High proportion of influenza B characterises the 2008 influenza season in Victoria

Authors

  • Kristina A Grant Victorian Infectious Diseases Reference Laboratory, Melbourne, Victoria
  • Kylie Carville Victorian Infectious Diseases Reference Laboratory, Melbourne, Victoria
  • James E Fielding Department of Human Services, Melbourne, Victoria
  • Ian G Barr WHO Collaborating Centre for Reference and Research on Influenza
  • Michaela A Riddell Victorian Infectious Diseases Reference Laboratory, Melbourne, Victoria
  • Thomas Tran Victorian Infectious Diseases Reference Laboratory, Melbourne, Victoria
  • Heath A Kelly Victorian Infectious Diseases Reference Laboratory, Melbourne, Victoria

DOI:

https://doi.org/10.33321/cdi.2009.33.36

Keywords:

surveillance, epidemiology, influenza

Abstract

The 2008 influenza season in Victoria was distinctive because of the increased proportion of influenza-like illness (ILI) cases due to influenza B infection and the lateness of the season compared with preceding years. Influenza activity fell within the bounds of normal seasonal activity thresholds. The average rate of ILI reported by general practitioners participating in sentinel surveillance was 5.5 cases per 1,000 consultations, peaking at 13.4 cases per 1,000 consultations. The average ILI rate reported by the Melbourne Medical Deputising Service was 5.1 cases per 1,000 consultations over the season peaking at 16.2 cases per 1,000 consultations at the same time as peak rates were reported by rural geneal practitioners (GPs), with a secondary peak observed 2 weeks later (10.9 cases per 1,000 consultations). Metro GP rates peaked in week 35 (week beginning 25 August) at 15.2 cases per 1,000 consultations. Influenza B cases notified directly to the Victorian Department of Human Services (DHS) from other sources peaked in the 1st week of September with peak numbers of influenza A notifications occurring the following week. Overall 56% of notifications of laboratory confirmed influenza to DHS and 56% of influenza positive swabs from sentinel surveillance were influenza type B. Commun Dis Intell 2009;33(3):328–336.

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References

Kelly H, Murphy A, Leong W, Leydon J, Tresise P, Gerrard M, et al. Laboratory-supported influenza surveillance in Victorian sentinel general practices. Commun Dis Intell 2000;24(12):379–383.

Rural Infection Control Practice Group. Health (Infectious Disease) Regulations. Melbourne: RICPRAC, Department of Human Services; 2001. (Policy no. 7.1)

Thursky K, Cordova SP, Smith D, Kelly H. Working towards a simple case definition for influenza surveillance. J Clin Virol 2003;27(2):170–179.

Watts CG, Andrews RM, Druce JD, Kelly HA. Establishing thresholds for influenza surveillance in Victoria. Aust N Z J Public Health 2003;27(4):409–412.

Druce J, Tran T, Kelly H, Kaye M, Chibo D, Kostecki R, et al. Laboratory diagnosis and surveillance of human respiratory viruses by PCR in Victoria, Australia, 2002–2003. J Med Virol 2005;75(1):122–129.

Victorian Infectious Diseases Reference Laboratory. The flu report 2008; 2 November 2008. Report No. 27

Clothier HJ, Atkin L, Turner J, Sundararajan V, Kelly HA. A comparison of data sources for the surveillance of seasonal and pandemic influenza in Victoria. Commun Dis Intell 2006;30(3):345–349.

Australian Government Department of Health and Ageing. National Notifiable Diseases Surveillance System. Number of notifications of influenza (laboratory confirmed), Australia, in the period 1991 to 2008 and year-to-date notifications for 2009. Available from: http://www9.health.gov.au/cda/source/cda-index.cfm

Influenza activity—United States and worldwide, 2007–08 season. MMWR Morb Mortal Wkly Rep 2008;57(25):692–697.

Ampofo K, Gesteland PH, Bender J, Mills M, Daly J, Samore M, et al. Epidemiology, complications, and cost of hospitalization in children with laboratory-confirmed influenza infection. Pediatrics 2006;118(6):2409–2417.

Fiore AE, Shay DK, Haber P, Iskander JK, Uyeki TM, Mootrey G, et al. Prevention and control of influenza. recommendations of the Advisory Committee on Immunization Practices (ACIP), 2007. MMWR Morbid Mortal Recomm Rep 2007 13;56(RR–6):1–54.

Fielding JE, Miller ER, Adams J, Hawking B, Grant K, Kelly HA. Influenza surveillance in Victoria, 2006. Commun Dis Intell 2007;31(1):100–106.

Miller ER, Fielding JE, Grant KA, Barr IG, Papadakis G, Kelly HA. Higher than expected seasonal influenza activity in Victoria, 2007. Commun Dis Intell 2008;32(1):63–70.

Kelly H, Grant K, Williams S, Fielding J, Smith D. Epidemiological characteristics of pandemic influenza H1N1 2009 and seasonal influenza infection. Med J Aust 2009. [Online] Available from: http://www.mja.com.au/public/issues/191_03_030809/kel10745_fm.html

Influenza B virus—New Zealand, International Society for Infectious Disease, ProMed Mail [online]. Available from: http://www.promedmail.org Reference number 20050622.1755.

Huang QS, Lopez L, Adlam B. Influenza surveillance in New Zealand in 2005. N Z Med J 2007;120(1256):U2581.

Lopez L HQP. Influenza in New Zealand 2005. ESR; 2006 Contract No: Document Number.

Hite LK, Glezen WP, Demmler GJ, Munoz FM. Medically attended pediatric influenza during the resurgence of the Victoria lineage of influenza B virus. Int J Infect Dis 2007;11(1):40–47.

Johnson AJ, Moore ZS, Edelson PJ, Kinnane L, Davies M, Shay DK, et al. Household responses to school closure resulting from outbreak of influenza B, North Carolina. Emerg Infect Dis 2008;14(7):1024–1030.

ABC News. School hit by flu outbreak. 28 August 2008.

Recommended composition of influenza virus vaccines for use in the 2009 Southern Hemisphere influenza season. Wkly Epidemiol Rec 2008;83(41):366–372.

Barr IG, Komadina N, Durrant C, Sjogren H, Hurt AC, Shaw RP. Circulation and antigenic drift in human influenza B viruses in SE Asia and Oceania since 2000. Commun Dis Intell 2006;30(3):350–357.

Rota PA, Hemphill ML, Whistler T, Regnery HL, Kendal AP. Antigenic and genetic characterization of the haemagglutinins of recent cocirculating strains of influenza B virus. J Gen Virol 1992;73(10):2737–2742.

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Published

01/09/09

How to Cite

Grant, Kristina A, Kylie Carville, James E Fielding, Ian G Barr, Michaela A Riddell, Thomas Tran, and Heath A Kelly. 2009. “High Proportion of Influenza B Characterises the 2008 Influenza Season in Victoria”. Communicable Diseases Intelligence 33 (September):328-36. https://doi.org/10.33321/cdi.2009.33.36.

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