GLOBAL INFLUENZA MONITORING TOOLS...Global influenza monitoring tools Global Tools for Influenza Monitoring To collate data for real-time monitoring of influenza activity To make informed

GLOBAL INFLUENZA

MONITORING

TOOLS

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Global influenza monitoring tools

Global Tools for Influenza Monitoring

To collate data for real-time monitoring of influenza

activity

To make informed decision at national, regional and

global level.

To allow each country to analyze their data in a global

context


FluNet

Web-based (www.who.int/flunet) interactive data reporting, query and mapping system of the Global Influenza Surveillance Response System (GISRS)

Data provided by national influenza centres (NIC) or other laboratories

> 130 countries reporting data

Weekly laboratory surveillance information collected include

– Specimens received/collected/processed

– Influenza virus detections by virus type and subtyp

– Comments

http://www.who.int/flunet


FluNet outputs

www.who.int/flunet

Direct links to:

– Graphs by country, area or

territory

– Selected indicators in the

interactive database

– Download data from latest week

– Download maps

– Link to bi-monthly influenza

updates

– Link to WHO regional web sites


Number of specimens positive for influenza by subtype in the North America Transmission Zone

). Global Influenza Surveillance and Response System (GISRS)www.who.int/flunetData source: FluNet (

Data generated on 19/05/2014




Influenza subtypes and % positive


fluID

web based data collection platform for epidemiological influenza data

The set up is flexible allowing the country to enter data available at country level

Data provided by national focal points for epidemiological influenza surveillance

~ 60 countries providing data


A platform for epidemiological data

To complement the virological information

To be able to interpret virological information

To make epidemiological information comparable

To find it at one place


FluID reporting at any time 90 countries

New: Iran, Morocco, Bahrain


But!!! Countries reporting to FluID

Number of countries by season 2010-2011 75 2011-2012 79 2012-2013 62 2013-2014 59


For countries with formal surveillance data, depending on their system – ILI (Influenza like illness) – ARI (acute respiratory infections) – SARI (severe acute respiratory infections) – Pneumonia – Mortality

The denominator can be the population or the number of consultations

The age groups can be defined for each reporting site (country)

More is possible to set up- depending on what is collected systematically

Data collected with fluID


Data collected with fluID

Qualitative indicators (for all countries):

– Geographical Spread

– Disease Trend

– Intensity

– Impact


Possibilities for data input

FluNet

– Data provided by NICS

– Data entry / upload by NICs, WHO RO, HQ

fluID

– Data provided by national focal points

– Data entry / upload by national focal points or

through direct link to regional databases (e.g. EUROFLU)

– link to PAHO spreadsheets

– provided by e-mail to HQ (CAREC, US, Morocco)



Joint reports from FluNet and fluID

Joining the data from fluID

and FluNet to provide a

comprehensive picture of

the epidemiological and

virological situation https://extranet.who.int/sree/Reports?op=vs&path=/WHO_HQ_Reports/G5/PROD/EXT/Flu_menu


Current View

Influenza reporting global map

(click on box next to country to link to country graph)

The boundaries and names shown and the designations used on this map do not imply the expression of any

opinion whatsoever on the part of the World Health Organization concerning the legal status of any country,

territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted

lines on maps represent approximate border lines for which there may not yet be full agreement.

fluID/FluNet report online

2by%20Report%20Surveillance%20/PROD/EXT/Influenza%5https://extranet.who.int/sree/Reports?op=vs&path=/WHO_HQ_Reports/G

Country0

https://extranet.who.int/sree/Reports?op=vs&path=/WHO_HQ_Reports/G5/PROD/EXT/Influenza Surveillance Report by Country












Current View to:

Influenza surveillance report

Source: WHO/Global Influenza Programme fluID and FluNet.

Data displayed might be delayed from data entering. Some regional data is imported once a week from regioal offices.

Real time data from the EURO region are available at www.euroflu.org

Number of specimens positive for influenza by subtype

Number of influenza-like illness (ILI) cases and proportion of ILI cases by 1000 patient visits

Number of Pneumonia cases and proportion of Pneumonia cases by 100 hospitalized patients

Data source: FluNet (www.who.int/flunet),

Data source: fluID

Data source: fluID

Graphs for: 30-May-2014 15:12 generated on: Period:

A (H1)

A (H1N1)pdm09

A (H3)

A (H5)

A (Not subtyped)

B (Lineage not determined)

B (Victoria lineage)

More...

Subtype

Specimens

Proportion of ILI cases by

1000 patient visits

Number of ILI cases

Click here to open the report by Age

Number of Pneumonia

cases Proportion of Pneumonia

cases by 100 hospitalized

Menu

Current View to:

Influenza surveillance report by country from FluNet and


Data displayed from fluID are not real time (delay up to one day). WHO/Europe influenza surveillance data are

imported to fluID once a week. Real time data from Euroflu are available at www.euroflu.org


Number of influenza-like illness (ILI) cases and proportion of ILI cases by 1000 patient visits

Number of severe acute respiratory infections (SARI) cases and proportion of SARI cases by 100 hospitalized patients


Data source: fluID

Data source: fluID

Graphs for: 05-Feb-2013 15:41 generated on: Period:

A (H1)

A (H1N1)pdm09

A (H3)

A (H5)

A (Not subtyped)



More...

Sub Type

Number of

Proportion of ILI cases by

1000 patient visits

Number of ILI cases

Number of SARI cases

Proportion of SARI cases

by 100 hospitalized

patients

Hom

Current View to:

Influenza surveillance report by age group





Number of influenza-like illness (ILI) cases

Number of Pneumonia (PNEU) cases

1


Data source: fluID

Data source: fluID

Graphs for: 30-May-2014 15:20 generated on: Period:

A (H1)

A (H1N1)pdm09

A (H3)

A (H5)

A (Not subtyped)



More...

Subtype

Specimens

00 - 04

05 - 24

25 - 49

50 - 64

65+

Unknown

Age Groups

00 - 04

05 - 24

25 - 49

50 - 64

65+

Unknown

Age Groups

Men

u

Current View

Central America and Caribbean

Anguilla

Antigua and Barbuda

Aruba

Bahamas

Barbados

Belize

British Virgin Islands

Cayman Islands

Costa Rica

Cuba

Dominica

Dominican Republic

More...

Top chart filter

Central America and Caribbean

Anguilla

Antigua and Barbuda

Aruba

Bahamas

Barbados

Belize

British Virgin Islands

Cayman Islands

Costa Rica

Cuba

Dominica

Dominican Republic

More...

Bottom chart filter

to:

Influenza surveillance report – comparison

Graphs for: 31-May-2014

18:20

generated on: Period:

Men

u


Data displayed from fluID are not real time (delay up to one day). WHO/Europe influenza surveillance data

are


Tropical South America: Bolivia (Plurinational State of),

Brazil,

Colombia, Ecuador, French Guiana, Guyana, Peru,

Suriname,

Venezuela (Bolivarian Republic of)

Selected countries, areas or territories (bottom)

Central America and Caribbean: Anguilla, Antigua and

Barbuda,

Aruba, Bahamas, Barbados, Belize, British Virgin

Islands,

Cayman Islands, Costa Rica, Cuba, Dominica, Dominican

Republic, El Salvador, Grenada, Guadeloupe, Guatemala,

Haiti,

Honduras, Jamaica, Martinique, Mexico, Montserrat,

Netherlands

Antilles, Nicaragua, Panama, Puerto Rico, Saint Kitts and

Nevis, Saint Lucia, Saint Vincent and the Grenadines,

Trinidad

and Tobago, Turks and Caicos Islands, Virgin Islands

(USA)

Selected countries, areas or territories (top)

A (H1) A (H1N1)pdm09 A (H3) A (H5)

B (Lineage not

A (Not subtyped)

B (Victoria

lineage)

B (Yamagata

Subtype

Current View

Influenza historic report Graphs 30-May-2014 15:26 generated on:

Number of ARI cases

Number of Pneumonia (PNEU) cases

% of specimens positive for influenza





Data source: fluID

Data source: fluID

Menu

2013/2014

2012/2013

2011/2012

2010/2011

2009/2010

2008/2009

2007/2008

2006/2007

2005/2006

2004/2005

More...

Years

Current View 2013/2014

2012/2013

2011/2012

2010/2011

2009/2010

2008/2009

Years




Seasonal chart for Qualitative Indicators Menu

Indicator

Trend

Not Available Decreasing Unchanged Increasing

30-May-2014 16:12 generated on:


Future

of the global influenza monitoring tools

Launch of website

Easier to use interactive maps and graphs

In-built analysis tools

More countries joining- hence better context for country

data- linking to regional data bases (all the PAHO

countries with their excellent data represented!!)

Countries continuing to report

We welcome comments!!!


Contribution to WHO information products

Joining all different information

sources

Regular risk assessment

Bi-weekly situation update

Seasonal review

Publications/WER

Etc. *Global Influenza Surveillance and Response System

GISRS*

Other

sources


Bi weekly update http://www.who.int/influenza/surveillance_monitoring/updates/en



Other regular influenza data and outputs

Monthly risk assessment for new influenza viruses

DON (Disease outbreak news) for outbreaks of

international interest

EIS (event information system- for IHR national focal

points) for the unusual events

Info on avian influenza A(H7N9)


Summary

Local data for local decisions

– SARI/ILI surveillance for national disease burden and risk groups

description

Local data for the global picture

– Only with the sum of all the local data can the global picture be made and

patterns can be identified

Global picture for the local interpretation

– Only if we know what is happening in the world can we predict what is

going to happen to the local situation


If you want more information

or want to share info:

[email protected]

[email protected] To get updated…

[email protected]

mailto:[email protected]

mailto:[email protected]


Your information is important for the

global picture of influenza

Thank you !!!

شكرا

Merci!


Now your turn fluID and FluNET

FluID and FluNet Outputs can be accessed:

https://extranet.who.int/sree/Reports?op=vs&path=/WHO_

HQ_Reports/G5/PROD/EXT/Flu_menu

(About to be more prominent)

For FluNet www.who.int/flunet

https://extranet.who.int/sree/Reports?op=vs&path=/WHO_HQ_Reports/G5/PROD/EXT/Flu_menu






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GLOBAL INFLUENZA MONITORING TOOLS...Global influenza monitoring tools Global Tools for Influenza Monitoring To collate data for real-time monitoring of influenza activity To make informed