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2009 influenza A (H1N1) pandemic 18 January 2010 09.00 CEST (ECDC, edited)
2009 influenza A (H1N1) pandemic 18 January 2010 09.00 CEST (ECDC, edited)
[Source Full PDF Document: LINK. EDITED.]
ECDC DAILY UPDATE
2009 influenza A (H1N1) pandemic 18 January 2010 09.00 CEST
Main developments in the past 72 hours
This report is based on official information provided by national public health websites or through other official communication channels. Reported number of confirmed 2009 pandemic influenza A (H1N1) cases admitted to hospitals and intensive care, by country, as of 18 January 2010, 09.00 CEST in EU and EFTA countries are in Table 1. An update on the number of confirmed fatal cases for the world and Europe is presented in Table 2.
ECDC likely to stop publishing Daily Updates for the pandemic
The ECDC Public Health Event Strategy Team (PST) will decide today whether to downgrade the crisis management activities to Public Health Event level 0 (PHE 0). ECDC has been operating its pandemic response in under a crisis management plan since April 2009, diverting significant resources from other parts of the organisation to respond in a robust and coherent way. Although the pandemic is far from over and considerable uncertainties on developments in the coming months exist, currently the workload related to pandemic response has clearly decreased. The ECDC activities related to the pandemic will continue under a reinforced influenza programme. If the PST decides to downgrade the PHE level to 0, we will stop publishing the Daily Updates. The surveillance work will be reported on Fridays in the Weekly Influenza Surveillance Overviews (WISO) with a technical overview of influenza development in a technical successor to the previous Flu News along with the Weekly Executive Update giving a digest of the technical reports and reporting on ECDC activities.
Epidemiologic update
All 27 EU and 4 EFTA countries are reporting cases of pandemic (H1N1) 2009 influenza. A total of 2 290 deaths have been reported since April 2009 (Table 2). From week 41 to 51 the numbers of deaths each had shown a steady increase almost doubling every fortnight over six weeks. The fall observed in weeks 52 and 53 was to be expected as it represents official reports placed on national web-sites and a number of Member States have not been doing this in what was a holiday week. While the most deaths have to date been in Western Europe there are increasing numbers of deaths being reported from Central and Eastern Europe. The reported cumulative fatal pandemic (H1N1) cases in the world have now passed 10,000 cases (Table 2). However, because of lack of laboratory confirmation and underreporting among other factors, this is likely to be a gross underestimation of the true number of fatalities associated with the pandemic. Available updates on hospital admissions, per Member State, can be found in Table 1.
Weekly Influenza Surveillance Overview
The ECDC Weekly Influenza Surveillance Overview for week 1/2010 was published and is available at: (LINK)
Key findings of the surveillance report conclude:
Table 1. Reported number of confirmed 2009 pandemic influenza A(H1N1) cases admitted to hospitals and intensive care, by country, as of 18 January 2010, 09.00 CEST in EU and EFTA countries.
[Country - (date of report) - Number of cases currently hospitalised - Cumulative number of cases admitted in hospitals - Number of cases currently in intensive care - Cumulative number of cases admitted to intensive care]
Note: Data for the EU and EFTA countries correspond to the Ministry of Health or surveillance centre websites.
(?) denotes no information readily available in official sources.
* Data includes information for England only. Other cumulative hospitalisations are: Scotland (1517), Wales (444) and Northern Ireland (578).
Table 2. Reported number of new and cumulative confirmed fatal 2009 pandemic influenza A(H1N1) cases in EU and EFTA countries, as 18 January 2010, 09.00 CEST, and in the rest of the world by country, as of 15 January 2010, 16.00 CEST.
[Country - Number of new fatal cases since previous national update - Cumulative number of fatal cases]
* Deaths reported from France include 1 in Guyana, 9 in New Caledonia, 7 in the French Polynesia, 7 in La R?union, 1 in Martinique, 2 in Mayotte, 5 in Guadeloupe and 258 in mainland France.
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[Source Full PDF Document: LINK. EDITED.]
ECDC DAILY UPDATE
2009 influenza A (H1N1) pandemic 18 January 2010 09.00 CEST
Main developments in the past 72 hours
- ECDC likely to stop publishing Daily Updates;
- Weekly Influenza Surveillance Overview published;
- A total of 2 290 fatal cases in Europe and EFTA countries and 11 996 in the rest of the world have been reported up to date.
This report is based on official information provided by national public health websites or through other official communication channels. Reported number of confirmed 2009 pandemic influenza A (H1N1) cases admitted to hospitals and intensive care, by country, as of 18 January 2010, 09.00 CEST in EU and EFTA countries are in Table 1. An update on the number of confirmed fatal cases for the world and Europe is presented in Table 2.
ECDC likely to stop publishing Daily Updates for the pandemic
The ECDC Public Health Event Strategy Team (PST) will decide today whether to downgrade the crisis management activities to Public Health Event level 0 (PHE 0). ECDC has been operating its pandemic response in under a crisis management plan since April 2009, diverting significant resources from other parts of the organisation to respond in a robust and coherent way. Although the pandemic is far from over and considerable uncertainties on developments in the coming months exist, currently the workload related to pandemic response has clearly decreased. The ECDC activities related to the pandemic will continue under a reinforced influenza programme. If the PST decides to downgrade the PHE level to 0, we will stop publishing the Daily Updates. The surveillance work will be reported on Fridays in the Weekly Influenza Surveillance Overviews (WISO) with a technical overview of influenza development in a technical successor to the previous Flu News along with the Weekly Executive Update giving a digest of the technical reports and reporting on ECDC activities.
Epidemiologic update
All 27 EU and 4 EFTA countries are reporting cases of pandemic (H1N1) 2009 influenza. A total of 2 290 deaths have been reported since April 2009 (Table 2). From week 41 to 51 the numbers of deaths each had shown a steady increase almost doubling every fortnight over six weeks. The fall observed in weeks 52 and 53 was to be expected as it represents official reports placed on national web-sites and a number of Member States have not been doing this in what was a holiday week. While the most deaths have to date been in Western Europe there are increasing numbers of deaths being reported from Central and Eastern Europe. The reported cumulative fatal pandemic (H1N1) cases in the world have now passed 10,000 cases (Table 2). However, because of lack of laboratory confirmation and underreporting among other factors, this is likely to be a gross underestimation of the true number of fatalities associated with the pandemic. Available updates on hospital admissions, per Member State, can be found in Table 1.
Weekly Influenza Surveillance Overview
The ECDC Weekly Influenza Surveillance Overview for week 1/2010 was published and is available at: (LINK)
Key findings of the surveillance report conclude:
- Poland reported high intensity of ILI/ARI.
- Six countries and the UK (Scotland) reported medium intensity of ILI/ARI, while all of the other countries reported low intensity.
- Eight countries reported an increasing ILI/ARI trend, while all remaining countries reported either stable or decreasing activity
- While the proportion of influenza-positive sentinel samples continues to decline (19% positive), the 2009 pandemic influenza A(H1N1) virus still accounts for nearly all of the subtyped viruses in sentinel ILI/ARI and SARI patients
- The number of SARI cases, measured by week of onset, continues to decline. Of the 181 reported SARI cases, 89 (49%) were known to have required ICU admission
- Detection of 2009 pandemic influenza A(H1N1) viruses resistant to oseltamivir remains sporadic; of 1260 viruses reported, 34 (2.7%) were resistant
Table 1. Reported number of confirmed 2009 pandemic influenza A(H1N1) cases admitted to hospitals and intensive care, by country, as of 18 January 2010, 09.00 CEST in EU and EFTA countries.
[Country - (date of report) - Number of cases currently hospitalised - Cumulative number of cases admitted in hospitals - Number of cases currently in intensive care - Cumulative number of cases admitted to intensive care]
- Austria (14.01.) - 35 ? ? ? ? ? ?
- Belgium (14.01.) ? ? ? ? ? ? ? ?
- Bulgaria (27.12) ? ? ? ? ? ? ? ?
- Cyprus(13.01) ? ? ? ? ? 3 ? 27
- Czech Republic (13.01.) ? ? ? ? ? ? ? ?
- Denmark (13.01.) ? ? ? ? ? 2 ? 84
- Estonia (10.01.) ? ? ? ? ? ? ? ?
- Finland (23.12.) - 2 ? ? - 6 ? ?
- France (15.01.) ? ? ? ? ? 155 ? 1198
- Germany (12.01.) ? ? ? ? ? ? ? ?
- Greece (13.01.) ? ? ? ? ? ? ? ?
- Hungary (30.12.) ? ? ? ? ? ? ? ?
- Iceland (10.12.) ? 3 ? 180 ? 1 ? 20
- Ireland (13.01.) ? 150 ? 1052 ? 6 ? 90
- Italy (14.01.) ? ? - 938 ? ? ? 454
- Latvia (14.01.) ? ? ? ? ? ? ? ?
- Liechtenstein (14.01.) ? ? ? ? ? ? ? ?
- Lithuania (08.01.) ? ? ? ? ? ? ? ?
- Luxembourg (27.12.) ? ? ? ? ? 0 ? 0
- Malta (04.09.) ? ? - 46 ? ? ? 1
- Netherlands (15.01.) ? ? - 2182 ? ? ? ?
- Norway (13.01.) ? ? ? 1319 ? 2 ? 174
- Poland (31.12.) ? ? ? ? ? ? ? ?
- Portugal (13.01.) - 39 ? ? - 7 ? ?
- Romania (17.01.) ? ? ? ? ? ? ? ?
- Slovakia (12.01.) ? 38 ? 305 ? 12 ? 110
- Slovenia (14.01.) - 16 ? ? ? ? ? ?
- Spain (30.12.) ? ? ? ? ? ? ? ?
- Sweden (14.01.) ? 1 - 1352 ? ? ? ?
- Switzerland (14.01.) ? 6 - 528 ? ? ? 94
- United Kingdom* (14.01.) - 268 ? ? - 79 ? ?
Note: Data for the EU and EFTA countries correspond to the Ministry of Health or surveillance centre websites.
(?) denotes no information readily available in official sources.
* Data includes information for England only. Other cumulative hospitalisations are: Scotland (1517), Wales (444) and Northern Ireland (578).
Table 2. Reported number of new and cumulative confirmed fatal 2009 pandemic influenza A(H1N1) cases in EU and EFTA countries, as 18 January 2010, 09.00 CEST, and in the rest of the world by country, as of 15 January 2010, 16.00 CEST.
[Country - Number of new fatal cases since previous national update - Cumulative number of fatal cases]
- EU and EFTA countries
- Austria ? ? 24
- Belgium ? ? 17
- Bulgaria ? ? 35
- Cyprus ? ? 6
- Czech Republic ? ? 77
- Denmark ? ? 30
- Estonia ? ? 13
- Finland ? ? 41
- France 12 - 290*
- Germany ? ? 178
- Greece ? ? 93
- Hungary ? ? 57
- Iceland ? ? 2
- Ireland ? ? 22
- Italy 10 ? 210
- Latvia ? ? 31
- Lithuania ? ? 19
- Luxembourg ? ? 3
- Malta ? ? 4
- Netherlands ? ? 54
- Norway ? ? 29
- Poland ? ? 138
- Portugal ? ? 83
- Romania 7 ? 107
- Slovakia ? ? 38
- Slovenia ? ? 15
- Spain ? ? 271
- Sweden ? ? 25
- Switzerland ? ? 16
- United Kingdom ? ? 362
- Total 29 ? 2290
- Other European countries and central Asia
- Albania ? ? 6
- Armenia ? ? 3
- Belarus ? ? 20
- Bosnia and Herzegovina ? ? 10
- Croatia 1 ? 26
- Former Yugoslav Republic of Macedonia ? ? 23
- Georgia 1 ? 21
- Kosovo ? ? 14
- Moldova ? ? 35
- Montenegro ? ? 7
- Russia ? ? 19
- Serbia ? ? 71
- Ukraine ? ? 202
- Total 2 ? 457
- Mediterranean and Middle-East
- Algeria ? ? 57
- Bahrain ? ? 7
- Egypt 4 ? 214
- Iran ? ? 147
- Iraq ? ? 42
- Israel ? ? 85
- Jordan ? ? 19
- Kuwait ? ? 30
- Lebanon ? ? 5
- Libya ? - 1
- Morocco ? ? 53
- Occupied Palestinian Territory ? ? 28
- Oman ? ? 31
- Qatar 2 ? 10
- Saudi Arabia ? ? 124
- Syria ? ? 127
- Tunisia ? ? 21
- Turkey ? ? 415
- United Arab Emirates ? ? 6
- Yemen ? ? 28
- Total 6 ? 1450
- Africa
- Ghana ? ? 1
- Madagascar ? ? 3
- Mauritius ? ? 8
- Mozambique ? ? 2
- Namibia ? ? 1
- Sao Tome & Principe ? ? 2
- South Africa ? ? 93
- Sudan ? ? 5
- Tanzania ? ? 1
- Total ? ? 116
- North America
- Canada 2 ? 418
- Mexico ? ? 896
- USA ? ? 2328
- Total 2 ? 3642
- Central America and Caribbean
- Bahamas ? ? 4
- Barbados ? ? 3
- Bermuda ? ? 1
- Cayman Islands ? ? 1
- Costa Rica ? ? 47
- Cuba ? ? 53
- Dominican Republic ? ? 23
- El Salvador ? ? 32
- Guatemala ? ? 18
- Honduras ? ? 16
- Jamaica ? ? 7
- Nicaragua ? ? 11
- Panama ? ? 11
- Saint Kitts and Nevis ? ? 2
- Saint Lucia ? ? 1
- Suriname ? ? 2
- Trinidad-Tobago ? ? 5
- Total ? ? 237
- South America
- Argentina ? ? 617
- Bolivia ? ? 59
- Brazil ? ? 1632
- Chile ? ? 150
- Colombia ? ? 198
- Ecuador ? ? 117
- Paraguay ? ? 52
- Peru ? ? 208
- Uruguay ? ? 33
- Venezuela ? ? 124
- Total ? ? 3190
- North-East and South Asia
- Afghanistan ? ? 17
- Bangladesh ? - 6
- China (Mainland) ? ? 666
- Hong Kong SAR China ? ? 56
- India 8 ? 1106
- Japan ? ? 145
- Macao SAR China ? ? 2
- Maldives ? ? 1
- Mongolia ? ? 28
- Nepal ? ? 2
- Pakistan ? ? 14
- South Korea ? ? 170
- Sri Lanka ? ? 45
- Taiwan ? ? 36
- Total 8 ? 2294
- South-East Asia Brunei
- Darussalam ? ? 1
- Cambodia ? ? 6
- Indonesia ? ? 10
- Laos Peoples Democratic Republic ? ? 1
- Malaysia ? ? 77
- Philippines ? ? 30
- Singapore ? ? 19
- Thailand ? ? 196
- Vietnam ? ? 53
- Total ? ? 393
- Australia and Pacific
- Australia ? ? 191
- Cook Islands ? ? 1
- Marshall Islands ? ? 1
- New Zealand ? ? 20
- Samoa ? ? 2
- Solomon Islands ? ? 1
- Tonga ? ? 1
- Total ? ? 217
- TOTAL 47 ? 14286
* Deaths reported from France include 1 in Guyana, 9 in New Caledonia, 7 in the French Polynesia, 7 in La R?union, 1 in Martinique, 2 in Mayotte, 5 in Guadeloupe and 258 in mainland France.
(?)
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