR><TD align=left width=85>Mid-Atlantic</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>5.3 % </TD><TD noWrap align=middle width=96>2 of 3</TD><TD noWrap align=middle width=48>69</TD><TD noWrap align=middle width=48>11</TD><TD noWrap align=middle width=60>102</TD><TD noWrap align=middle width=48>23</TD><TD noWrap align=middle width=72>0</TD></TR><TR><TD align=left width=85>East North Central</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>16.8 % </TD><TD noWrap align=middle width=96>0 of 5</TD><TD noWrap align=middle width=48>59</TD><TD noWrap align=middle width=48>7</TD><TD noWrap align=middle width=60>24</TD><TD noWrap align=middle width=48>18</TD><TD noWrap align=middle width=72>0</TD></TR><TR><TD align=left width=85>West North Central</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>4.1 % </TD><TD noWrap align=middle width=96>0 of 7</TD><TD noWrap align=middle width=48>31</TD><TD noWrap align=middle width=48>7</TD><TD noWrap align=middle width=60>49</TD><TD noWrap align=middle width=48>20</TD><TD noWrap align=middle width=72>0</TD></TR><TR><TD align=left width=85>South Atlantic</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>5.3 % </TD><TD noWrap align=middle width=96>2 of 9</TD><TD noWrap align=middle width=48>54</TD><TD noWrap align=middle width=48>7</TD><TD noWrap align=middle width=60>192</TD><TD noWrap align=middle width=48>113</TD><TD noWrap align=middle width=72>0</TD></TR><TR><TD align=left width=85>East South Central</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>1.3 % </TD><TD noWrap align=middle width=96>0 of 4</TD><TD noWrap align=middle width=48>2</TD><TD noWrap align=middle width=48>0</TD><TD noWrap align=middle width=60>0</TD><TD noWrap align=middle width=48>7</TD><TD noWrap align=middle width=72>0</TD></TR><TR><TD align=left width=85>West South Central</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>13.4 % </TD><TD noWrap align=middle width=96>1 of 4</TD><TD noWrap align=middle width=48>93</TD><TD noWrap align=middle width=48>1</TD><TD noWrap align=middle width=60>629</TD><TD noWrap align=middle width=48>189</TD><TD noWrap align=middle width=72>1</TD></TR><TR><TD align=left width=85>Mountain</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>12.1 % </TD><TD noWrap align=middle width=96>1 of 8</TD><TD noWrap align=middle width=48>49</TD><TD noWrap align=middle width=48>56</TD><TD noWrap align=middle width=60>149</TD><TD noWrap align=middle width=48>11</TD><TD noWrap align=middle width=72>1</TD></TR><TR><TD align=left width=85>Pacific</TD><TD noWrap align=middle width=72>Normal</TD><TD noWrap align=middle width=72>5.7 % </TD><TD noWrap align=middle width=96>0 of 5</TD><TD noWrap align=middle width=48>260</TD><TD noWrap align=middle width=48>10</TD><TD noWrap align=middle width=60>102</TD><TD noWrap align=middle width=48>24</TD><TD noWrap align=middle width=72>0</TD></TR></TBODY></TABLE>
* Elevated means the % of visits for ILI is at or above the national or region-specific baseline
? National data is for current week; regional data is for the most recent three weeks.
? Includes all 50 states and the District of Columbia
U.S. Virologic Surveillance:

WHO and NREVSS collaborating laboratories located in all 50 states and Washington D.C. report to CDC the number of respiratory specimens tested for influenza each week. The results of tests performed during the current week and cumulative totals for the season are summarized in the table below.
<TABLE class=table cellSpacing=0 cellPadding=3 align=center border=0><TBODY><TR><TH align=left width=200></TH><TH noWrap align=middle width=140>Week 2</TH><TH noWrap align=middle width=140>Cumulative for the Season</TH></TR><TR><TD align=left width=200>No. of specimens tested</TD><TD noWrap align=middle width=140>3544</TD><TD noWrap align=middle width=140>66499</TD></TR><TR><TD align=left width=200>No. of positive specimens (%)</TD><TD noWrap align=middle width=140>409 (11.5%)</TD><TD noWrap align=middle width=140>2,450 (3.7%)</TD></TR><TR><TD align=left colSpan=3>Positive specimens by type/subtype</TD></TR><TR><TD align=left width=170> Influenza A</TD><TD noWrap align=middle width=140>346 (84.6%)</TD><TD noWrap align=middle width=140>2,037(83.1%)</TD></TR><TR><TD align=left width=170> A (H1)</TD><TD noWrap align=middle width=140>44 (12.7%)</TD><TD noWrap align=middle width=140>641 (31.5%)</TD></TR><TR><TD align=left width=170> A (H3)</TD><TD noWrap align=middle width=140>4 (1.2%)</TD><TD noWrap align=middle width=140>104 (5.1%)</TD></TR><TR><TD align=left width=170> A (unsubtyped)</TD><TD noWrap align=middle width=140>298 (86.1%)</TD><TD noWrap align=middle width=140>1,292 (63.4%)</TD></TR><TR><TD align=left width=170> Influenza B</TD><TD noWrap align=middle width=140>63 (15.4%)</TD><TD noWrap align=middle width=140>413 (16.9%)</TD></TR></TBODY></TABLE>
The District of Columbia and 45 states from all nine surveillance regions have reported laboratory-confirmed influenza this season.
<CENTER>
image021.gif

View WHO-NREVSS Regional Bar Charts| View Chart Data | View Full Screen </CENTER>Antigenic Characterization:

CDC has antigenically characterized 207 influenza viruses [142 influenza A (H1), 13 influenza A (H3) and 52 influenza B viruses] collected by U.S. laboratories since October 1, 2008.
All 142 influenza A (H1) viruses are related to the influenza A (H1N1) component of the 2008-09 influenza vaccine (A/Brisbane/59/2007). All 13 influenza A (H3N2) viruses are related to the A (H3N2) vaccine component (A/Brisbane/10/2007).
Influenza B viruses currently circulating can be divided into two distinct lineages represented by the B/Yamagata/16/88 and B/Victoria/02/87 viruses. Seventeen influenza B viruses tested belong to the B/Yamagata lineage and are related to the vaccine strain (B/Florida/04/2006). The remaining 35 viruses belong to the B/Victoria lineage and are not related to the vaccine strain. Thirty of the 35 viruses belonging to the B/Victoria lineage were from two states.
Data on antigenic characterization should be interpreted with caution given that antigenic characterization data is based on hemagglutination inhibition (HI) testing using a panel of reference ferret antisera and results may not correlate with clinical protection against circulating viruses provided by influenza vaccination.
Annual influenza vaccination is expected to provide the best protection against those virus strains that are related to the vaccine strains, but limited to no protection may be expected when the vaccine and circulating virus strains are so different as to be from different lineages, as is seen with the two lineages of influenza B viruses.
Antiviral Resistance:

Since October 1, 2008, 160 influenza A (H1N1), 30 influenza A (H3N2), and 66 influenza B viruses have been tested for resistance to the neuraminidase inhibitors (oseltamivir and zanamivir). One hundred thirty-three influenza A (H1N1) and 26 influenza A (H3N2) viruses have been tested for resistance to the adamantanes (amantadine and rimantadine). The results of antiviral resistance testing performed on these viruses are summarized in the table below.
<TABLE class=table cellSpacing=0 cellPadding=3 align=center border=0><TBODY><TR><TH align=left width=160></TH><TH noWrap align=middle width=100>Isolates tested (n)</TH><TH noWrap align=middle width=200 colSpan=2>Resistant Viruses,
Number (%)
</TH><TH noWrap align=middle width=100>Isolates tested (n)</TH><TH noWrap align=middle width=120>Resistant Viruses, Number (%)</TH></TR><TR><TH align=left width=160></TH><TH noWrap align=middle width=100></TH><TH noWrap align=middle width=100>Oseltamivir</TH><TH noWrap align=middle width=100>Zanamivir</TH><TH noWrap align=middle width=100></TH><TH noWrap align=middle width=120>Adamantanes</TH></TR><TR><TD noWrap align=left width=160>Influenza A (H1N1)</TD><TD noWrap align=middle width=100>103</TD><TD noWrap align=middle width=100>101 (98%)</TD><TD noWrap align=middle width=100>0 (0)</TD><TD noWrap align=middle width=100>103</TD><TD noWrap align=middle width=120>1 (1%)</TD></TR><TR><TD noWrap align=left width=160>Influenza A (H3N2)</TD><TD noWrap align=middle width=100>23</TD><TD noWrap align=middle width=100>0 (0)</TD><TD noWrap align=middle width=100>0 (0)</TD><TD noWrap align=middle width=100>23</TD><TD noWrap align=middle width=120>23 (100%)</TD></TR><TR><TD noWrap align=left width=160>Influenza B</TD><TD noWrap align=middle width=100>61</TD><TD noWrap align=middle width=100>0 (0)</TD><TD noWrap align=middle width=100>0 (0)</TD><TD noWrap align=middle width=100>N/A*</TD><TD noWrap align=middle width=120>N/A*</TD></TR></TBODY></TABLE><SUP>*The adamantanes (amantadine and rimantadine) are not effective against influenza B viruses.</SUP>


Influenza A (H1N1) viruses from 25 states have been tested for antiviral resistance to oseltamivir so far this season. In all 25 states, at least one oseltamivir-resistant influenza A (H1N1) virus has been identified. To date, all influenza A (H3N2) viruses tested are resistant to the adamantanes. Influenza activity in the United States, although increasing, remains relatively low with influenza A(H1N1) viruses predominating overall. However, the level of activity and the predominating virus has varied by region and may vary over the course of the season. This presents challenges for the selection of antiviral medications for the treatment and chemoprophylaxis of influenza and highlights the importance of testing patients for influenza and consulting local surveillance data when evaluating patients with acute respiratory infections during the influenza season. CDC issued interim recommendations for the use of influenza antiviral medications in the setting of oseltamivir resistance among circulating influenza A (H1N1) viruses on December 19, 2008. These interim recommendations are available at http://www2a.cdc.gov/HAN/ArchiveSys/ViewMsgV.asp?AlertNum=00271.
Pneumonia and Influenza (P&I) Mortality Surveillance

During week 2, 7.5% of all deaths reported through the 122-Cities Mortality Reporting System were due to P&I. This percentage is below the epidemic threshold of 7.8% for week 2.
<CENTER>
picurve02.gif

View Full Screen</CENTER>Influenza-Associated Pediatric Mortality

Two influenza-associated pediatric deaths were reported to CDC during week 2 (Colorado and Texas). These deaths occurred during week 1 (week ending January 10, 2009). Since September 28, 2008, CDC has received a total of two reports of influenza-associated pediatric deaths that occurred during the current season.
<CENTER>
IPD02_small.gif

View Full Screen</CENTER>Influenza-Associated Hospitalizations

Laboratory-confirmed influenza-associated hospitalizations are monitored in two population-based surveillance networks: the Emerging Infections Program (EIP) and the New Vaccine Surveillance Network (NVSN).
No influenza-associated hospitalizations have been reported from the New Vaccine Surveillance Network this season.
During October 1, 2008 ? January 17, 2009, preliminary laboratory-confirmed influenza-associated hospitalization rates reported by the EIP for children aged 0-4 years and 5-17 years were 0.6 per 10,000 and 0.02 per 10,000, respectively. For adults aged 18-49 years, 50-64 years, and = 65 years, the rates were 0.05 per 10,000, 0.08 per 10,000, and 0.2 per 10,000, respectively.
<CENTER>
EIP02_small.gif

View Full Screen</CENTER>Outpatient Illness Surveillance:

During week 2, 1.5% of patient visits reported through the U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) were due to influenza-like illness (ILI). This percentage is less than the national baseline of 2.4%. On a regional level, the percentage of visits for ILI ranged from 0.3% to 3.7%. The percentage of visits for ILI reported from all nine surveillance regions was below their respective region-specific baselines.
The increase in the percentage of patient visits for ILI over the previous weeks may have been influenced by a reduction in routine health care visits during the holiday season, as has occurred in previous seasons.
<CENTER>
image022.gif

View Sentinel Providers Regional Charts | View Chart Data |View Full Screen
</CENTER>Geographic Spread of Influenza as Assessed by State and Territorial Epidemiologists:


During week 2, the following influenza activity was reported:
  • Widespread influenza activity was reported by one state (Virginia).
  • Regional influenza activity was reported by six states (Colorado, New Hampshire, New Jersey, New York, North Carolina, and Texas).
  • Local influenza activity was reported by 11 states (Arizona, Connecticut, Florida, Hawaii, Illinois, Maryland, Massachusetts, Michigan, Montana, Pennsylvania, and Tennessee).
  • Sporadic activity was reported in the District of Columbia, Puerto Rico, and 30 states (Alabama, Alaska, Arkansas, California, Delaware, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Minnesota, Missouri, Nebraska, Nevada, New Mexico, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Washington, West Virginia, Wisconsin, and Wyoming).
  • No influenza activity was reported by two states (Mississippi and Oklahoma).
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--------------------------------------------------------------------------------
A description of surveillance methods is available at: http://www.cdc.gov/flu/weekly/fluactivity.htm
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Re: Seasonal Flu 2008 - 2009

January 11, 20098 to January 17, 2009 (Week 02)

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  • <A class=nav href="http://www.phac-aspc.gc.ca/fluwatch/08-09/w02_09/index-eng.php#map"><ACRONYM title="Influenza-like illness">ILI</ACRONYM> activity by province
Other information





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Influenza activity in Canada is increasing; six regions reporting localized activity
During week 02, influenza activity in Canada started to increase with more regions reporting localized (n=6; in ON, AB, BC & NT) and sporadic activity (n=20).The majority of regions still reported no activity (n=28) (see map). The proportion of tests that were positive for influenza continued to increase steadily with a percentage positive of 5.5% (170/3,111) this week (see table). The majority of influenza virus detections to date this season were influenza A viruses (57.4% or 335/584). In week 02, the ILI consultation rate was 16 ILI consultations per 1,000 patient visits (see ILI graph), which is below the expected range for this week. The sentinel response rate was 64%. In week 02, 5 new influenza outbreaks were reported: 3 in LTCFs (in ON, BC & NT), 1 in a hospital and 1 in a school (both from BC).
Antigenic Characterization:
Since 1 September 2008, the NML has antigenically characterized 69 influenza viruses: 16 influenza A/Brisbane/59/2007(H1N1)-like (from BC, AB, ON & NS), 2 influenza A/Brisbane/10/2007(H3N2)-like (from BC & ON), 4 influenza B/Florida/4/2006-like (from AB & ON) and 47 B/Malaysia/2506/2004-like (from QC, ON & AB). A/Brisbane/59/2007(H1N1), A/Brisbane/10/2007(H3N2) and B/Florida/4/2006 are the influenza A and influenza B components recommended for the 2008-09 influenza vaccine. B/Malaysia/2506/2004 was the influenza B component for the 2007-2008 season vaccine (see pie chart).
Antiviral Resistance:
Results from the NML:
Since the start of the season, the NML has tested 23 influenza A isolates (16 H1N1 and 7 H3N2) for amantadine resistance. All of the H1N1 isolates were susceptible; however all of the H3N2 isolates were resistant to amantadine (resistance = 100% or 7/7). The resistant isolates were from ON, AB and BC.
The NML has also tested 51 influenza isolates (15 A/H1N1, 2 A/H3N2 & 34 B) for oseltamivir (Tamiflu) resistance. All of the A/H3N2 and B isolates were sensitive; however all of the A/H1N1 isolates were resistant to oseltamivir due to the H274Y mutation (resistance = 100% or 15/15). The resistant isolates were from NS, ON, AB and BC.
All 47 influenza isolates (11 A/H1N1, 2 A/H3N2 & 34 B) tested for zanamivir resistance to date were sensitive to zanamivir.
Oseltamivir resistance findings from Provincial laboratories:
To date this season, 46 influenza isolates in BC have been sub-typed as A/H1 and were assessed genotypically for oseltamivir resistance using an SNP assay. Fourty-two isolates tested positive for the H274Y mutation (resistance = 100% or 42/42), with the other 4 specimens still pending confirmatory testing.
Influenza-associated Paediatric Hospitalizations:
In week 02, one laboratory-confirmed influenza-associated paediatric hospitalization (from QC) due to influenza A infection was reported through the Immunization Monitoring Program Active (IMPACT) network. To date, 20 hospitalizations have been reported of which half (50%) have been due to influenza A and half due to influenza B. The proportion of cases to date by age group are as follows: 15% were 0-5 month olds; 20% were 6-23 month olds; 25% were 2-4 year-olds; 15% were 5-9 year-olds; and 25% were 10-16 year-olds.
*** Due to technical difficulties with IMPACT's electronic reporting system, reports of hospitalizations were not received until this week. Over the next several weeks, more retrospective reports of cases may be reported. The first hospitalization for the 2008-2009 season occurred in late November 2008. To date, cases have been reported in QC, ON, AB & BC.
International:

CDC: During week 01, overall influenza activity in the United States remained relatively low but increased compared to previous weeks. More states reported widespread, regional and local influenza activity compared to previous weeks. Of the 3,394 specimens tested this week for influenza viruses, 242 (7.1%) were positive. Since 1 October 2008, the CDC has antigenically characterized 158 influenza viruses: 93 influenza A(H1) (all A/Brisbane/59/2007-like), 13 A(H3) (all A/Brisbane/10/2007-like) and 52 influenza B (17 were B/Florida/04/2006-like belonging to the B/Yamagata lineage and the other 35 belonged to the B/Victoria lineage). Since 1 October, 2008, 187 influenza viruses (103 A(H1N1), 23 A (H3N2), and 61 B) have been tested for resistance to neuraminidase inhibitors. Of the A(H1N1) viruses tested, 98% (101/103) were resistant to oseltamivir however all were sensitive to zanamivir. All of the A(H3N2) and B viruses tested were sensitive to both oseltamivir and zanamivir. The CDC tested 126 influenza A viruses (103 H1, 23 H3) for amantadine resistance: only one of the H1N1 viruses was resistant to amantadine (1%, 1/103) however all the H3N2 viruses (100%) were resistant.
  • <A href="http://www.cdc.gov/flu/weekly/" target=_blank rel=x><ACRONYM title="Centers for Disease Control and Prevention">CDC</ACRONYM>
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EISS: Influenza activity continued to intensify and spread across Europe with most countries now reporting medium to high intensity with a west-to-east spread being observed. Influenza A(H3) viruses continue to predominate. With the exception of the few B/Victoria lineage viruses, the viruses circulating in Europe are similar to the strains included in the current influenza vaccine. Of the 89 A(H3N2) isolates that were tested for adamantanes susceptibility, 88 (99%) were resistant. Of the 60 A(H1N1) virus isolates tested for resistance against neuraminidase inhibitors, 59 (98%) were resistant to oseltamivir, but all were sensitive to zanamivir.
  • <A href="http://www.eiss.org/cgi-files/bulletin_v2.cgi" target=_blank rel=x><ACRONYM title=" European Influenza Surveillance Scheme">EISS</ACRONYM>
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Human Avian Influenza: Since 17 January 2009, the WHO has reported 5 new cases of human H5N1 avian influenza infection. Three cases were reported from China (all from different provinces) of which 1 died; and 2 cases were reported from Indonesia (also from different provinces) of which both died.
  • <A href="http://www.who.int/csr/disease/avian_influenza/en/index.html" target=_blank rel=x><ACRONYM title="World Health Organization">WHO</ACRONYM>
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<HR>Total number of influenza tests performed and number of positive tests by province/territory of testing laboratory, Canada, 2008-2009

<TABLE id=fluwatchtable cellSpacing=0 cellPadding=2 width="100%" border=1><TBODY><TR class=bg-colour-blue vAlign=top><TD class=alignCenter rowSpan=3>Province of
reporting
laboratories
</TD><TD class=alignCenter vAlign=bottom colSpan=4>Report Period:
January 11, 2009 to January 17, 2009
</TD><TD class=alignCenter vAlign=bottom colSpan=4>Season to Date:
August 24, 2008 to January 17, 2009
</TD></TR><TR class=bg-colour-blue><TD class=alignCenter rowSpan=2>Total #
Influenza
Tests
</TD><TD class=alignCenter colSpan=3># of Positive Tests </TD><TD class=alignCenter rowSpan=2>Total #
Influenza
Tests
</TD><TD class=alignCenter colSpan=3># of Positive Tests </TD></TR><TR class=bg-colour-blue vAlign=top><TD class=alignCenter vAlign=center>Influenza A</TD><TD class=alignCenter vAlign=center>Influenza B</TD><TD class=alignCenter vAlign=center>Total </TD><TD class=alignCenter vAlign=center>Influenza A</TD><TD class=alignCenter vAlign=center>Influenza B</TD><TD class=alignCenter vAlign=center>Total </TD></TR><TR><TD class=bg-colour-blue>NL
</TD><TD class=alignCenter>13</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>218</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD><TD class=alignCenter>0</TD></TR><TR><TD class=bg-colour-blue>PE
</TD><TD class=alignCenter>7</TD><TD class=alignCenter>0</TD><TD class=alignCenter>1</TD><TD class=alignCenter>1</TD><TD class=alignCenter>70</TD><TD class=alignCenter>0</TD><TD class=alignCenter>1</TD><TD class=alignCenter>1</TD></TR><TR><TD class=bg-colour-blue>NS
</TD><TD class=alignCenter>38</TD><TD class=alignCenter>1</TD><TD class=alignCenter>0</TD><TD class=alignCenter>1</TD><TD class=alignCenter>323</TD><TD class=alignCenter>2</TD><TD class=alignCenter>0</TD><TD class=alignCenter>2</TD></TR><TR><TD class=bg-colour-blue>NB
</TD><TD class=alignCenter>55</TD><TD class=alignCenter>4</TD><TD class=alignCenter>0</TD><TD class=alignCenter>4</TD><TD class=alignCenter>281</TD><TD class=alignCenter>5</TD><TD class=alignCenter>0</TD><TD class=alignCenter>5</TD></TR><TR><TD class=bg-colour-blue>QC
</TD><TD class=alignCenter>963</TD><TD class=alignCenter>26</TD><TD class=alignCenter>2</TD><TD class=alignCenter>28</TD><TD class=alignCenter>8918</TD><TD class=alignCenter>91</TD><TD class=alignCenter>7</TD><TD class=alignCenter>98</TD></TR><TR><TD class=bg-colour-blue>ON
</TD><TD class=alignCenter>1187</TD><TD class=alignCenter>23</TD><TD class=alignCenter>51</TD><TD class=alignCenter>74</TD><TD class=alignCenter>11296</TD><TD class=alignCenter>67</TD><TD class=alignCenter>169</TD><TD class=alignCenter>236</TD></TR><TR><TD class=bg-colour-blue>MB
</TD><TD class=alignCenter>59</TD><TD class=alignCenter>0</TD><TD class=alignCenter>1</TD><TD class=alignCenter>1</TD><TD class=alignCenter>998</TD><TD class=alignCenter>0</TD><TD class=alignCenter>2</TD><TD class=alignCenter>2</TD></TR><TR><TD class=bg-colour-blue>SK
</TD><TD class=alignCenter>191</TD><TD class=alignCenter>2</TD><TD class=alignCenter>0</TD><TD class=alignCenter>2</TD><TD class=alignCenter>1779</TD><TD class=alignCenter>5</TD><TD class=alignCenter>0</TD><TD class=alignCenter>5</TD></TR><TR><TD class=bg-colour-blue>AB
</TD><TD class=alignCenter>503</TD><TD class=alignCenter>34</TD><TD class=alignCenter>2</TD><TD class=alignCenter>36</TD><TD class=alignCenter>9410</TD><TD class=alignCenter>92</TD><TD class=alignCenter>66</TD><TD class=alignCenter>158</TD></TR><TR><TD class=bg-colour-blue>BC
</TD><TD class=alignCenter>95</TD><TD class=alignCenter>22</TD><TD class=alignCenter>1</TD><TD class=alignCenter>23</TD><TD class=alignCenter>839</TD><TD class=alignCenter>73</TD><TD class=alignCenter>4</TD><TD class=alignCenter>77</TD></TR><TR><TD class=bg-colour-blue>Canada
</TD><TD class=alignCenter>3111</TD><TD class=alignCenter>112</TD><TD class=alignCenter>58</TD><TD class=alignCenter>170</TD><TD class=alignCenter>34132</TD><TD class=alignCenter>335</TD><TD class=alignCenter>249</TD><TD class=alignCenter>584</TD></TR></TBODY></TABLE>

Specimens from NT, YT, and NU are sent to reference laboratories in other provinces.
Note: Cumulative data includes updates to previous weeks; due to reporting delays, the sum of weekly report totals do not add up to cumulative totals.
Abbreviations: Newfoundland/Labrador (NL), Prince Edward Island (PE), New Brunswick (NB), Nova Scotia (NS), Quebec (QC), Ontario (ON), Manitoba (MB), Saskatchewan (SK), Alberta (AB), British Columbia (BC), Yukon (YT), Northwest Territories (NT), Nunavut (NU)
Respiratory virus laboratory detections in Canada, by geographic regions, are available weekly on the following website:
<http://www.phac-aspc.gc.ca/bid-bmi/dsd-dsm/rvdi-divr/index-eng.php>



Number of influenza surveillance regions? reporting widespread or localized influenza activity, Canada, by report week, 2008-2009 (N=54)

0209fg1-eng.gif

flu0809-leg1-eng.gif

? sub-regions within the province or territory as defined by the provincial/territorial epidemiologist. Graph may change as late returns come in.


<TABLE width="100%"><TBODY><TR vAlign=top align=middle><TD colSpan=2>Influenza Activity Level by Provincial and Territorial
Influenza Surveillance Regions, Canada,
January 11, 2009 to January 17, 2009 (Week 02)


</TD></TR><TR vAlign=top align=middle><TD class=alignCenter>
</TD><TD><TABLE cellSpacing=0 cellPadding=1 border=0><TBODY><TR><TD align=middle><TABLE class=border-lite cellSpacing=1 cellPadding=1><TBODY><TR align=middle><TD>No Data </TD><TD>
leg_dots.gif
</TD></TR><TR align=middle><TD>No Activity</TD><TD>
leg_ffffff.gif
</TD></TR><TR align=middle><TD>Sporadic Activity</TD><TD>
leg_ccccff.gif
</TD></TR><TR align=middle><TD>Localized Activity</TD><TD>
leg_6666ff.gif
</TD></TR><TR align=middle><TD>Widespread
Activity
</TD><TD>
leg_000066.gif
</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
Note: Influenza activity levels, as represented on this map, are assigned and reported by Provincial and Territorial Ministries of Health, based on laboratory confirmations, sentinel ILI rates (see graphs and tables) and outbreaks. Please refer to detailed definitions. For areas where no data is reported, late reports from these provinces and territories will appear on the FluWatch website. Select single maps by report week to get this updated information.
<http://dsol-smed.phac-aspc.gc.ca/dsol-smed/fluwatch/fluwatch.phtml?lang=e>
Click on the map to view provinces/territories and maps for other weeks.


Influenza tests reported and percentage of tests positive, Canada, by report week, 2008-2009

0209fg2-eng.gif



Percent positive influenza tests, compared to other respiratory viruses, Canada, by reporting week, 2008-2009

0209fg3-eng.gif



flu0809-leg3-eng.gif



Influenza strain characterization, Canada, cumulative, 2008-2009 influenza season by the Respiratory Viruses Section at the National Microbiology Laboratory
[N=69]


0209fg4-eng.gif

{Strain characterization, number identified, per cent of total number}
NACI recommends that the trivalent vaccine for the 2008-2009 season in Canada contain
A/Brisbane/59/2007 (H1N1)-like virus; an A/Brisbane/10/2007 (H3N2)-like virus; and a B/Florida/4/2006-like virus.



Influenza-like illness (ILI) consultation rates, Canada, by report week,
2008-2009 compared to 1996/97 through to 2007/08 seasons


0209fg5-eng.gif

flu0809-leg5-eng.gif

Note: No data available for mean rate in previous years for weeks 19 to 39 (1996-1997 through 2002-2003 seasons).


Number of New Outbreaks in Long Term Care Facilities, Canada, by Report Week, 2008-2009

0209fg6-eng.gif

flu0809-leg6-eng.gif

Please note that the above graphs may change as late returns come in.
Single Maps | Dual Maps | Animated Maps | FluWatch Reports
 
Re: Seasonal Flu 2008 - 2009

Fourty-two isolates tested positive for the H274Y mutation (resistance = 100% or 42/42), with the other 4 specimens still pending confirmatory testing.

all of the A/H1N1 isolates were resistant to oseltamivir due to the H274Y mutation (resistance = 100% or 15/15). The resistant isolates were from NS, ON, AB and BC.
 
Re: Seasonal Flu 2008 - 2009

Hong Kong: Update on Hong Kong students returned from Chengdu (1/24/2009) [CHP]

A spokesman for the Centre for Health Protection (CHP) of the Department of Health today (January 24) said three of the 18 students and the group leader who returned from Chengdu yesterday developed symptoms compatible with influenza infection.

CHP investigation revealed that the four people, comprising two male and two female aged between 18 and 27, developed fever, sore throat, cough and runny nose.

They have been admitted to the Princess Margaret Hospital in stable condition.

Two of the four specimens taken from them showed positive result for influenza A (H1).

All specimens showed negative result for influenza H5.

The laboratory results showed that they were suffering from ordinary seasonal influenza and not avian influenza H5.

They are among a delegation from the Chinese University of Hong Kong which left for Sichuan on January 17.

The remaining 15 students do not have any symptoms of influenza infection.
-

View Original Article
 
Re: Seasonal Flu 2008 - 2009

USA. Tougher flu virus hits Jefferson County - al.com

Tougher flu virus hits Jefferson County

Monday, January 26, 2009
DAVE PARKS
News staff writer

Some of the first influenza cases in Jefferson County this season are being reported by public health officials. And it appears that the type of flu circulating in the area may be resistant to the most commonly used and effective antiviral medicine, Tamiflu.


Dr. Charles H. Woernle, assistant state health officer for Disease Control and Prevention for the Alabama Department of Public Health, said last week that the department confirmed three cases of flu in Jefferson County for the week of Jan. 11-17.

There were no cases confirmed the previous week, and there has been little influenza activity reported statewide this 2008-09 season.

"It has been pretty quiet so far, with a suggestion that it may be picking up," Woernle said.

The Centers for Disease Control recently reported that even though the United States seems to be having a mild flu season, some states have noticed that the prevalence of Type A (H1N1) influenza is showing resistance to the drug oseltamivir, or Tamiflu.

And early testing in Jefferson County shows this is the type of flu that is circulating in the area, Woernle said.

Given the situation, the CDC is recommending using a combination of oseltamivir (Tamiflu) and rimantadine (Flumadine) when treating or trying to prevent H1N1 flu. Another medication, zanamivir (Relenza) is also appropriate for treating H1N1 flu, according to the CDC's recommendation.

Authorities say the best protection against the flu is prevention with vaccination, and there is still time to get a flu shot this season.

James and Diana Noah, two influenza scientists at Southern Research Institute, said it is not unusual for flu viruses to develop resistance to antiviral drugs such as Tamiflu. A flu virus has a natural tendency to mutate quickly.

"When it reproduces it inherently includes mistakes that in some cases cause the virus to die, but in very few cases will grant a selective benefit to the virus," he said. "This is called selective pressure.

"So when a drug is applied, a virus begins churning out genetic mutations until it finds a way to replicate in the presence of the drug.

Diana Noah noted that overprescribing an antiviral drug worsens the problem, and Tamiflu has been used in large quantities in Asia in recent years to prevent or treat influenza.

"The result is you are constantly pressuring the virus, so it makes the changes," she said.

E-mail: dparks@bhamnews.com
-
<cite cite="http://www.al.com/health-fitness/birminghamnews/index.ssf?/base/living/1232961340304380.xml&coll=2">Tougher flu virus hits Jefferson County - al.com</cite>
 
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