Ukraine, newsletter 43 week (2)

News-bulletinFLU AND ARVI IN UKRAINE

01 November

2016Center of influenza and ARVI

State institution "Ukrainian center for the control and monitoring of diseases of the Ministry of health of Ukraine

43 WEEK (24 – 30.10.2016 р.)

Телефон для отримання консультацій з питань профілактики грипу та ГРВІ: +38(044) 425-08-83

[email protected]

FLU AND ARVI IN UKRAINE: Information Bulletin/K. S. 2016- 15

The authors state institution "Ukrainian center for the control and monitoring of diseases of the Ministry of health of Ukraine":

Rodyna R. A. the acting chief physician

Svita V. M., Deputy chief physician

Dykhanovska T. A., head of the Center of influenza and ARVI are responsible for the release

Demchishina I. V, the head of the Virology laboratory

Artemchuk O. O., epidemiologist of the Center of influenza and ARVI

Kutseva, V. V., doctor- virologist Virology laboratory

Prikhodko.E. F, the doctor-virologist Virology laboratory

Scientific consultant:

Zadorozhnaya V. I.Professor, Director of state institution "Institute of epidemiology and infectious diseases L. V. Gromashevsky of the National Academy of medical Sciences of Ukraine "

Weekly newsletter "INFLUENZA AND ARVI IN UKRAINE" is designed for quick response and managerial de-cision-making by the heads of Central, regional and local Executive authorities, health agencies, territorial bodies of state sanitary and epidemiological service of Ukraine regarding the prevention of influenza and ARVI, but also for the purpose of informing of wide layers of population of Ukraine.

Authors invites to cooperation of health institutions, academic institutions, international public organizations, media and others.

Comments and suggestions should be sent to the email address [email protected]

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N/B: when using materials from the weekly Bulletin"Influenza and ARVI in Ukraine" - reference is obligatory

Section

Content:

Title

Page

І The incidence of influenza and ARVI in the European region 4 – 5

ІІ The analysis of the epidemiological and virological situation of influenza and ARVI in Ukraine during the reporting week

6 – 12

1 Analysis of the incidence of influenza and ARVI 6 – 9

2 Virologic monitoring of flu and ARVI 10 – 11

3 Information about sanitary-educational work12

III Phones of territorial bodies and establishments MOH Ukraine to obtain advice on prevention of influenza and ARVI.

13 – 14

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І. Information on the incidence of influenza and ARVI in the European region, 42 week 2016 (data received from the source http://www.flunewseurope.org/Archives).

Week 42/2016

Activity remained low with sporadic detections of influenza viruses across the region.

Only 81 influenza virus detections were reported, 11 from sentinel surveillance and 70 from non-sentinel sources.

Since week 40/2016, 66% of all influenza virus detections have been reported by four countries of northern Europe.

So far, influenza A has predominated with most of the viruses subtyped being influenza A(H3N2).

The situation is usual for this time of year.

Influenza activity

All 42 countries that reported epidemiological data reported low intensity, indicating that influenza activity is at baseline levels. Across the region, three countries reported local and seven others reported sporadic geographic spread. Only eleven countries reported influenza positive specimens in sentinel and/or non-sentinel sources. Of the 225 influenza virus detections this season, 149 were reported by four countries in northern Europe (France, Norway, Sweden and the UK).

The severity

No influenza-infected cases were reported by countries that conduct surveillance based on SARI or hospitalized laboratory-confirmed influenza cases in intensive care units or other wards.

Viruses detected in sentinel-source specimens (ILI and ARI)

For week 42/2016, of 740 sentinel specimens tested, 11 were positive for influenza virus. Of these 11 influenza viruses, nine (82%) were A(H3N2).

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http://www.flunewseurope.org/Archives


[email protected]

Viruses detected from non-sentinel sources

For week 42/2016, 70 specimens from non-sentinel sources (such as hospitals, schools, nursing homes and other care institutions) tested positive for influenza viruses. Similar to the previous week, 87% were type A and 12% type B. All 11 influenza A viruses subtyped were A(H3N2).

Virus characteristics

Since week 40, influenza viruses have been detected in 207 specimens from non-sentinel sources and 18 from sentinel ILI and/or ARI sources. Of the 225 influenza viruses detected from both sources, 193 were influenza A and 32 were influenza B. Of the 66 influenza A viruses subtyped, the majority were A(H3N2), 42 from non-sentinel sources and 16 from sentinel ILI and/or ARI sources.

Note:Flu News Europe Bulletin represents and interprets data on influenza activity in 41 countries in the WHO

European region to provide information to specialists in the field of public health, clinicians and the public about the time of the occurrence and intensity of flu season and the spread of the flu in the Region, the prevalence and characteristics of circulating viruses.

More details are available on the websites of the European Regional office WHO headquarters and the WHO European centre for disease prevention and control of diseases.

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Centre of influenza and acute respiratory viral infections of the State institution "Ukrainian center for the control and monitoring of diseases of the Ministry of health of Ukraine" informs about the incidence of influenza and ARVI in Ukraine for 42 week (24.10 – 30.10.2016).

IІ. Analysis of the epidemiological situation of influenza and ARVI in Ukraine for 43 week

1. Analysis of the incidence of influenza and ARVI

162689 people ill flu and ARVI during the reporting week, of which 66,8 % are children under the age of 17. The incidence of influenza and ARVI (total) among the population of Ukraine is 382,0 per 100 000 population (figure 1).

Figure 1

40 41 42 43300.0

350.0

400.0

Dynamics of incidence of influenza and ARVI (Ukraine, epidemic season 2016 - 2017)

weeks

іnte

nse

inde

x

The highest incidence of influenza and ARVI registered in Kiev region – 787,6, the lowest – in Ternopil region is 208,9 per 100 000 population (figure 2).

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Figure 2

Ternopil

Zakarp

attia

Ivan

o-Fran

kivsk

Kharkiv

Sumy

Chernivtsi

Donetsk

LvivOdesa

Kirovohrad

Cherkasy

Luhansk

Ukraine

Kherson

Mykolai

v

Zhytomyr

Khmelnytsk

yi

Volyn

Chernihiv

Vinnytsia

Dnipropetr

ovsk Rivne

Zaporiz

hzhia

Poltava

city K

yiv Kyiv

0.0

100.0

200.0

300.0

400.0

500.0

600.0

700.0

800.0

900.0

208.9

367,6

787.6

Incidence of influenza and ARVI in regions of Ukraine, 43 week 2016

інте

нсив

ний

пока

зник

In regions of the country the epidemic thresholds are in the range from -3,3 % in Volyn to -66,7 % Ivano-Frankivsk regions (figure 3).

Figure 3

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The rate of the incidence decreased among adults and increased among children up to 17 years 2,4 % and 2,1 %, respectively in the reporting week (figure 4).

Figure 4

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The distribution of the age structure of the children who got sick with influenza and ARVI showed on figure 5. We can see prevalent disease in the age groups 5 – 14 and 0 – 4 years.

Figure 5

44%

44%

12%

The distribution of cases among children up to 17 years (Ukraine, 43 week 2016)

0 - 4 years

5 - 14 years

15 - 17 years

The proportion hospitalized patient is 3,0 %, of which 3812 children under the age of 17 years (figure 6)

Figure 6

40 41 42 430

500

1000

1500

2000

2500

3000

3500

4000

4500

Dynamics of hospitalization of persons (Ukraine, epidemic season 2016 - 2017)

adults

children up to 17 years

weeks

num

ber

of h

ospi

taliz

atio

n

Children 0 - 4 years old predominate among all hospitalized patients (figure 7).

Figure 7

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40 41 42 430.0

0.2

0.4

0.6

0.8

1.0

1.2

The cumulative rate of hospitalization patients with influenza and ARVI, distribution by age groups (Ukraine, season 2016 - 2017)

0 - 4 years

5 - 14 years

15 - 29 years

30 - 64 years

65 and older

weeks

Іnte

nsiv

e ra

te p

er 1

000

000

popu

latio

n

At the institution of health care of Lviv region, engaged to conduct sentinel surveillance, was the fatal case of a child, according to virological tests by the method of polymerase chain reaction identified RNA rhinovirus.

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[email protected] 2. Virological monitoring of influenza and ARVI

Virologists laboratory centers of the Ministry of health conducted 263 tests samples of material from patients with influenza and ARVI using method imunofluorescence microscopy, of which 36,9 % were positive (figure 7).

Figure 7

All examined individuals Of them with positive results0

50

100

150

200

250236 36,9 %

Results identification of viruses in the samples of materials from patients with influenza and ARVI method microscopy

imunofluorescence (Ukraine, 43 week 2016 )

Among identified respiratory viruses is dominated parainfluenza viruses (figure 8).

Figure 8

1%

55%28%

16%

Proportion of identifted viruses among positive results found in the study samples of materials from patients with influenza and ARVI method microscopy imunofluorescence (Ukraine 43 week 2016 )

Influenza viruses type В

Parainfluenza viruses

Adenoviruses

Respiratory syncytial virus

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Specialists of diagnostic laboratories Ministry of health used method polymerase chain reaction and studied 51 samples of materials from patients with suspected influenza and ARVI. The influenza viruses is not identified (figure 9).

Figure 9

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3. Information about sanitary-educational work

Specialists of the Ministry of health conducted sanitary-educational work using various forms and methods in order to promote the effectiveness of vaccination against influenza, raising the level of culture and awareness on the prevention of influenza and ARVI. Specialists have conducted appearances on the radio – 441, TV – 110, published in the media –314 , released flyers, memos, newsletters– 16015 since the beginning of the seasonal epidemic rise of influenza and ARVI (figure 10 ).

Figure 10

the speech on the radio

TV

media publications

released flyers, memos, newsletters

0 2000 4000 6000 8000 10000 12000 14000 16000 18000

Conducting sanitary-educational work (Ukraine, epidemic season

2016 - 2017)

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III. Phones of territorial bodies and establishments MOH Ukraine to obtain advice on prevention of influenza and ARVI.

№з/п Region Phone number Hours of op-

eration

1 2 3 4

1Centre for influenza and ARVI SI "UCCMD MOH"

(044) 425-08-83 09⁰⁰ - 17⁰⁰

2 Vinnitsa (0432) 67-19-45 09⁰⁰ - 19⁰⁰3 Volyn (0332) 23-39-60 09⁰⁰ - 16⁰⁰4 Dnipropetrovsk (056) 731-96-19 09⁰⁰ - 18⁰⁰5 Donetsk (062) 641-72-12 08⁰⁰ - 16⁰⁰

6Zhytomyr

(0412) 43-05-3308³⁰ - 13⁰⁰ 14⁰⁰ - 18³⁰

7 Zakarpattya (03122) 64-28-78 09⁰⁰ - 17⁰⁰8 Zaporizhia (061) 283-17-29 09⁰⁰ - 19⁰⁰9 Ivano-Frankivsk (0342) 53-26-17 08³⁰ - 16³⁰10 Kyiv (044) 483-17-15 08³⁰ - 17⁰⁰11 Kirovohrad (0522) 33-12-97 08⁰⁰ - 18⁰⁰12 Lugansk (06425)-24-02-81 08⁰⁰ - 16⁰⁰

13Lviv (032) 276-86-90

(032) 275-60-7109⁰⁰ - 16⁰⁰

14 Mykolaiv (0512) 41-75-58 08⁰⁰ - 16⁰⁰15 Odessa (048) 54-08-13 09⁰⁰ - 17⁰⁰16 Poltava (05322) 7-48-80 08⁰⁰ - 18⁰⁰17 Rivne (0362) 23-01-68 09⁰⁰ - 17⁰⁰18 Sumy (0542) 65-73-98 08⁰⁰ - 16³⁰19 Ternopil (0352) 25-19-93 08⁰⁰ - 17⁰⁰20 Kharkov (057) 315-02-63 08³⁰ - 16⁰⁰1

Region Phone number Hours of op-

eration

21 Herson (0552 ) 22-41-85 08⁰⁰ - 17³⁰22 Khmelnytsky (0382) 71-95-16 08⁰⁰ - 18⁰⁰

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23 Cherkassy (0472) 45-02-22 08⁰⁰ - 16⁰⁰24 Chernivtsi (0372) 52-50-29 08³⁰ - 17⁰⁰25 Chernihiv (0462) 67-63-24 09⁰⁰ - 17⁰⁰26 city Kyiv (044) 400-73--54 09⁰⁰ - 17⁰⁰

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SI "Laboratory Centre for water transport MOH of Ukraine" (048) 686-15-64 08⁰⁰ - 16¹²

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SI "Laboratory Centre for railway transport MOH of Ukraine" (044) 465-42-97 09⁰⁰ - 17⁰⁰

29SI "Laboratory Centre for air transport MOH of Ukraine"

(044) 339-24-93 09⁰⁰ - 17⁰⁰

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Additional links:

EuroFlu - weekly electronic newsletter

http://www.euroflu.org/cgi-files/bulletin_v2.cgi

The situation in Russia:

http://www.influenza.spb.ru/system/epidemiological_situation/situation_on_a_flu/

The situation in Belarus:

http://minzdrav.gov.by/ru/news?id=66

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CONTACT INFORMATION:

Centre of influenza and ARVI SI "Ukrainian center for control and monitoring of diseases Ministry of health "

Address: 04071, Kyiv, street Yaroslavskya, 41

Phone: +380 44 425 08 83E-mail: [email protected]

mailto:[email protected]

http://www.influenza.spb.ru/system/epidemiological_situation/situation_on_a_flu/

http://www.euroflu.org/cgi-files/bulletin_v2.cgi

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Ukraine, newsletter 43 week (2)