Sweden: 2 more deaths announced (total 22), vaccination coverage reaches 61 %

Celvin11 · Dec 24, 2009

Two more fatalities reported, total stands at 22

http://www.smittskyddsinstitutet.se...analys/avlidna-i-den-nya-influensan-i-sverige

Swedish vaccination coverage estimated at 61 per cent

The Swedish National Board of Health and Welfare estimates that 61 percent of the Swedish population have already
been vaccinated against the 2009 pandemic influenza A(H1N1) virus. This is revealed in a report released on the 22nd of
December. Of the 39 percent who have not yet been vaccinated, approximately one third respond that they will do so.
This would give a vaccination coverage of approximately 70 percent.

For furher information: http://www.socialstyrelsen.se/pressrum/nyhetsarkiv/vaccinationstackningenkanbliover80procent

Snowy Owl · Dec 24, 2009

Re: Sweden: 2 more deaths announced (total 22), vaccination coverage reaches 61 %

Demographics of Sweden

From Wikipedia, the free encyclopedia

Jump to: navigation, search
 The Demographics of Sweden is about the demographic features of the population of Sweden, including population growth, population density, ethnicity, education level, health of the populace, economic status, religious affiliations and other aspects of the population. In addition to the ethnic Swedish majority, Sweden has historically had smaller minorities of Sami people in the northernmost parts of the country and Finns in the M?lardalen and in the north of Sweden. The demographic profile of Sweden has changed significantly as a result of immigration since World War II.

Population: 9,316,256 (As of 31 August 2009 (2009 -08-31)[update])

Snowy Owl · Dec 24, 2009

Re: Sweden: 2 more deaths announced (total 22), vaccination coverage reaches 61 %

Hat-Tip to Celvin

Situation in Sweden,

Influenza Report, week 50 (7 / 12 - 13/12), 2009

Report on the current influenza situation

* Not a week with reduced flu spread
* The new influenza A (H1N1) in Sweden
* Fig 1. The number of reported cases of A (H1N1) and seasonal influenza from. week 20, 2006-2009
* Table 1. County distribution of cases in Sweden
* Fig 2. Map of the number of cases / 100000
* Fig 3. Age of cases reported A (H1N1)
* Fig 4. Sentinel Reporting
* Fig 5. Sentinel Samples
* Number of notifications from sentinel reporting and sampling
* Number of notifications of laboratory reports
* New monitoring project
* The new influenza A (H1N1) in the world
* Statistics from other sources
* Seasonal Influenza in Sweden
* Collection of Links

Editorial

Editor: Sandra RUBINOV
Editor: Annika Linde
Subscribe

Subscribe to the flu reports
Content
Yet another week with reduced flu spread

The number of reported laboratory confirmed cases of novel influenza decreased by over 60 percent compared with week 49. In total, in Sweden 10 873 cases now reported. During week 50 reported 162 new cases compared to 425 during week 49. Overall, the picture in Sweden very homogeneous with an average of about 2 verified cases per 100 000 inhabitants week 50 compared with 5 weeks 49th Hospitalization is indicated for 11 percent of cases. A new death was reported weeks 50th Based on self-reporting of sickness report and sentinel sampling estimates Infectious Diseases Institute (SMI) to between 240 000 and 612 000 people in the country sick for weeks 38th
The increasing number of countries in the northern hemisphere seems now the current pandemic wave passing. Most countries in northern, western and even eastern Europe and in North America reported decreasing trends. Influenza activity continued to be seen in southern and southeastern Europe and parts of Central and East Asia.
NOTE! The next influenza report will be a dual report for week 51 and 52 which will be published on Wednesday 30 December.

Published in the newsletter 2009-12-17
The new influenza A (H1N1) in Sweden

The number of laboratory confirmed cases decreased in all counties. J?mtland and Kronoberg had the highest incidence of about 5 cases per 100 000 inhabitants. No verified cases reported from Gotland and Blekinge.

Hospitalization was reported for 18/162 (11 percent), a marginal increase over the previous weeks. A 72-year-old man with severe underlying disease died during the week (link).
Sentinel reporting on the proportion of influenza-like illness among patients who have sought to show that GPs 23/7142 (0.32 percent) reported patient visits were suspected influenza-like illness week 50 compared with 0.42 percent week 49. The percentage of positive samples in the sentinel samples fell to 8.50 percent and the number of searches on V?rdguiden was virtually unchanged from week 49.
In the population-based reporting in Stockholm, I'll report, the proportion of reports of respiratory infections, and influence-like illness as big as the previous week. Based on figures from the Hospital Report and sentinel sampling SMI estimates that between 4 000 and 10 000 people may have fallen ill with flu in the country during the week 50 and that between 240 000 and 612 000 people may have had the flu for weeks 38th Safety when on the last week's figures, however, is less than before, because they are based on few complaints and very few sentinel samples.
Despite the decline continued, there is still flu in Sweden. It can flare up again unless we get a really good vaccination coverage. In preparation for the upcoming weekend, it seems pretty quiet, and we think most people can dare to hope for a influensafri July
Virology

SMI has characterized 107 Swedish strains of novel influenza. Of these, 9 from ECMO and 5 patients from intensive care or respiratory nursed patients and 5 from deceased patients. For 51 of these, we have characterized the h?magglutininet with respect to vaccines as well as any changes in receptor binding. For 82 pieces, we have characterized neuraminidaset in terms of resistance to antiviral and we have also characterized the NS-1 (a non-structural viral proteins, 31 of them) that may affect virulence.
For all strains h?magglutininet similar to that which exists in the vaccine. We did not find any change that is common in viruses derived from patients with severe disease. While the virus strains that come from vaccinated persons (5 pieces) equals the vaccine. No tribe has one of the mutations that induce resistance to neuraminidase inhibitors (Tamiflu and Relenza). No mutations known to affect virulence has been detected in NS-1. In addition to these sequencing, SMI also sequence-alloy matrix gene from 38 strains to validate the PCR system used for influenza A diagnosis. No changes were observed.

Published in the newsletter 2009-12-17
Fig 1. The number of reported cases of A (H1N1) and seasonal influenza from. week 20, 2006-2009

The number of reported cases of A (H1N1) and seasonal influenza
Week 39 40 41 42 43 44 45 46 47 48 49 50
Percentage of positive samples (%) 4% 3% 9% 14% 26% 33% 37% 42% 41% 31% 16% 12%
Number of samples analyzed 1340 997 1027 1230 1686 2070 3946 5684 5117 3360 1769 1067

Published in the newsletter 2009-12-17
Table 1. County distribution of cases in Sweden

Total current week
Number of reported cases, 162 10873
Including hospital care 18 1169
Including death 1 20 *

* Also includes an update with a case for week 49/2009
Table 1. County distribution of reported cases
County Number of cases Number per 100 000 inhabitants.
Blekinge 125 82.1
Valleys 261 94.7
Gotland 40 70.2
G?vleborg 233 84.4
Halland 168 57.3
J?mtland 244 192.5
Engineering 210 62.7
Kalmar 200 85.7
Kronoberg 167 91.7
Norrbotten 180 72.1
Scania 1243 102.5
Stockholm 3264 165.0
S?dermanland 375 140.3
Uppsala 459 140.4
V?rmland 358 130.8
V?sterbotten 540 209.5
V?sternorrland 337 138.4
V?stmanland 148 59.2
V?stra G?taland 1785 114.6
?rebro 328 118.2
Baltic island of Gotland 208 49.2
Sweden 10873 117.6

Published in the newsletter 2009-12-16
Fig 2. Map of the number of cases / 100000

The color of the counties showing the incidence measured by laboratoreidiagnoser/100000 inhabitants for the current reporting week. The figure in the county indicates the total number of cases for the entire season. The small graphs in each county shows the evolution of the epidemic in the county week by week.

Map of the number of cases / 100000 for week 50th

Published in the newsletter 2009-12-17
Fig 3. Age of cases reported A (H1N1)

Age of cases reported A (H1N1)

Published in the newsletter 2009-12-17
Fig 4. Sentinel Reporting
Notified cases of flu (ILS) symptoms 2006-2009

The graph shows the percentage (%) patients with clinical influenza-like symptoms (ILS) of the total number of patient visits.
Number of ILS / week
weeks 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50
Number 8 14 8 10 25 18 21 65 41 35 37 20 21 34 43 76 130 177 137 98 40 17

Published in the newsletter 2009-12-17
Fig 5. Sentinel Samples

The number of samples taken in the sentinel sample continues to decrease. So far we have analyzed 35 samples taken during the week beginning 50th The three samples were positive for the new flu came from Dalarna, V?sterbotten and V?stmanland.
Analysis results (number of A, B and negative) for samples analyzed within the Swedish provtagningssentinelen.

Published in the newsletter 2009-12-17
Number of notifications from sentinel reporting and sampling
From week 40 we follow the WHO standards and uses the term A/pH1 for the new pandemic flu in the table.
Sentinel Sentinel System Sampling ** Week 27-50
Number of county patients with ILS *

% Of all patient -

visit
Total Number of samples received influenza A, influenza B Number

Number A/pH1

cumulation
tively

Number A/H1

cumulation
tively

Number A/H3

cumulation
tively
Blekinge 0 (4) 0 1 (32) 0 (9) 0 (0) (8) (0) (0)
Dalarna 7 (111) 1.75 12 (215) 1 (25) 0 (0) (25) (0) (0)
Gotland 0 (4) 0 1 (123) 0 (6) 0 (0) (13) (0) (0)
G?vleborg 0 (28) 0 0 (0) 0 (0) 0 (0) (0) (0) (0)
Halland 0 (32) 0 0 (38) 0 (6) 0 (0) (6) (0) (1)
J?mtland 0 (22) 0 0 (55) 0 (9) 0 (0) (9) (0) (0)
Engineering - (0) 0 1 (44) 0 (5) 0 (0) (5) (0) (0)
Kalmar 2 (56) 0.14 0 (19) 0 (2) 0 (0) (2) (0) (0)
Kronoberg 1 (10) 0.44 0 (26) 0 (3) 0 (0) (3) (0) (0)
Norrbotten 0 (24) 0 0 (53) 0 (21) 0 (0) (21) (0) (0)
Skane 0 (115) 0 0 (67) 0 (7) 0 (0) (7) (0) (0)
Stockholm 1 (142) 0.17 13 (722) 0 (190) 0 (0) (185) (0) (0)
S?dermanland - (8) 0 0 (0) 0 (0) 0 (0) (0) (0) (0)
Uppsala, Sweden 0 (69) 0 0 (155) 0 (23) 0 (0) (22) (0) (0)
V?rmland 0 (16) 0 0 (0) 0 (0) 0 (0) (0) (0) (0)
V?sterbotten 3 (129) 0.5 2 (283) 1 (109) 0 (0) (109) (0) (0)
V?sternorrland 5 (19) 3.6 1 (109) 0 (47) 0 (0) (40) (0) (0)
V?stmanland 3 (61) 0.89 2 (48) 1 (12) 0 (0) (12) (0) (0)
V. G?taland 1 (231) 0.08 2 (44) 0 (10) 0 (0) (10) (0) (0)
?rebro - (0) 0 (4) 0 (2) 0 (0) (2) (0) (0)
?sterg?tland 0 (29) 0 0 (0) 0 (0) 0 (0) (0) (0) (0)

Total 23 (1110) 0.32 35 (2037) 3 (486) (0) (479) (0) (1)

* ILS: Flu-like symptoms

** Figures in parenthesis reports the total number of diagnoses for weeks 27 weeks, 2009.

Published in the newsletter 2009-12-17
Number of notifications of laboratory reports

A new table for laboratory reporting, which accounts for influenza cases reported since week 20, both the A (H1N1) and seasonal influenza A and B.

* Number of influenza diagnosis during the reporting week. The number in parentheses indicates cumulative cases from. weeks 20/2009

County

Lab

Number
A (H1N1) *

Number
Influenza
A *

Number
inlfuensa
B *

Total A (H1N1), A and B *
current week

Total A (H1N1), A and B
(from.vecka 20/2009)

Blekinge

Karlskr

0 (1)

0 (0)

0 (1)
0 (2)

Dalarna

Falun

3 (216)

0 (4)

0 (0)
3 (220)

Gotland

Visby

0 (0)

0 (0)

0 (0)
(0)

G?vleborg

G?vle

3 (206)

0 (4)

0 (0)
3 (210)

Halland

Straw

1 (163)

0 (13)

0 (2)
1 (178)

J?mtland

?sters **

7 (222)

0 (0)

0 (0)
7 (222)

J?nk?ping

Jonk

12 (206)

0 (0)

0 (0)
12 (206)

Kalmar

Kalm

7 (190)

0 (2)

0 (0)
7 (192)

Kronoberg

V?xj?

7 (239)

0 (11)

0 (0)
7 (250)

Norrbotten

Lule?

0 (9)

0 (0)

0 (0)
(9)
G?llivare

0 (0)

0 (0)

0 (0)
(0)

Skane

Ore

15 (1286)

0 (3)

0 (1)
15 (1290)

Kristian

0 (0)

0 (0)

0 (0)
(0)
Lund

0 (0)

0 (0)

0 (0)

(0)
Helsing

0 (0)

0 (0)

0 (0)
(0)

Stockholm

Hudd

10 (971)

1 (20)

0 (5)
11 (996)

Solna

13 (1758)

0 (20)

0 (12)
13 (1790)
SMI

9 (508)

0 (0)

0 (0)
9
(508)

S?dermanland

Eskil *

0 (3)

0 (13)

0 (0)
(16)

Uppsala

Upps

9 (615)

0 (19)

0 (0)
9 (634)

V?rmland

Charles

2 (352)

0 (1)

0 (0)
2 (353)

V?sterbotten

Ume?

12 (596)

0 (15)

0 (8)
12 (619)

V?sternorrland

Sund

2 (275)

0 (0)

0 (0)
2 (275)

V?stmanland

West

0 (0)

0 (0)

0 (0)
(0)

V. G?taland

G?tb

13 (1116)

0 (22)

0 (12)
13 (1150)

Cape

0 (1)

0 (0)

0 (0)
(1)

Sk?vde

21 (1187)

1 (6)

0 (0)
22 (1193)

Bor?s

4 (216)

0 (0)

0 (0)
4 (216)

?rebro

?rebr

6 (326)

0 (9)

0 (0)
6 (335)
?sterg?tland

Link

5 (187)

0 (7)

0 (0)
5 (194)
Unknown

1 (23)
- - 1
(23)

Total

Total

162 (10873)

2 (169)

0 (41)
164 (11083)

* Number of influenza diagnosis during the reporting week. The number in parentheses indicates cumulative cases from. weeks 20/2009

Published in the newsletter 2009-12-17
New monitoring project
Influenza surveillance based on anonymous search data from the site vardguiden.se.
It will not be published some websearch reports during Christmas and New Year ledigheterna, namely during the week 52 to week 1. The next report on searches for vardguiden.se will week 2, when influenza report on 14 January.

* A link to the Web Search

Sickness Report

Sickness Report is a population-based surveillance of influenza morbidity in Stockholm County, where about 5500 Stockholm Report via Medical Rapports website or via voice mail when they become ill.

*
The link to the Hospital Rapports newsletter
* The link to the article on the Hospital Report in news archive

Published in the newsletter 2009-12-17
The new influenza A (H1N1) in the world

Influenza in the world, December 16, 2009

The increasing number of countries in the northern hemisphere seems now the current pandemic wave passing. Most countries in northern, western and even eastern Europe and in North America reported decreasing trends. Influenza activity continued to be seen in southern and southeastern Europe and parts of Central and East Asia.
Europe

Most countries in northwestern Europe have passed through the top, however, France still reporting high activity. Other countries that still report increasing trends, for example, Albania, Czech Republic, Greece, Hungary, Romania, Montenegro, Slovenia, Turkey. In Georgia, Bulgaria and Ukraine have been observed declining influenza notifications. Even in Russia seems to be peaking.
Africa

From the African continent is very limited data reported during the pandemic, although there is every reason to believe that the virus is still circulating in large parts of communities, with the exception of South Africa. In an article published in PLoS Medicine suggests researchers from Gabon and Germany on the major deficiencies in existing monitoring systems and argue that the contribution of influenza to morbidity and mortality in African countries need to be studied deeper.
H1N1 among indigenous peoples

MMWR reports on the indigenous peoples from Australia, Canada and New Zealand have shown a 4-8 times higher mortality and incidence of severe influenza infection (hospital) compared with other ethnic groups. The causes are still not fully understood. Increased prevalence of underlying diseases and other risk factors examined.

Published in the newsletter 2009-12-17
Statistics from other sources
Flu Calls to 1177 Sjukv?rdsr?dgivningen

This presents Smittskyddsinstitutet statistics on the telephone on flu-related symptoms received by the county council's telephone service in 1177 Sjukv?rdsr?dgivningen. The statistics are based on the contact causes the nurses at the various Sjukv?rdsr?dgivning data are recorded. Only one contact may cause to call out. If a person describes a number of symptoms recorded the most pronounced symptom is that the main causal contact.
Seven contact causes which are attributable to influenza have been selected. These are shown in the figure below, from week 34, 2009.

Picture = Selection of contact causes the counseling assistance in 1177
The following counties are included in the statistics:

Gotland Municipality
J?mtland County Council
Blekinge County Council
Dalarna County Council
G?vleborg County Council
Halland County Council
Kronoberg County Council
Kalmar County Council
The County Council of Uppsala
County Council of V?stmanland
?sterg?tland County Council
Region Sk?ne
V?stra G?taland
?rebro County Council

More information about the 1177 Medical Care Information available at: www.1177.se
Influenza Surveillance in the county councils

* Influenza Surveillance in Norrbotten County Council
* Influenza Surveillance in Halland
* Influensa?vervaknng in G?vleborg

Published in the newsletter 2009-12-17
Seasonal Influenza in Sweden

SMI has characterized an influenza B strain from week 48. The trunk is like B/Brisbane/60/2008 included in seasonal influenza vaccine. Isolation and characterization of 2 pcs influenza A/H3 underway.

Within the voluntary laboratory reporting of s?songsinfliuensa two influenza A diagnoses reported.

Published in the newsletter 2009-12-17
Link Collection
Read more:

Influenza Surveillance in Norrbotten County Council

Influenza Surveillance in Halland

Influensa?vervaknng in G?vleborg

Gabrielle Holmgren: Asian flu (H2N2). SMI's report series 5:2009, 9 pages, year of publication 2009th

More information about the new flu

If you have questions about influenza A (H1N1), you can call telephone information on numbers: 020 - 20 20 00th Here you can also get a reference to where to turn for more information.

Although the SMI's website you can find current information about the new flu. Information on the website, we will update continuously, so that it is constantly present.

* Reports page: a new influenza A (H1N1)
* Compilation of information on the epidemiology and clinical symptoms
* Disease Information on the new influenza A (H1N1)
* Questions and answers about the new flu
* Specific information to health professionals and laboratory
* Preparedness for analysis of novel influenza A (H1N1)

External links:
National Board has revised two recommendations for the new influenza A (H1N1) and recommendations on vaccination.

*

Social Welfare Board's recommendations
* WHO Situation updates - Influenza A (H1N1)
* ECDC-Situation Report-Europe
* CDC's pandemic preparedness around the new influenza A (H1N1) in the U.S.

Published in the newsletter 2009-12-16
Merci de votre contribution ? Google Traduction.
<form action="/translate_suggestion" target="hidden_iframe" method="post" id="suggestion_form" style="overflow: hidden; margin-top: 5px; height: 0pt; display: none;" class="highlight" onsubmit="_submitroll()"><input name="hl" value="fr" type="hidden"><input name="oe" value="UTF-8" type="hidden"><input name="text" value=" Influensarapport, vecka 50 (7/12 - 13/12 ), 2009 Rapport om det aktuella influensal?get * ?nnu en vecka med minskad influensaspridning * Den nya influensan A (H1N1) i Sverige * Fig 1. Antalet anm?lda fall av A(H1N1) och s?songsinfluensa from. vecka 20, 2006-2009 * Tabell 1. Landstingsf?rdelning av fallen i Sverige * Fig 2. Karta ?ver antalet fall /100000 inv?nare * Fig 3. ?lder f?r rapporterade fall A(H1N1) * Fig 4. Sentinelrapportering * Fig 5. Sentinelprovtagningen * Antal anm?lningar fr?n sentinelrapporteringen och -provtagningen * Antal anm?lningar fr?n laboratorierapporteringen * Nya ?vervakningsprojekt * Den nya influensan A (H1N1) i v?rlden * Statistik fr?n andra k?llor * S?songsinfluensa i Sverige * L?nksamling Redaktionen Redakt?r: Sandra Rubinova Ansvarig utgivare: Annika Linde Prenumerera Prenumerera p? influensarapporter Inneh?ll ?nnu en vecka med minskad influensaspridning Antalet rapporterade laboratorieverifierade fall av den nya influensan minskade med drygt 60 procent j?mf?rt med vecka 49. Totalt har i Sverige 10 873 fall nu rapporterats. Under vecka 50 anm?ldes 162 nya fall j?mf?rt med 425 under vecka 49. Totalt sett var bilden i Sverige mycket homogen med i medeltal cirka 2 verifierade fall per 100 000 inv?nare vecka 50 j?mf?rt med 5 vecka 49. Sjukhusv?rd angavs f?r 11 procent av fallen. Ett nytt d?dsfall rapporterades vecka 50. Baserat p? sj?lvrapporteringen i Sjukrapport och sentinelprovtagningen uppskattar Smittskyddsinstitutet (SMI) att mellan 240 000 och 612 000 personer i landet insjuknat sedan vecka 38. I allt fler l?nder p? norra halvklotet tycks nu den nuvarande pandemiv?gen ha passerat. De flesta l?nder i norra, v?stra och ?ven ?stra Europa, liksom i Nordamerika rapporterar avtagande trender. Fortsatt influensaaktivitet ses i s?dra och syd?stra Europa och delar av Central- och Ostasien. OBS! N?sta influensarapport blir en dubbelrapport f?r veckorna 51 och 52 som kommer publiceras onsdagen den 30 december. Publicerad i nyhetsbrevet 2009-12-17 Den nya influensan A (H1N1) i Sverige Antalet laboratorieverifierade fall i minskade i alla landsting. J?mtland och Kronoberg hade h?gst incidens med cirka 5 fall per 100 000 inv?nare. Inga verifierade fall rapporterade fr?n Gotland och Blekinge. Sjukhusv?rd rapporterades f?r 18/162 (11 procent), en marginell ?kning j?mf?rt med tidigare veckor. En 72-?rig man med sv?r bakomliggande sjukdom avled under veckan (l?nk). Sentinelrapporteringen av andelen influensaliknande sjukdom bland patienter som s?kt allm?nl?kare visar att 23/7142 (0,32 procent) rapporterade patientbes?k hade misst?nkt influensaliknande sjukdom vecka 50 j?mf?rt med 0,42 procent vecka 49. Andelen positiva prover i sentinelprovtagningen sj?nk till 8,50 procent och antalet s?kningar p? V?rdguiden var i stort sett of?r?ndrad j?mf?rt med vecka 49. I den populationsbaserade rapporteringen i Stockholm, Sjukrapport, var andelen rapporter om luftv?gsinfektioner och influensliknande sjukdom lika stor som f?reg?ende vecka. Baserat p? siffror fr?n Sjukrapport och sentinelprovtagningen uppskattar SMI att mellan 4 000 och 10 000 personer kan ha insjuknat i influensa i landet under vecka 50 och att mellan 240 000 och 612 000 personer kan ha haft influensa sedan vecka 38. S?kerheten n?r de g?ller den sista veckans siffror ?r dock mindre ?n tidigare, eftersom de baseras p? f? anm?lningar och mycket f? sentinelprover. Trots att minskningen fortsatt finns det influensa kvar i Sverige. Den kan blossa upp igen om vi inte f?r en riktigt bra vaccinationst?ckning. Inf?r den stundande helgen verkar det emellertid ganska lugnt, och vi tror att de flesta kan v?ga hoppas p? en influensafri jul. Virologi SMI har karakt?riserat 107 svenska stammar av den nya influensan. Av dessa var 9 fr?n ECMO patienter och 5 fr?n intensiv- eller respiratorv?rdade patienter samt 5 fr?n avlidna patienter. F?r 51 av dessa har vi karakt?riserat h?magglutininet med avseende p? vaccinlikhet samt eventuell f?r?ndrad receptorbindning. F?r 82 stycken har vi karakteriserat neuraminidaset med avseende p? resistens mot antiviralerna och vi har ocks? karakteriserat NS-1 (ett icke-strukturellt viral protein, 31 stycken) som kan p?verka virulensen. F?r samtliga stammar liknar h?magglutininet det som finns i vaccinet. Vi har inte hitta n?gon f?r?ndring som ?r gemensam i de virus som kommer fr?n patienter med sv?r sjukdom. ?ven de virusstammar som kommit fr?n vaccinerade personer (5 stycken) ?r lika vaccinet. Ingen stam har n?gon av de mutationer som inducerar resistens mot neuraminidash?mmarna (Tamiflu och Relenza). Ingen mutation som ?r k?nd f?r att p?verka virulensen har p?visats i NS-1. Ut?ver dessa sekvenseringar har SMI ?ven sekvenserat matrixgenen fr?n 38 stammar f?r att validera PCR systemet som anv?nds f?r influensa A diagnostiken. Inga f?r?ndringar p?visades. Publicerad i nyhetsbrevet 2009-12-17 Fig 1. Antalet anm?lda fall av A(H1N1) och s?songsinfluensa from. vecka 20, 2006-2009 Antalet anm?lda fall av A(H1N1) och s?songsinfluensa Vecka 39 40 41 42 43 44 45 46 47 48 49 50 Andel positiva prover (%) 4% 3% 9% 14% 26% 33% 37% 42% 41% 31% 16% 12% Antal analyserade prover 1340 997 1027 1230 1686 2070 3946 5684 5117 3360 1769 1067 Publicerad i nyhetsbrevet 2009-12-17 Tabell 1. Landstingsf?rdelning av fallen i Sverige Aktuell vecka Totalt Antal rapporterade fall 162 10873 Varav sjukhusv?rdade 18 1169 Varav d?dsfall 1 20* *Inkluderar ?ven en uppdatering med ett fall f?r vecka 49/2009 Tabell 1. Landstingsf?rdelning av rapporterade fall Landsting Antal fall Antal per 100 000 inv. Blekinge 125 82,1 Dalarna 261 94,7 Gotland 40 70,2 G?vleborg 233 84,4 Halland 168 57,3 J?mtland 244 192,5 J?nk?ping 210 62,7 Kalmar 200 85,7 Kronoberg 167 91,7 Norrbotten 180 72,1 Sk?ne 1243 102,5 Stockholm 3264 165,0 S?dermanland 375 140,3 Uppsala 459 140,4 V?rmland 358 130,8 V?sterbotten 540 209,5 V?sternorrland 337 138,4 V?stmanland 148 59,2 V?stra G?taland 1785 114,6 ?rebro 328 118,2 ?stergotland 208 49,2 Sverige 10873 117,6 Publicerad i nyhetsbrevet 2009-12-16 Fig 2. Karta ?ver antalet fall /100000 inv?nare F?rgen p? l?nen visar incidensen m?tt som laboratoreidiagnoser/100000 inv?nare f?r den aktuella rapportveckan. Siffran i l?net anger det totala antalet fall f?r hela s?songen. De sm? diagrammen i varje l?n visar utvecklingen av epidemin i l?net vecka f?r vecka. Karta ?ver antalet fall /100000 inv?nare f?r vecka 50. Publicerad i nyhetsbrevet 2009-12-17 Fig 3. ?lder f?r rapporterade fall A(H1N1) ?lder f?r rapporterade fall A(H1N1) Publicerad i nyhetsbrevet 2009-12-17 Fig 4. Sentinelrapportering Anm?lda fall av influensaliknande( ILS) symptom 2006-2009 Diagrammet visar andel (%) patienter med klinisk influensaliknande symptom (ILS) av totala antalet patientbes?k. Antal ILS / vecka vecka 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 Antal 8 14 8 10 25 18 21 65 41 35 37 20 21 34 43 76 130 177 137 98 40 17 Publicerad i nyhetsbrevet 2009-12-17 Fig 5. Sentinelprovtagningen Antalet prover i som tas i sentinelprovtagningen forts?tter att minska. Vi har hittills analyserat 35 prover som tagits under vecka 50. De tre prov som blev positiva f?r den nya influensan kom fr?n Dalarna, V?sterbotten och V?stmanland. Analysresultat (antal A,B och negativa) f?r prover som analyserats inom den svenska provtagningssentinelen. Publicerad i nyhetsbrevet 2009-12-17 Antal anm?lningar fr?n sentinelrapporteringen och -provtagningen Fr?n och med vecka 40 f?ljer vi WHO:s normer och anv?nder beteckningen A/pH1 f?r den pandemiska nya influensan i tabellen. Sentinelsystemet Sentinelprovtagningen** vecka 27-50 Landsting Antal patienter med ILS* % av alla patient- bes?k Totalt antal inkomna prover Antal influensa A Antal influensa B Antal A/pH1 kumula- tivt Antal A/H1 kumula- tivt Antal A/H3 kumula- tivt Blekinge 0(4) 0 1(32) 0(9) 0(0) (8) (0) (0) Dalarna 7(111) 1,75 12(215) 1(25) 0(0) (25) (0) (0) Gotland 0(4) 0 1(123) 0(6) 0(0) (13) (0) (0) G?vleborg 0(28) 0 0(0) 0(0) 0(0) (0) (0) (0) Halland 0(32) 0 0(38) 0(6) 0(0) (6) (0) (1) J?mtland 0(22) 0 0(55) 0(9) 0(0) (9) (0) (0) J?nk?ping -(0) 0 1(44) 0(5) 0(0) (5) (0) (0) Kalmar 2(56) 0,14 0(19) 0(2) 0(0) (2) (0) (0) Kronoberg 1(10) 0,44 0(26) 0(3) 0(0) (3) (0) (0) Norrbotten 0(24) 0 0(53) 0(21) 0(0) (21) (0) (0) Sk?ne 0(115) 0 0(67) 0(7) 0(0) (7) (0) (0) Stockholm 1(142) 0,17 13(722) 0(190) 0(0) (185) (0) (0) S?dermanland -(8) 0 0(0) 0(0) 0(0) (0) (0) (0) Uppsala 0(69) 0 0(155) 0(23) 0(0) (22) (0) (0) V?rmland 0(16) 0 0(0) 0(0) 0(0) (0) (0) (0) V?sterbotten 3(129) 0,5 2(283) 1(109) 0(0) (109) (0) (0) V?sternorrland 5(19) 3,6 1(109) 0(47) 0(0) (40) (0) (0) V?stmanland 3(61) 0,89 2(48) 1(12) 0(0) (12) (0) (0) V. G?taland 1(231) 0,08 2(44) 0(10) 0(0) (10) (0) (0) ?rebro -(0) 0(4) 0(2) 0(0) (2) (0) (0) ?sterg?tland 0(29) 0 0(0) 0(0) 0(0) (0) (0) (0) Totalt 23(1110) 0,32 35(2037) 3(486) (0) (479) (0) (1) * ILS: Influensaliknande symptom ** Siffrorna inom parantes redovisar det sammanlagda antalet diagnoser sedan vecka 27 vecka, 2009. Publicerad i nyhetsbrevet 2009-12-17 Antal anm?lningar fr?n laboratorierapporteringen En ny tabell f?r laboratorierapportering som redovisar influensafallen som anm?lts sedan vecka 20, b?de A(H1N1) och s?songsinfluensa A och B. * Antal influensadiagnoser under rapporteringsveckan. Siffran inom parantes anger kumulativa fall from. vecka 20/2009 Landsting Lab Antal A(H1N1)* Antal influensa A* Antal inlfuensa B* Totalt A(H1N1), A och B* aktuell vecka Totalt A(H1N1), A och B (from.vecka 20/2009) Blekinge Karlskr 0(1) 0(0) 0(1) 0 (2) Dalarna Falun 3(216) 0(4) 0(0) 3 (220) Gotland Visby 0(0) 0(0) 0(0) (0) G?vleborg G?vle 3(206) 0(4) 0(0) 3 (210) Halland Halm 1(163) 0(13) 0(2) 1 (178) J?mtland ?sters** 7(222) 0(0) 0(0) 7 (222) J?nk?ping J?nk 12(206) 0(0) 0(0) 12 (206) Kalmar Kalm 7(190) 0(2) 0(0) 7 (192) Kronoberg V?xj? 7(239) 0(11) 0(0) 7 (250) Norrbotten Lule? 0(9) 0(0) 0(0) (9) G?llivare 0(0) 0(0) 0(0) (0) Sk?ne Malm 15(1286) 0(3) 0(1) 15 (1290) Kristian 0(0) 0(0) 0(0) (0) Lund 0(0) 0(0) 0(0) (0) Helsing 0(0) 0(0) 0(0) (0) Stockholm Hudd 10(971) 1(20) 0(5) 11 (996) Solna 13(1758) 0(20) 0(12) 13 (1790) SMI 9(508) 0(0) 0(0) 9 (508) S?dermanland Eskils* 0(3) 0(13) 0(0) (16) Uppsala Upps 9(615) 0(19) 0(0) 9 (634) V?rmland Karls 2(352) 0(1) 0(0) 2 (353) V?sterbotten Ume? 12(596) 0(15) 0(8) 12 (619) V?sternorrland Sunds 2(275) 0(0) 0(0) 2 (275) V?stmanland V?ste 0(0) 0(0) 0(0) (0) V. G?taland G?tb 13(1116) 0(22) 0(12) 13 (1150) Udde 0(1) 0(0) 0(0) (1) Sk?vd 21(1187) 1(6) 0(0) 22 (1193) Bor?s 4(216) 0(0) 0(0) 4 (216) ?rebro ?rebr 6(326) 0(9) 0(0) 6 (335) ?sterg?tland Link 5(187) 0(7) 0(0) 5 (194) Ok?nt 1(23) - - 1 (23) Totalt Totalt 162(10873) 2(169) 0(41) 164 (11083) * Antal influensadiagnoser under rapporteringsveckan. Siffran inom parantes anger kumulativa fall from. vecka 20/2009 Publicerad i nyhetsbrevet 2009-12-17 Nya ?vervakningsprojekt Influensa?vervakning baserad p? anonyma s?kdata fr?n webbplatsen V?rdguiden.se. Det kommer inte att publiceras n?gra webbs?ksrapporter under jul- och ny?rsledigheterna, det vill s?ga under vecka 52 till och med vecka 1. N?sta rapport ?ver s?kningar p? V?rdguiden.se kommer vecka 2, i samband med influensarapporten den 14 januari. * L?nken till Webbs?k Sjukrapport Sjukrapport ?r ett befolkningsbaserat ?vervakningssystem av influensasjuklighet i Stockholms l?n, d?r ungef?r 5500 Stockholmare rapporterar via Sjukrapports webbplats eller via talsvar n?r de blir sjuka. * L?nken till Sjukrapports nyhetsbrev * L?nken till artikeln om Sjukrapport i nyhetsarkiv Publicerad i nyhetsbrevet 2009-12-17 Den nya influensan A (H1N1) i v?rlden Influensan i v?rlden 16 december 2009 I allt fler l?nder p? norra halvklotet tycks nu den nuvarande pandemiv?gen ha passerat. De flesta l?nder i norra, v?stra och ?ven ?stra Europa, liksom i Nordamerika rapporterar avtagande trender. Fortsatt influensaaktivitet ses i s?dra och syd?stra Europa och delar av Central- och Ostasien. Europa De flesta l?nderna i nordv?stra Europa har passerat toppen, dock inte Frankrike som fortfarande rapporterar h?g aktivitet. Andra l?nder som fortfarande rapporterar ?kande trender ?r exempelvis Albanien, Tjeckien, Grekland, Ungern, Rum?nien, Montenegro, Slovenien, Turkiet. I Georgien, Bulgarien och Ukraina har man observerat avtagande influensaanm?lningar. ?ven i Ryssland tycks man ha n?tt toppen. Afrika Fr?n den afrikanska kontinenten har mycket begr?nsade data rapporterats under pandemin ?ven om det finns all anledning att tro att virus fortfarande cirkulerar i stora delar av samh?llen, med undantag av Sydafrika. I en artikel i PLoS Medicine pekar forskare fr?n Gabon och Tyskland p? de stora bristerna i befintliga ?vervakningssystem och argumenterar f?r att influensans bidrag till morbiditet och mortalitet i afrikanska l?nder beh?ver studeras djupare. H1N1 hos ursprungsbefolkningar MMWR rapporterar om att ursprungsbefolkningar fr?n Australien, Kanada och Nya Zeeland har uppvisat 4-8 g?nger h?gre d?dlighet och f?rekomst av allvarlig influensainfektion (sjukhusv?rd) j?mf?rt med andra etniska grupper. Orsakerna ?r fortfarande inte helt klarlagda. ?kad prevalens av underliggande sjukdomar och andra riskfaktorer unders?ks. Publicerad i nyhetsbrevet 2009-12-17 Statistik fr?n andra k?llor Influensasamtal till 1177 Sjukv?rdsr?dgivningen H?r presenterar Smittskyddsinstitutet statistik ?ver de telefonsamtal om influensarelaterade symtom som inkommit till landstingens telefonr?dgivningstj?nst 1177 Sjukv?rdsr?dgivningen. Statistiken baseras p? de kontaktorsaker som sjuksk?terskorna p? de olika Sjukv?rdsr?dgivningarna registrerat. Endast en kontaktorsak till samtalet kan anges. Om en person beskriver flera symtom registreras det mest uttalade symtomet som huvudkontaktorsak. Sju kontaktorsaker som kan relateras till influensa har h?r valts ut. Dessa visas i figuren nedan, from vecka 34, 2009. Bild=Urval av kontaktorsaker i r?dgivningsst?det 1177 F?ljande landsting ing?r i statistiken: Gotlands Kommun J?mtlands l?ns landsting Landstinget Blekinge Landstinget Dalarna Landstinget G?vleborg Landstinget Halland Landstinget Kronoberg Landstinget i Kalmar l?n Landstinget i Uppsala l?n Landstinget i V?stmanland Landstinget i ?sterg?tland Region Sk?ne V?stra G?talandsregionen ?rebro l?ns landsting Mer information om 1177 Sjukv?rdsr?dgivningen finns p?: www.1177.se Influensa?vervakning i landstingen * Influensa?vervakning i Norrbottens l?ns landsting * Influensa?vervakning i Halland * Influensa?vervaknng i G?vleborg Publicerad i nyhetsbrevet 2009-12-17 S?songsinfluensa i Sverige SMI har karakt?riserat en influensa B stam fr?n vecka 48. Stammen ?r lik B/Brisbane/60/2008 som ing?r i s?songsinfluensavaccinet. Isolering och karakt?risering av 2 st influensa A/H3 p?g?r. Inom den frivilliga laboratorierapporteringen av s?songsinfliuensa har tv? influensa A-diagnoser rapporterats. Publicerad i nyhetsbrevet 2009-12-17 L?nksamling L?s mer: Influensa?vervakning i Norrbottens l?ns landsting Influensa?vervakning i Halland Influensa?vervaknng i G?vleborg Gabrielle Holmgren: Asiatiska influensan (H2N2). Smittskyddsinstitutets rapportserie 5:2009, 9 sidor, tryck?r 2009. Mer information om den nya influensan Om du har fr?gor om influensan A(H1N1) kan du ringa telefonupplysningen p? nummer: 020 - 20 20 00. H?r kan du ?ven f? h?nvisning till vart du kan v?nda dig f?r mer information. ?ven p? Smittskyddsinstitutets hemsida kan du hitta aktuell information om den nya influensan. Informationen p? hemsidan uppdaterar vi kontinuerligt s? att den st?ndigt ?r aktuell. * Samlingssida: den nya influensan A(H1N1) * Sammanst?llning av information r?rande epidemiologi och kliniska symptom * Sjukdomsinformation om den nya influensan A( H1N1) * Fr?gor och svar om den nya influensan * S?rskild information till v?rdpersonal och laboratorium * Beredskap f?r analys av den nya influensan A(H1N1) Externa l?nkar: Socialstyrelsen har reviderat tv? rekommendationer f?r den nya influensan A(H1N1), dels rekommendationerna om vaccination. * Socialstyrelsens rekommendationer * WHO-Situation updates - Influenza A(H1N1) * ECDC-Situation report-Europa * CDC:s pandemiberedskap kring den nya influensan A(H1N1) i USA Publicerad i nyhetsbrevet 2009-12-16 Tipsa en v?n Uppdaterad 2009-12-17 13:30 " type="hidden"><input name="langpair" value="sv|en" type="hidden"><input name="gtrans" value=" Influenza Report, week 50 (7 / 12 - 13/12), 2009 Report on the current influenza situation * Not a week with reduced flu spread * The new influenza A (H1N1) in Sweden * Fig 1. The number of reported cases of A (H1N1) and seasonal influenza from. week 20, 2006-2009 * Table 1. County distribution of cases in Sweden * Fig 2. Map of the number of cases / 100000 * Fig 3. Age of cases reported A (H1N1) * Fig 4. Sentinel Reporting * Fig 5. Sentinel Samples * Number of notifications from sentinel reporting and sampling * Number of notifications of laboratory reports * New monitoring project * The new influenza A (H1N1) in the world * Statistics from other sources * Seasonal Influenza in Sweden * Collection of Links Editorial Editor: Sandra RUBINOV Editor: Annika Linde Subscribe Subscribe to the flu reports Content Yet another week with reduced flu spread The number of reported laboratory confirmed cases of novel influenza decreased by over 60 percent compared with week 49. In total, in Sweden 10 873 cases now reported. During week 50 reported 162 new cases compared to 425 during week 49. Overall, the picture in Sweden very homogeneous with an average of about 2 verified cases per 100 000 inhabitants week 50 compared with 5 weeks 49th Hospitalization is indicated for 11 percent of cases. A new death was reported weeks 50th Based on self-reporting of sickness report and sentinel sampling estimates Infectious Diseases Institute (SMI) to between 240 000 and 612 000 people in the country sick for weeks 38th The increasing number of countries in the northern hemisphere seems now the current pandemic wave passing. Most countries in northern, western and even eastern Europe and in North America reported decreasing trends. Influenza activity continued to be seen in southern and southeastern Europe and parts of Central and East Asia. NOTE! The next influenza report will be a dual report for week 51 and 52 which will be published on Wednesday 30 December. Published in the newsletter 2009-12-17 The new influenza A (H1N1) in Sweden The number of laboratory confirmed cases decreased in all counties. J?mtland and Kronoberg had the highest incidence of about 5 cases per 100 000 inhabitants. No verified cases reported from Gotland and Blekinge. Hospitalization was reported for 18/162 (11 percent), a marginal increase over the previous weeks. A 72-year-old man with severe underlying disease died during the week (link). Sentinel reporting on the proportion of influenza-like illness among patients who have sought to show that GPs 23/7142 (0.32 percent) reported patient visits were suspected influenza-like illness week 50 compared with 0.42 percent week 49. The percentage of positive samples in the sentinel samples fell to 8.50 percent and the number of searches on V?rdguiden was virtually unchanged from week 49. In the population-based reporting in Stockholm, I'll report, the proportion of reports of respiratory infections, and influence-like illness as big as the previous week. Based on figures from the Hospital Report and sentinel sampling SMI estimates that between 4 000 and 10 000 people may have fallen ill with flu in the country during the week 50 and that between 240 000 and 612 000 people may have had the flu for weeks 38th Safety when on the last week's figures, however, is less than before, because they are based on few complaints and very few sentinel samples. Despite the decline continued, there is still flu in Sweden. It can flare up again unless we get a really good vaccination coverage. In preparation for the upcoming weekend, it seems pretty quiet, and we think most people can dare to hope for a influensafri July Virology SMI has characterized 107 Swedish strains of novel influenza. Of these, 9 from ECMO and 5 patients from intensive care or respiratory nursed patients and 5 from deceased patients. For 51 of these, we have characterized the h?magglutininet with respect to vaccines as well as any changes in receptor binding. For 82 pieces, we have characterized neuraminidaset in terms of resistance to antiviral and we have also characterized the NS-1 (a non-structural viral proteins, 31 of them) that may affect virulence. For all strains h?magglutininet similar to that which exists in the vaccine. We did not find any change that is common in viruses derived from patients with severe disease. While the virus strains that come from vaccinated persons (5 pieces) equals the vaccine. No tribe has one of the mutations that induce resistance to neuraminidase inhibitors (Tamiflu and Relenza). No mutations known to affect virulence has been detected in NS-1. In addition to these sequencing, SMI also sequence-alloy matrix gene from 38 strains to validate the PCR system used for influenza A diagnosis. No changes were observed. Published in the newsletter 2009-12-17 Fig 1. The number of reported cases of A (H1N1) and seasonal influenza from. week 20, 2006-2009 The number of reported cases of A (H1N1) and seasonal influenza Week 39 40 41 42 43 44 45 46 47 48 49 50 Percentage of positive samples (%) 4% 3% 9% 14% 26% 33% 37% 42% 41% 31% 16% 12% Number of samples analyzed 1340 997 1027 1230 1686 2070 3946 5684 5117 3360 1769 1067 Published in the newsletter 2009-12-17 Table 1. County distribution of cases in Sweden Total current week Number of reported cases, 162 10873 Including hospital care 18 1169 Including death 1 20 * * Also includes an update with a case for week 49/2009 Table 1. County distribution of reported cases County Number of cases Number per 100 000 inhabitants. Blekinge 125 82.1 Valleys 261 94.7 Gotland 40 70.2 G?vleborg 233 84.4 Halland 168 57.3 J?mtland 244 192.5 Engineering 210 62.7 Kalmar 200 85.7 Kronoberg 167 91.7 Norrbotten 180 72.1 Scania 1243 102.5 Stockholm 3264 165.0 S?dermanland 375 140.3 Uppsala 459 140.4 V?rmland 358 130.8 V?sterbotten 540 209.5 V?sternorrland 337 138.4 V?stmanland 148 59.2 V?stra G?taland 1785 114.6 ?rebro 328 118.2 Baltic island of Gotland 208 49.2 Sweden 10873 117.6 Published in the newsletter 2009-12-16 Fig 2. Map of the number of cases / 100000 The color of the counties showing the incidence measured by laboratoreidiagnoser/100000 inhabitants for the current reporting week. The figure in the county indicates the total number of cases for the entire season. The small graphs in each county shows the evolution of the epidemic in the county week by week. Map of the number of cases / 100000 for week 50th Published in the newsletter 2009-12-17 Fig 3. Age of cases reported A (H1N1) Age of cases reported A (H1N1) Published in the newsletter 2009-12-17 Fig 4. Sentinel Reporting Notified cases of flu (ILS) symptoms 2006-2009 The graph shows the percentage (%) patients with clinical influenza-like symptoms (ILS) of the total number of patient visits. Number of ILS / week weeks 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 Number 8 14 8 10 25 18 21 65 41 35 37 20 21 34 43 76 130 177 137 98 40 17 Published in the newsletter 2009-12-17 Fig 5. Sentinel Samples The number of samples taken in the sentinel sample continues to decrease. So far we have analyzed 35 samples taken during the week beginning 50th The three samples were positive for the new flu came from Dalarna, V?sterbotten and V?stmanland. Analysis results (number of A, B and negative) for samples analyzed within the Swedish provtagningssentinelen. Published in the newsletter 2009-12-17 Number of notifications from sentinel reporting and sampling From week 40 we follow the WHO standards and uses the term A/pH1 for the new pandemic flu in the table. Sentinel Sentinel System Sampling ** Week 27-50 Number of county patients with ILS * % Of all patient - visit Total Number of samples received influenza A, influenza B Number Number A/pH1 cumulation tively Number A/H1 cumulation tively Number A/H3 cumulation tively Blekinge 0 (4) 0 1 (32) 0 (9) 0 (0) (8) (0) (0) Dalarna 7 (111) 1.75 12 (215) 1 (25) 0 (0) (25) (0) (0) Gotland 0 (4) 0 1 (123) 0 (6) 0 (0) (13) (0) (0) G?vleborg 0 (28) 0 0 (0) 0 (0) 0 (0) (0) (0) (0) Halland 0 (32) 0 0 (38) 0 (6) 0 (0) (6) (0) (1) J?mtland 0 (22) 0 0 (55) 0 (9) 0 (0) (9) (0) (0) Engineering - (0) 0 1 (44) 0 (5) 0 (0) (5) (0) (0) Kalmar 2 (56) 0.14 0 (19) 0 (2) 0 (0) (2) (0) (0) Kronoberg 1 (10) 0.44 0 (26) 0 (3) 0 (0) (3) (0) (0) Norrbotten 0 (24) 0 0 (53) 0 (21) 0 (0) (21) (0) (0) Skane 0 (115) 0 0 (67) 0 (7) 0 (0) (7) (0) (0) Stockholm 1 (142) 0.17 13 (722) 0 (190) 0 (0) (185) (0) (0) S?dermanland - (8) 0 0 (0) 0 (0) 0 (0) (0) (0) (0) Uppsala, Sweden 0 (69) 0 0 (155) 0 (23) 0 (0) (22) (0) (0) V?rmland 0 (16) 0 0 (0) 0 (0) 0 (0) (0) (0) (0) V?sterbotten 3 (129) 0.5 2 (283) 1 (109) 0 (0) (109) (0) (0) V?sternorrland 5 (19) 3.6 1 (109) 0 (47) 0 (0) (40) (0) (0) V?stmanland 3 (61) 0.89 2 (48) 1 (12) 0 (0) (12) (0) (0) V. G?taland 1 (231) 0.08 2 (44) 0 (10) 0 (0) (10) (0) (0) ?rebro - (0) 0 (4) 0 (2) 0 (0) (2) (0) (0) ?sterg?tland 0 (29) 0 0 (0) 0 (0) 0 (0) (0) (0) (0) Total 23 (1110) 0.32 35 (2037) 3 (486) (0) (479) (0) (1) * ILS: Flu-like symptoms ** Figures in parenthesis reports the total number of diagnoses for weeks 27 weeks, 2009. Published in the newsletter 2009-12-17 Number of notifications of laboratory reports A new table for laboratory reporting, which accounts for influenza cases reported since week 20, both the A (H1N1) and seasonal influenza A and B. * Number of influenza diagnosis during the reporting week. The number in parentheses indicates cumulative cases from. weeks 20/2009 County Lab Number A (H1N1) * Number Influenza A * Number inlfuensa B * Total A (H1N1), A and B * current week Total A (H1N1), A and B (from.vecka 20/2009) Blekinge Karlskr 0 (1) 0 (0) 0 (1) 0 (2) Dalarna Falun 3 (216) 0 (4) 0 (0) 3 (220) Gotland Visby 0 (0) 0 (0) 0 (0) (0) G?vleborg G?vle 3 (206) 0 (4) 0 (0) 3 (210) Halland Straw 1 (163) 0 (13) 0 (2) 1 (178) J?mtland ?sters ** 7 (222) 0 (0) 0 (0) 7 (222) J?nk?ping Jonk 12 (206) 0 (0) 0 (0) 12 (206) Kalmar Kalm 7 (190) 0 (2) 0 (0) 7 (192) Kronoberg V?xj? 7 (239) 0 (11) 0 (0) 7 (250) Norrbotten Lule? 0 (9) 0 (0) 0 (0) (9) G?llivare 0 (0) 0 (0) 0 (0) (0) Skane Ore 15 (1286) 0 (3) 0 (1) 15 (1290) Kristian 0 (0) 0 (0) 0 (0) (0) Lund 0 (0) 0 (0) 0 (0) (0) Helsing 0 (0) 0 (0) 0 (0) (0) Stockholm Hudd 10 (971) 1 (20) 0 (5) 11 (996) Solna 13 (1758) 0 (20) 0 (12) 13 (1790) SMI 9 (508) 0 (0) 0 (0) 9 (508) S?dermanland Eskil * 0 (3) 0 (13) 0 (0) (16) Uppsala Upps 9 (615) 0 (19) 0 (0) 9 (634) V?rmland Charles 2 (352) 0 (1) 0 (0) 2 (353) V?sterbotten Ume? 12 (596) 0 (15) 0 (8) 12 (619) V?sternorrland Sund 2 (275) 0 (0) 0 (0) 2 (275) V?stmanland West 0 (0) 0 (0) 0 (0) (0) V. G?taland G?tb 13 (1116) 0 (22) 0 (12) 13 (1150) Cape 0 (1) 0 (0) 0 (0) (1) Sk?vde 21 (1187) 1 (6) 0 (0) 22 (1193) Bor?s 4 (216) 0 (0) 0 (0) 4 (216) ?rebro ?rebr 6 (326) 0 (9) 0 (0) 6 (335) ?sterg?tland Link 5 (187) 0 (7) 0 (0) 5 (194) Unknown 1 (23) - - 1 (23) Total Total 162 (10873) 2 (169) 0 (41) 164 (11083) * Number of influenza diagnosis during the reporting week. The number in parentheses indicates cumulative cases from. weeks 20/2009 Published in the newsletter 2009-12-17 New monitoring project Influenza surveillance based on anonymous search data from the site vardguiden.se. It will not be published some websearch reports during Christmas and New Year ledigheterna, namely during the week 52 to week 1. The next report on searches for vardguiden.se will week 2, when influenza report on 14 January. * A link to the Web Search Sickness Report Sickness Report is a population-based surveillance of influenza morbidity in Stockholm County, where about 5500 Stockholm Report via Medical Rapports website or via voice mail when they become ill. * The link to the Hospital Rapports newsletter * The link to the article on the Hospital Report in news archive Published in the newsletter 2009-12-17 The new influenza A (H1N1) in the world Influenza in the world, December 16, 2009 The increasing number of countries in the northern hemisphere seems now the current pandemic wave passing. Most countries in northern, western and even eastern Europe and in North America reported decreasing trends. Influenza activity continued to be seen in southern and southeastern Europe and parts of Central and East Asia. Europe Most countries in northwestern Europe have passed through the top, however, France still reporting high activity. Other countries that still report increasing trends, for example, Albania, Czech Republic, Greece, Hungary, Romania, Montenegro, Slovenia, Turkey. In Georgia, Bulgaria and Ukraine have been observed declining influenza notifications. Even in Russia seems to be peaking. Africa From the African continent is very limited data reported during the pandemic, although there is every reason to believe that the virus is still circulating in large parts of communities, with the exception of South Africa. In an article published in PLoS Medicine suggests researchers from Gabon and Germany on the major deficiencies in existing monitoring systems and argue that the contribution of influenza to morbidity and mortality in African countries need to be studied deeper. H1N1 among indigenous peoples MMWR reports on the indigenous peoples from Australia, Canada and New Zealand have shown a 4-8 times higher mortality and incidence of severe influenza infection (hospital) compared with other ethnic groups. The causes are still not fully understood. Increased prevalence of underlying diseases and other risk factors examined. Published in the newsletter 2009-12-17 Statistics from other sources Flu Calls to 1177 Sjukv?rdsr?dgivningen This presents Smittskyddsinstitutet statistics on the telephone on flu-related symptoms received by the county council's telephone service in 1177 Sjukv?rdsr?dgivningen. The statistics are based on the contact causes the nurses at the various Sjukv?rdsr?dgivning data are recorded. Only one contact may cause to call out. If a person describes a number of symptoms recorded the most pronounced symptom is that the main causal contact. Seven contact causes which are attributable to influenza have been selected. These are shown in the figure below, from week 34, 2009. Picture = Selection of contact causes the counseling assistance in 1177 The following counties are included in the statistics: Gotland Municipality J?mtland County Council Blekinge County Council Dalarna County Council G?vleborg County Council Halland County Council Kronoberg County Council Kalmar County Council The County Council of Uppsala County Council of V?stmanland ?sterg?tland County Council Region Sk?ne V?stra G?taland ?rebro County Council More information about the 1177 Medical Care Information available at: www.1177.se Influenza Surveillance in the county councils * Influenza Surveillance in Norrbotten County Council * Influenza Surveillance in Halland * Influensa?vervaknng in G?vleborg Published in the newsletter 2009-12-17 Seasonal Influenza in Sweden SMI has characterized an influenza B strain from week 48. The trunk is like B/Brisbane/60/2008 included in seasonal influenza vaccine. Isolation and characterization of 2 pcs influenza A/H3 underway. Within the voluntary laboratory reporting of s?songsinfliuensa two influenza A diagnoses reported. Published in the newsletter 2009-12-17 Link Collection Read more: Influenza Surveillance in Norrbotten County Council Influenza Surveillance in Halland Influensa?vervaknng in G?vleborg Gabrielle Holmgren: Asian flu (H2N2). SMI's report series 5:2009, 9 pages, year of publication 2009th More information about the new flu If you have questions about influenza A (H1N1), you can call telephone information on numbers: 020 - 20 20 00th Here you can also get a reference to where to turn for more information. Although the SMI's website you can find current information about the new flu. Information on the website, we will update continuously, so that it is constantly present. * Reports page: a new influenza A (H1N1) * Compilation of information on the epidemiology and clinical symptoms * Disease Information on the new influenza A (H1N1) * Questions and answers about the new flu * Specific information to health professionals and laboratory * Preparedness for analysis of novel influenza A (H1N1) External links: National Board has revised two recommendations for the new influenza A (H1N1) and recommendations on vaccination. * Social Welfare Board's recommendations * WHO Situation updates - Influenza A (H1N1) * ECDC-Situation Report-Europe * CDC's pandemic preparedness around the new influenza A (H1N1) in the U.S. Published in the newsletter 2009-12-16 Tell a friend Updated 2009-12-17 13:30 " type="hidden">Sugg?rez une meilleure traduction :
<textarea name="utrans" wrap="SOFT" dir="ltr" id="suggestion" style="margin: 5px 0pt; overflow: auto; width: 80%;"> Influenza Report, week 50 (7 / 12 - 13/12), 2009 Report on the current influenza situation * Not a week with reduced flu spread * The new influenza A (H1N1) in Sweden * Fig 1. The number of reported cases of A (H1N1) and seasonal influenza from. week 20, 2006-2009 * Table 1. County distribution of cases in Sweden * Fig 2. Map of the number of cases / 100000 * Fig 3. Age of cases reported A (H1N1) * Fig 4. Sentinel Reporting * Fig 5. Sentinel Samples * Number of notifications from sentinel reporting and sampling * Number of notifications of laboratory reports * New monitoring project * The new influenza A (H1N1) in the world * Statistics from other sources * Seasonal Influenza in Sweden * Collection of Links Editorial Editor: Sandra RUBINOV Editor: Annika Linde Subscribe Subscribe to the flu reports Content Yet another week with reduced flu spread The number of reported laboratory confirmed cases of novel influenza decreased by over 60 percent compared with week 49. In total, in Sweden 10 873 cases now reported. During week 50 reported 162 new cases compared to 425 during week 49. Overall, the picture in Sweden very homogeneous with an average of about 2 verified cases per 100 000 inhabitants week 50 compared with 5 weeks 49th Hospitalization is indicated for 11 percent of cases. A new death was reported weeks 50th Based on self-reporting of sickness report and sentinel sampling estimates Infectious Diseases Institute (SMI) to between 240 000 and 612 000 people in the country sick for weeks 38th The increasing number of countries in the northern hemisphere seems now the current pandemic wave passing. Most countries in northern, western and even eastern Europe and in North America reported decreasing trends. Influenza activity continued to be seen in southern and southeastern Europe and parts of Central and East Asia. NOTE! The next influenza report will be a dual report for week 51 and 52 which will be published on Wednesday 30 December. Published in the newsletter 2009-12-17 The new influenza A (H1N1) in Sweden The number of laboratory confirmed cases decreased in all counties. J?mtland and Kronoberg had the highest incidence of about 5 cases per 100 000 inhabitants. No verified cases reported from Gotland and Blekinge. Hospitalization was reported for 18/162 (11 percent), a marginal increase over the previous weeks. A 72-year-old man with severe underlying disease died during the week (link). Sentinel reporting on the proportion of influenza-like illness among patients who have sought to show that GPs 23/7142 (0.32 percent) reported patient visits were suspected influenza-like illness week 50 compared with 0.42 percent week 49. The percentage of positive samples in the sentinel samples fell to 8.50 percent and the number of searches on V?rdguiden was virtually unchanged from week 49. In the population-based reporting in Stockholm, I'll report, the proportion of reports of respiratory infections, and influence-like illness as big as the previous week. Based on figures from the Hospital Report and sentinel sampling SMI estimates that between 4 000 and 10 000 people may have fallen ill with flu in the country during the week 50 and that between 240 000 and 612 000 people may have had the flu for weeks 38th Safety when on the last week's figures, however, is less than before, because they are based on few complaints and very few sentinel samples. Despite the decline continued, there is still flu in Sweden. It can flare up again unless we get a really good vaccination coverage. In preparation for the upcoming weekend, it seems pretty quiet, and we think most people can dare to hope for a influensafri July Virology SMI has characterized 107 Swedish strains of novel influenza. Of these, 9 from ECMO and 5 patients from intensive care or respiratory nursed patients and 5 from deceased patients. For 51 of these, we have characterized the h?magglutininet with respect to vaccines as well as any changes in receptor binding. For 82 pieces, we have characterized neuraminidaset in terms of resistance to antiviral and we have also characterized the NS-1 (a non-structural viral proteins, 31 of them) that may affect virulence. For all strains h?magglutininet similar to that which exists in the vaccine. We did not find any change that is common in viruses derived from patients with severe disease. While the virus strains that come from vaccinated persons (5 pieces) equals the vaccine. No tribe has one of the mutations that induce resistance to neuraminidase inhibitors (Tamiflu and Relenza). No mutations known to affect virulence has been detected in NS-1. In addition to these sequencing, SMI also sequence-alloy matrix gene from 38 strains to validate the PCR system used for influenza A diagnosis. No changes were observed. Published in the newsletter 2009-12-17 Fig 1. The number of reported cases of A (H1N1) and seasonal influenza from. week 20, 2006-2009 The number of reported cases of A (H1N1) and seasonal influenza Week 39 40 41 42 43 44 45 46 47 48 49 50 Percentage of positive samples (%) 4% 3% 9% 14% 26% 33% 37% 42% 41% 31% 16% 12% Number of samples analyzed 1340 997 1027 1230 1686 2070 3946 5684 5117 3360 1769 1067 Published in the newsletter 2009-12-17 Table 1. County distribution of cases in Sweden Total current week Number of reported cases, 162 10873 Including hospital care 18 1169 Including death 1 20 * * Also includes an update with a case for week 49/2009 Table 1. County distribution of reported cases County Number of cases Number per 100 000 inhabitants. Blekinge 125 82.1 Valleys 261 94.7 Gotland 40 70.2 G?vleborg 233 84.4 Halland 168 57.3 J?mtland 244 192.5 Engineering 210 62.7 Kalmar 200 85.7 Kronoberg 167 91.7 Norrbotten 180 72.1 Scania 1243 102.5 Stockholm 3264 165.0 S?dermanland 375 140.3 Uppsala 459 140.4 V?rmland 358 130.8 V?sterbotten 540 209.5 V?sternorrland 337 138.4 V?stmanland 148 59.2 V?stra G?taland 1785 114.6 ?rebro 328 118.2 Baltic island of Gotland 208 49.2 Sweden 10873 117.6 Published in the newsletter 2009-12-16 Fig 2. Map of the number of cases / 100000 The color of the counties showing the incidence measured by laboratoreidiagnoser/100000 inhabitants for the current reporting week. The figure in the county indicates the total number of cases for the entire season. The small graphs in each county shows the evolution of the epidemic in the county week by week. Map of the number of cases / 100000 for week 50th Published in the newsletter 2009-12-17 Fig 3. Age of cases reported A (H1N1) Age of cases reported A (H1N1) Published in the newsletter 2009-12-17 Fig 4. Sentinel Reporting Notified cases of flu (ILS) symptoms 2006-2009 The graph shows the percentage (%) patients with clinical influenza-like symptoms (ILS) of the total number of patient visits. Number of ILS / week weeks 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 Number 8 14 8 10 25 18 21 65 41 35 37 20 21 34 43 76 130 177 137 98 40 17 Published in the newsletter 2009-12-17 Fig 5. Sentinel Samples The number of samples taken in the sentinel sample continues to decrease. So far we have analyzed 35 samples taken during the week beginning 50th The three samples were positive for the new flu came from Dalarna, V?sterbotten and V?stmanland. Analysis results (number of A, B and negative) for samples analyzed within the Swedish provtagningssentinelen. Published in the newsletter 2009-12-17 Number of notifications from sentinel reporting and sampling From week 40 we follow the WHO standards and uses the term A/pH1 for the new pandemic flu in the table. Sentinel Sentinel System Sampling ** Week 27-50 Number of county patients with ILS * % Of all patient - visit Total Number of samples received influenza A, influenza B Number Number A/pH1 cumulation tively Number A/H1 cumulation tively Number A/H3 cumulation tively Blekinge 0 (4) 0 1 (32) 0 (9) 0 (0) (8) (0) (0) Dalarna 7 (111) 1.75 12 (215) 1 (25) 0 (0) (25) (0) (0) Gotland 0 (4) 0 1 (123) 0 (6) 0 (0) (13) (0) (0) G?vleborg 0 (28) 0 0 (0) 0 (0) 0 (0) (0) (0) (0) Halland 0 (32) 0 0 (38) 0 (6) 0 (0) (6) (0) (1) J?mtland 0 (22) 0 0 (55) 0 (9) 0 (0) (9) (0) (0) Engineering - (0) 0 1 (44) 0 (5) 0 (0) (5) (0) (0) Kalmar 2 (56) 0.14 0 (19) 0 (2) 0 (0) (2) (0) (0) Kronoberg 1 (10) 0.44 0 (26) 0 (3) 0 (0) (3) (0) (0) Norrbotten 0 (24) 0 0 (53) 0 (21) 0 (0) (21) (0) (0) Skane 0 (115) 0 0 (67) 0 (7) 0 (0) (7) (0) (0) Stockholm 1 (142) 0.17 13 (722) 0 (190) 0 (0) (185) (0) (0) S?dermanland - (8) 0 0 (0) 0 (0) 0 (0) (0) (0) (0) Uppsala, Sweden 0 (69) 0 0 (155) 0 (23) 0 (0) (22) (0) (0) V?rmland 0 (16) 0 0 (0) 0 (0) 0 (0) (0) (0) (0) V?sterbotten 3 (129) 0.5 2 (283) 1 (109) 0 (0) (109) (0) (0) V?sternorrland 5 (19) 3.6 1 (109) 0 (47) 0 (0) (40) (0) (0) V?stmanland 3 (61) 0.89 2 (48) 1 (12) 0 (0) (12) (0) (0) V. G?taland 1 (231) 0.08 2 (44) 0 (10) 0 (0) (10) (0) (0) ?rebro - (0) 0 (4) 0 (2) 0 (0) (2) (0) (0) ?sterg?tland 0 (29) 0 0 (0) 0 (0) 0 (0) (0) (0) (0) Total 23 (1110) 0.32 35 (2037) 3 (486) (0) (479) (0) (1) * ILS: Flu-like symptoms ** Figures in parenthesis reports the total number of diagnoses for weeks 27 weeks, 2009. Published in the newsletter 2009-12-17 Number of notifications of laboratory reports A new table for laboratory reporting, which accounts for influenza cases reported since week 20, both the A (H1N1) and seasonal influenza A and B. * Number of influenza diagnosis during the reporting week. The number in parentheses indicates cumulative cases from. weeks 20/2009 County Lab Number A (H1N1) * Number Influenza A * Number inlfuensa B * Total A (H1N1), A and B * current week Total A (H1N1), A and B (from.vecka 20/2009) Blekinge Karlskr 0 (1) 0 (0) 0 (1) 0 (2) Dalarna Falun 3 (216) 0 (4) 0 (0) 3 (220) Gotland Visby 0 (0) 0 (0) 0 (0) (0) G?vleborg G?vle 3 (206) 0 (4) 0 (0) 3 (210) Halland Straw 1 (163) 0 (13) 0 (2) 1 (178) J?mtland ?sters ** 7 (222) 0 (0) 0 (0) 7 (222) J?nk?ping Jonk 12 (206) 0 (0) 0 (0) 12 (206) Kalmar Kalm 7 (190) 0 (2) 0 (0) 7 (192) Kronoberg V?xj? 7 (239) 0 (11) 0 (0) 7 (250) Norrbotten Lule? 0 (9) 0 (0) 0 (0) (9) G?llivare 0 (0) 0 (0) 0 (0) (0) Skane Ore 15 (1286) 0 (3) 0 (1) 15 (1290) Kristian 0 (0) 0 (0) 0 (0) (0) Lund 0 (0) 0 (0) 0 (0) (0) Helsing 0 (0) 0 (0) 0 (0) (0) Stockholm Hudd 10 (971) 1 (20) 0 (5) 11 (996) Solna 13 (1758) 0 (20) 0 (12) 13 (1790) SMI 9 (508) 0 (0) 0 (0) 9 (508) S?dermanland Eskil * 0 (3) 0 (13) 0 (0) (16) Uppsala Upps 9 (615) 0 (19) 0 (0) 9 (634) V?rmland Charles 2 (352) 0 (1) 0 (0) 2 (353) V?sterbotten Ume? 12 (596) 0 (15) 0 (8) 12 (619) V?sternorrland Sund 2 (275) 0 (0) 0 (0) 2 (275) V?stmanland West 0 (0) 0 (0) 0 (0) (0) V. G?taland G?tb 13 (1116) 0 (22) 0 (12) 13 (1150) Cape 0 (1) 0 (0) 0 (0) (1) Sk?vde 21 (1187) 1 (6) 0 (0) 22 (1193) Bor?s 4 (216) 0 (0) 0 (0) 4 (216) ?rebro ?rebr 6 (326) 0 (9) 0 (0) 6 (335) ?sterg?tland Link 5 (187) 0 (7) 0 (0) 5 (194) Unknown 1 (23) - - 1 (23) Total Total 162 (10873) 2 (169) 0 (41) 164 (11083) * Number of influenza diagnosis during the reporting week. The number in parentheses indicates cumulative cases from. weeks 20/2009 Published in the newsletter 2009-12-17 New monitoring project Influenza surveillance based on anonymous search data from the site vardguiden.se. It will not be published some websearch reports during Christmas and New Year ledigheterna, namely during the week 52 to week 1. The next report on searches for vardguiden.se will week 2, when influenza report on 14 January. * A link to the Web Search Sickness Report Sickness Report is a population-based surveillance of influenza morbidity in Stockholm County, where about 5500 Stockholm Report via Medical Rapports website or via voice mail when they become ill. * The link to the Hospital Rapports newsletter * The link to the article on the Hospital Report in news archive Published in the newsletter 2009-12-17 The new influenza A (H1N1) in the world Influenza in the world, December 16, 2009 The increasing number of countries in the northern hemisphere seems now the current pandemic wave passing. Most countries in northern, western and even eastern Europe and in North America reported decreasing trends. Influenza activity continued to be seen in southern and southeastern Europe and parts of Central and East Asia. Europe Most countries in northwestern Europe have passed through the top, however, France still reporting high activity. Other countries that still report increasing trends, for example, Albania, Czech Republic, Greece, Hungary, Romania, Montenegro, Slovenia, Turkey. In Georgia, Bulgaria and Ukraine have been observed declining influenza notifications. Even in Russia seems to be peaking. Africa From the African continent is very limited data reported during the pandemic, although there is every reason to believe that the virus is still circulating in large parts of communities, with the exception of South Africa. In an article published in PLoS Medicine suggests researchers from Gabon and Germany on the major deficiencies in existing monitoring systems and argue that the contribution of influenza to morbidity and mortality in African countries need to be studied deeper. H1N1 among indigenous peoples MMWR reports on the indigenous peoples from Australia, Canada and New Zealand have shown a 4-8 times higher mortality and incidence of severe influenza infection (hospital) compared with other ethnic groups. The causes are still not fully understood. Increased prevalence of underlying diseases and other risk factors examined. Published in the newsletter 2009-12-17 Statistics from other sources Flu Calls to 1177 Sjukv?rdsr?dgivningen This presents Smittskyddsinstitutet statistics on the telephone on flu-related symptoms received by the county council's telephone service in 1177 Sjukv?rdsr?dgivningen. The statistics are based on the contact causes the nurses at the various Sjukv?rdsr?dgivning data are recorded. Only one contact may cause to call out. If a person describes a number of symptoms recorded the most pronounced symptom is that the main causal contact. Seven contact causes which are attributable to influenza have been selected. These are shown in the figure below, from week 34, 2009. Picture = Selection of contact causes the counseling assistance in 1177 The following counties are included in the statistics: Gotland Municipality J?mtland County Council Blekinge County Council Dalarna County Council G?vleborg County Council Halland County Council Kronoberg County Council Kalmar County Council The County Council of Uppsala County Council of V?stmanland ?sterg?tland County Council Region Sk?ne V?stra G?taland ?rebro County Council More information about the 1177 Medical Care Information available at: www.1177.se Influenza Surveillance in the county councils * Influenza Surveillance in Norrbotten County Council * Influenza Surveillance in Halland * Influensa?vervaknng in G?vleborg Published in the newsletter 2009-12-17 Seasonal Influenza in Sweden SMI has characterized an influenza B strain from week 48. The trunk is like B/Brisbane/60/2008 included in seasonal influenza vaccine. Isolation and characterization of 2 pcs influenza A/H3 underway. Within the voluntary laboratory reporting of s?songsinfliuensa two influenza A diagnoses reported. Published in the newsletter 2009-12-17 Link Collection Read more: Influenza Surveillance in Norrbotten County Council Influenza Surveillance in Halland Influensa?vervaknng in G?vleborg Gabrielle Holmgren: Asian flu (H2N2). SMI's report series 5:2009, 9 pages, year of publication 2009th More information about the new flu If you have questions about influenza A (H1N1), you can call telephone information on numbers: 020 - 20 20 00th Here you can also get a reference to where to turn for more information. Although the SMI's website you can find current information about the new flu. Information on the website, we will update continuously, so that it is constantly present. * Reports page: a new influenza A (H1N1) * Compilation of information on the epidemiology and clinical symptoms * Disease Information on the new influenza A (H1N1) * Questions and answers about the new flu * Specific information to health professionals and laboratory * Preparedness for analysis of novel influenza A (H1N1) External links: National Board has revised two recommendations for the new influenza A (H1N1) and recommendations on vaccination. * Social Welfare Board's recommendations * WHO Situation updates - Influenza A (H1N1) * ECDC-Situation Report-Europe * CDC's pandemic preparedness around the new influenza A (H1N1) in the U.S. Published in the newsletter 2009-12-16 Tell a friend Updated 2009-12-17 13:30 </textarea>
<input value="Envoyer" style="margin-right: 5px;" type="submit"><input value="Annuler" onclick="_rollup()" type="button"></form>

Langues disponibles pour la traduction :

<table><tbody><tr><td style="white-space: nowrap;">afrikaans
albanais
allemand
anglais
arabe
bi?lorusse
bulgare
catalan
Chinois</td><td style="white-space: nowrap;">cor?en
croate
danois
espagnol
estonien
finnois
fran?ais
galicien
gallois</td><td style="white-space: nowrap;">grec
h?breu
hindi
hongrois
indon?sien
irlandais
islandais
italien
japonais</td><td style="white-space: nowrap;">letton
lituanien
mac?donien
malaisien
maltais
n?erlandais
norv?gien
persan
polonais</td><td style="white-space: nowrap;">portugais
roumain
russe
serbe
slovaque
slov?ne
su?dois
swahili
tagalog</td><td style="white-space: nowrap;">tch?que
tha?
turc
ukrainien
vietnamien
yiddish</td></tr></tbody></table>
<script>window.jstiming.load.tick('br');h = new _History();ctr = new _TranslateForm(new _LanguageSelector('old_sl','sl_select','3'),new _LanguageSelector('old_tl','tl_select','3'),'old_submit','submit_button', h,'source','result_box','dict','autotrans','/translate','/','translit','http://translate.googleusercontent.com/translate_f', 'select_text','select_document', 'file_div', 'file',true,'',undefined,300,2000,300,true,true,true,1500,'headingtext', 'alang', 'zippyspan','romanspan', 'romanimg', 'romantext','tts_button', 'http://www.gstatic.com/translate/sound_player.swf','inputt13n','t13nimg','t13ntext',1,true);window.jstiming.load.tick('prt')</script><input name="history_state0" id="history_state0" style="display: none;" type="text">

Sweden: 2 more deaths announced (total 22), vaccination coverage reaches 61 %

Celvin11

Well-known member

Snowy Owl

Retired in 2010, In Memoriam

Snowy Owl

Retired in 2010, In Memoriam