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GLOBAL INFLUENZA
MONITORING
TOOLS
Share. Contribute. Benefit
Global influenza monitoring tools
Global Tools for Influenza Monitoring
To collate data for real-time monitoring of influenza
activity
To make informed decision at national, regional and
global level.
To allow each country to analyze their data in a global
context
Global influenza monitoring tools
FluNet
Web-based (www.who.int/flunet) interactive data reporting, query and mapping system of the Global Influenza Surveillance Response System (GISRS)
Data provided by national influenza centres (NIC) or other laboratories
> 130 countries reporting data
Weekly laboratory surveillance information collected include
– Specimens received/collected/processed
– Influenza virus detections by virus type and subtyp
– Comments
Global influenza monitoring tools
FluNet outputs
www.who.int/flunet
Direct links to:
– Graphs by country, area or
territory
– Selected indicators in the
interactive database
– Download data from latest week
– Download maps
– Link to bi-monthly influenza
updates
– Link to WHO regional web sites
Global influenza monitoring tools
Number of specimens positive for influenza by subtype in the North America Transmission Zone
). Global Influenza Surveillance and Response System (GISRS)www.who.int/flunetData source: FluNet (
Data generated on 19/05/2014
Global influenza monitoring tools
Global influenza monitoring tools
Influenza subtypes and % positive
Global influenza monitoring tools
fluID
web based data collection platform for epidemiological influenza data
The set up is flexible allowing the country to enter data available at country level
Data provided by national focal points for epidemiological influenza surveillance
~ 60 countries providing data
Global influenza monitoring tools
A platform for epidemiological data
To complement the virological information
To be able to interpret virological information
To make epidemiological information comparable
To find it at one place
Global influenza monitoring tools
FluID reporting at any time 90 countries
New: Iran, Morocco, Bahrain
Global influenza monitoring tools
But!!! Countries reporting to FluID
Number of countries by season 2010-2011 75 2011-2012 79 2012-2013 62 2013-2014 59
Global influenza monitoring tools
For countries with formal surveillance data, depending on their system – ILI (Influenza like illness) – ARI (acute respiratory infections) – SARI (severe acute respiratory infections) – Pneumonia – Mortality
The denominator can be the population or the number of consultations
The age groups can be defined for each reporting site (country)
More is possible to set up- depending on what is collected systematically
Data collected with fluID
Global influenza monitoring tools
Data collected with fluID
Qualitative indicators (for all countries):
– Geographical Spread
– Disease Trend
– Intensity
– Impact
Global influenza monitoring tools
Possibilities for data input
FluNet
– Data provided by NICS
– Data entry / upload by NICs, WHO RO, HQ
fluID
– Data provided by national focal points
– Data entry / upload by national focal points or
through direct link to regional databases (e.g. EUROFLU)
– link to PAHO spreadsheets
– provided by e-mail to HQ (CAREC, US, Morocco)
Global influenza monitoring tools
Global influenza monitoring tools
Joint reports from FluNet and fluID
Joining the data from fluID
and FluNet to provide a
comprehensive picture of
the epidemiological and
virological situation https://extranet.who.int/sree/Reports?op=vs&path=/WHO_HQ_Reports/G5/PROD/EXT/Flu_menu
Global influenza monitoring tools
Current View
Influenza reporting global map
(click on box next to country to link to country graph)
The boundaries and names shown and the designations used on this map do not imply the expression of any
opinion whatsoever on the part of the World Health Organization concerning the legal status of any country,
territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted
lines on maps represent approximate border lines for which there may not yet be full agreement.
fluID/FluNet report online
2by%20Report%20Surveillance%20/PROD/EXT/Influenza%5https://extranet.who.int/sree/Reports?op=vs&path=/WHO_HQ_Reports/G
Country0
Current View to:
Influenza surveillance report
Source: WHO/Global Influenza Programme fluID and FluNet.
Data displayed might be delayed from data entering. Some regional data is imported once a week from regioal offices.
Real time data from the EURO region are available at www.euroflu.org
Number of specimens positive for influenza by subtype
Number of influenza-like illness (ILI) cases and proportion of ILI cases by 1000 patient visits
Number of Pneumonia cases and proportion of Pneumonia cases by 100 hospitalized patients
Data source: FluNet (www.who.int/flunet),
Data source: fluID
Data source: fluID
Graphs for: 30-May-2014 15:12 generated on: Period:
A (H1)
A (H1N1)pdm09
A (H3)
A (H5)
A (Not subtyped)
B (Lineage not determined)
B (Victoria lineage)
More...
Subtype
Specimens
Proportion of ILI cases by
1000 patient visits
Number of ILI cases
Click here to open the report by Age
Number of Pneumonia
cases Proportion of Pneumonia
cases by 100 hospitalized
Menu
Current View to:
Influenza surveillance report by country from FluNet and
Source: WHO/Global Influenza Programme fluID and FluNet.
Data displayed from fluID are not real time (delay up to one day). WHO/Europe influenza surveillance data are
imported to fluID once a week. Real time data from Euroflu are available at www.euroflu.org
Number of specimens positive for influenza by subtype
Number of influenza-like illness (ILI) cases and proportion of ILI cases by 1000 patient visits
Number of severe acute respiratory infections (SARI) cases and proportion of SARI cases by 100 hospitalized patients
Data source: FluNet (www.who.int/flunet),
Data source: fluID
Data source: fluID
Graphs for: 05-Feb-2013 15:41 generated on: Period:
A (H1)
A (H1N1)pdm09
A (H3)
A (H5)
A (Not subtyped)
B (Lineage not determined)
B (Victoria lineage)
More...
Sub Type
Number of
Proportion of ILI cases by
1000 patient visits
Number of ILI cases
Number of SARI cases
Proportion of SARI cases
by 100 hospitalized
patients
Hom
Current View to:
Influenza surveillance report by age group
Source: WHO/Global Influenza Programme fluID and FluNet.
Data displayed from fluID are not real time (delay up to one day). WHO/Europe influenza surveillance data are
imported to fluID once a week. Real time data from Euroflu are available at www.euroflu.org
Number of specimens positive for influenza by subtype
Number of influenza-like illness (ILI) cases
Number of Pneumonia (PNEU) cases
1
Data source: FluNet (www.who.int/flunet),
Data source: fluID
Data source: fluID
Graphs for: 30-May-2014 15:20 generated on: Period:
A (H1)
A (H1N1)pdm09
A (H3)
A (H5)
A (Not subtyped)
B (Lineage not determined)
B (Victoria lineage)
More...
Subtype
Specimens
00 - 04
05 - 24
25 - 49
50 - 64
65+
Unknown
Age Groups
00 - 04
05 - 24
25 - 49
50 - 64
65+
Unknown
Age Groups
Men
u
Current View
Central America and Caribbean
Anguilla
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
British Virgin Islands
Cayman Islands
Costa Rica
Cuba
Dominica
Dominican Republic
More...
Top chart filter
Central America and Caribbean
Anguilla
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
British Virgin Islands
Cayman Islands
Costa Rica
Cuba
Dominica
Dominican Republic
More...
Bottom chart filter
to:
Influenza surveillance report – comparison
Graphs for: 31-May-2014
18:20
generated on: Period:
Men
u
Source: WHO/Global Influenza Programme fluID and FluNet.
Data displayed from fluID are not real time (delay up to one day). WHO/Europe influenza surveillance data
are
imported to fluID once a week. Real time data from Euroflu are available at www.euroflu.org
Tropical South America: Bolivia (Plurinational State of),
Brazil,
Colombia, Ecuador, French Guiana, Guyana, Peru,
Suriname,
Venezuela (Bolivarian Republic of)
Selected countries, areas or territories (bottom)
Central America and Caribbean: Anguilla, Antigua and
Barbuda,
Aruba, Bahamas, Barbados, Belize, British Virgin
Islands,
Cayman Islands, Costa Rica, Cuba, Dominica, Dominican
Republic, El Salvador, Grenada, Guadeloupe, Guatemala,
Haiti,
Honduras, Jamaica, Martinique, Mexico, Montserrat,
Netherlands
Antilles, Nicaragua, Panama, Puerto Rico, Saint Kitts and
Nevis, Saint Lucia, Saint Vincent and the Grenadines,
Trinidad
and Tobago, Turks and Caicos Islands, Virgin Islands
(USA)
Selected countries, areas or territories (top)
A (H1) A (H1N1)pdm09 A (H3) A (H5)
B (Lineage not
A (Not subtyped)
B (Victoria
lineage)
B (Yamagata
Subtype
Current View
Influenza historic report Graphs 30-May-2014 15:26 generated on:
Number of ARI cases
Number of Pneumonia (PNEU) cases
% of specimens positive for influenza
Data source: FluNet (www.who.int/flunet),
Source: WHO/Global Influenza Programme fluID and FluNet.
Data displayed from fluID are not real time (delay up to one day). WHO/Europe influenza surveillance data are
imported to fluID once a week. Real time data from Euroflu are available at www.euroflu.org
Data source: fluID
Data source: fluID
Menu
2013/2014
2012/2013
2011/2012
2010/2011
2009/2010
2008/2009
2007/2008
2006/2007
2005/2006
2004/2005
More...
Years
Current View 2013/2014
2012/2013
2011/2012
2010/2011
2009/2010
2008/2009
Years
Source: WHO/Global Influenza Programme fluID and FluNet.
Data displayed from fluID are not real time (delay up to one day). WHO/Europe influenza surveillance data are
imported to fluID once a week. Real time data from Euroflu are available at www.euroflu.org
Seasonal chart for Qualitative Indicators Menu
Indicator
Trend
Not Available Decreasing Unchanged Increasing
30-May-2014 16:12 generated on:
Global influenza monitoring tools
Future
of the global influenza monitoring tools
Launch of website
Easier to use interactive maps and graphs
In-built analysis tools
More countries joining- hence better context for country
data- linking to regional data bases (all the PAHO
countries with their excellent data represented!!)
Countries continuing to report
We welcome comments!!!
Global influenza monitoring tools
Contribution to WHO information products
Joining all different information
sources
Regular risk assessment
Bi-weekly situation update
Seasonal review
Publications/WER
Etc. *Global Influenza Surveillance and Response System
GISRS*
Other
sources
Global influenza monitoring tools
Bi weekly update http://www.who.int/influenza/surveillance_monitoring/updates/en
Global influenza monitoring tools
Global influenza monitoring tools
Other regular influenza data and outputs
Monthly risk assessment for new influenza viruses
DON (Disease outbreak news) for outbreaks of
international interest
EIS (event information system- for IHR national focal
points) for the unusual events
Info on avian influenza A(H7N9)
Global influenza monitoring tools
Summary
Local data for local decisions
– SARI/ILI surveillance for national disease burden and risk groups
description
Local data for the global picture
– Only with the sum of all the local data can the global picture be made and
patterns can be identified
Global picture for the local interpretation
– Only if we know what is happening in the world can we predict what is
going to happen to the local situation
Global influenza monitoring tools
If you want more information
or want to share info:
[email protected] To get updated…
Global influenza monitoring tools
Your information is important for the
global picture of influenza
Thank you !!!
شكرا
Merci!
Global influenza monitoring tools
Now your turn fluID and FluNET
FluID and FluNet Outputs can be accessed:
https://extranet.who.int/sree/Reports?op=vs&path=/WHO_
HQ_Reports/G5/PROD/EXT/Flu_menu
(About to be more prominent)
For FluNet www.who.int/flunet