Eurosurveillance latest news
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In the national epidemiological bulletins - a selection from current issues
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - November 19, 2009 Category: Infectious Diseases Source Type: journals
EMCDDA Annual report 2009: cocaine and heroin maintain firm hold on Europe's drug scene
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - November 19, 2009 Category: Infectious Diseases Source Type: journals
Introduction of human papillomavirus (HPV) vaccination in Belgium, 2007-2008
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This paper documents the progress of human papillomavirus (HPV) vaccine introduction in Belgium. Information on vaccine use is based on sales statistics and reimbursement claims. From November 2007 to November 2008, the National Institute for Health and Disability Insurance reimbursed the HPV vaccine for girls aged between 12-15 years. In December 2008, the age limit was extended to include girls up to the age of 18. In November 2008, the total number of HPV vaccines sold exceeded 530,000 doses. The number of vaccines reimbursed in Belgium, for the period November 2007-November 2008, corresponds to the amount required to f...
Source: Eurosurveillance latest news - November 19, 2009 Category: Infectious Diseases Source Type: journals
Oseltamivir-resistant influenza A(H1N1) viruses detected in Europe during season 2007-8 had epidemiologic and clinical characteristics similar to co-circulating susceptible A(H1N1) viruses
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - November 19, 2009 Category: Infectious Diseases Source Type: journals
"RAISIN" - a national programme for early warning, investigation and surveillance of healthcare-associated infection in France
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We describe the development and current organisation of surveillance of HAI in France and summarise key achievements and results. Surveillance of HAI is under the auspice of the national institute for public health surveillance through a central coordinating structure, the Réseau d'alerte, d'investigation et de surveillance des infections nosocomiales (RAISIN), which consists of five regional coordinating structures, two national advisory committees of the Ministry of Health and public health agencies. Surveillance includes the performance of national prevalence surveys every five years (latest in 2006), specific surveill...
Source: Eurosurveillance latest news - November 19, 2009 Category: Infectious Diseases Source Type: journals
Differentiation of two distinct clusters among currently circulating influenza A(H1N1)v viruses, March-September 2009
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Analysis of all complete genome sequences of the pandemic influenza A(H1N1)v virus available as of 10 September 2009 revealed that two closely related but distinct clusters were circulating in most of the affected countries at the same time. The characteristic differences are located in genes encoding the two surface proteins - haemagglutinin and neuraminidase - and four internal proteins - the polymerase PB2 subunit, nucleoprotein, matrix protein M1 and the non-structural protein NS1. Phylogenetic inference was demonstrated by neighbour joining, maximum likelihood and Bayesian trees analyses of the involved genes and by t...
Source: Eurosurveillance latest news - November 19, 2009 Category: Infectious Diseases Source Type: journals
Erratum for Euro Surveill. 2009;14(44)
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - November 12, 2009 Category: Infectious Diseases Source Type: journals
The economic crisis and infectious disease control
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - November 12, 2009 Category: Infectious Diseases Source Type: journals
First set-up meeting for Antibiotic Resistance and Prescribing in European Children (ARPEC)
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - November 12, 2009 Category: Infectious Diseases Source Type: journals
Clostridium difficile ribotypes 001, 017, and 027 are associated with lethal C. difficile infection in Hesse, Germany
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From January 2008 to April 2009, 72 cases of severe Clostridium difficile infection were reported from 18 different districts in the state of Hesse, Germany. A total of 41 C. difficile isolates from 41 patients were subjected to PCR ribotyping. PCR ribotype (RT) 027 was the most prevalent strain accounting for 24 of 41 (59%) of typed isolates, followed by RT 001 (eight isolates, 20%), RT 017 and 042 (two isolates each), and RT 003, 066, 078, 081, and RKI-034 (one isolate each). Eighteen patients had died within 30 days after admission. C. difficile was reported as underlying cause of or contributing to death in 14 patients...
Source: Eurosurveillance latest news - November 12, 2009 Category: Infectious Diseases Source Type: journals
First report of a North American invasive mosquito species Ochlerotatus atropalpus (Coquillett) in the Netherlands, 2009
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In late August and early September 2009, numerous larvae, pupae, and actively flying adult specimens of Ochlerotatus atropalpus were discovered in the Province of Brabant, southern Netherlands, during surveillance activities for Aedes albopictus at two trading companies that import used tires. No Ae. albopictus were found. Both companies mainly import used tires from countries in Europe, but also from North America. Oc. atropalpus is endemic to North America and has so far only been found outside of its endemic range in Europe, namely France and Italy, where it was subsequently eradicated. A preliminary modelling study sho...
Source: Eurosurveillance latest news - November 12, 2009 Category: Infectious Diseases Source Type: journals
Botulism and hot-smoked whitefish: a family cluster of type E botulism in France, September 2009
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A family cluster of three cases of type E botulism were identified in south-east France in September 2009. The suspected food source of infection was a vacuum packed hot-smoked whitefish of Canadian origin purchased by the family during a visit to Finland and consumed several weeks later in France on the day prior to symptom onset. No leftover fish was available to confirm this hypothesis. Vacuum packed hot-smoked whitefish has previously been associated with cases of type E botulism in multiple countries, including Finland, Germany, the United States and Israel. (Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - November 12, 2009 Category: Infectious Diseases Source Type: journals
Assessing the impact of the 2009 H1N1 influenza pandemic on reporting of other threats through the Early Warning and Response System
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Since the start of 2009 H1N1 influenza pandemic, a notable surge in messages communicated through the Early Warning and Response System (EWRS) for the prevention and control of communicable diseases in the European Union has been recorded. In order to measure the impact of this increase on the reporting of other events, we compared the messages posted in the EWRS since April 2009 with those posted in the previous years (2004-2008). The analysis revealed that a ten-fold increase in messages was recorded during the pandemic period, from April to September 2009, and that the reporting of other threats dropped to a significant...
Source: Eurosurveillance latest news - November 12, 2009 Category: Infectious Diseases Source Type: journals
Pandemic influenza A(H1N1)v: Human to pig transmission in Norway?
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In Norway there is an ongoing outbreak in pigs of infections with pandemic influenza A(H1N1)v virus. The first herd was confirmed positive on 10 October 2009. As of 26 October, a total of 23 herds have been diagnosed as positive. The majority of the herds seem to have been infected by humans. Sequence analysis of pig viruses from the index farm shows that they are identical or virtually identical to human viruses from the same geographical region. (Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - November 12, 2009 Category: Infectious Diseases Source Type: journals
A simple mathematical approach to deciding the dosage of vaccine against pandemic H1N1 influenza
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Results from early clinical trials have shown that a single dose of pandemic H1N1 influenza vaccine may generate sufficient antibody response, but the relevance of this fact to public health decision making has yet to be clarified. The present study compares the risk of clinical attack (i.e. clinical attack rate) between one- and two-dose vaccination schemes. If the efficacies do not greatly vary between one- and two -dose schemes, one-dose vaccination may well be supported. Nevertheless, two-dose vaccination is shown to result in less morbidity if the vaccine efficacies are greatly diminished by reducing the dose. As long...
Source: Eurosurveillance latest news - November 12, 2009 Category: Infectious Diseases Source Type: journals
Decrease of hypervirulent Clostridium difficile PCR ribotype 027 in the Netherlands
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After the first outbreaks of Clostridium difficile PCR ribotype 027 (North American pulsed-field type 1, restriction endonuclease analysis group BI) in the Netherlands in 2005, a national surveillance programme for C. difficile infection (CDI) was started. Furthermore, national guidelines were developed to rapidly recognise type 027 infections and prevent further spread. The mean incidence of CDI measured in 14 hospitals remained stable throughout the years: an incidence of 18 per 10,000 admissions was seen in 2007 and 2008. Between April 2005 and June 2009 a total of 2,788 samples were available for PCR ribotyping. A decr...
Source: Eurosurveillance latest news - November 12, 2009 Category: Infectious Diseases Source Type: journals
Experience of European intensive care physicians with infections due to antibiotic-resistant bacteria, 2009
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A survey was performed among European intensive care physicians to obtain information about their perception and experience with selected antibiotic-resistant bacteria. Seventy-eight out of 95 (82%) participants considered having to deal with infections due to antibiotic-resistant bacteria in the intensive care unit where they work was a major or significant problem. Methicillin-resistant Staphylococcus aureus (MRSA) and third-generation cephalosporin-resistant Enterobacteriaceae were the most frequently reported antibiotic-resistant bacteria with 69 (73%) and 67 (71%) participants reporting having treated at least one pat...
Source: Eurosurveillance latest news - November 12, 2009 Category: Infectious Diseases Source Type: journals
Antibiotic resistance in Europe: the challenges ahead
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - November 12, 2009 Category: Infectious Diseases Source Type: journals
Authors' reply
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - November 5, 2009 Category: Infectious Diseases Source Type: journals
Rhinoviruses, A(H1N1)v, RVS: The race for hivernal pandemics, France 2009-2010
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - November 5, 2009 Category: Infectious Diseases Source Type: journals
Influenza-like illness surveillance using a deputising medical service corresponds to surveillance from sentinel general practices
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Standard sources of data for influenza surveillance include notifications of laboratory-confirmed cases and notifications from sentinel general practices. These data are not always available in a timely fashion, leading to proposals to use more immediate data sources such as over-the-counter drug sales, ambulance call-outs and web searches to monitor influenza-like illness (ILI). We aimed to assess data from a deputising medical service as another source of data for timely syndromic influenza surveillance. We measured the extent of agreement between the weekly percentage of patients with ILI reported from sentinel general ...
Source: Eurosurveillance latest news - November 5, 2009 Category: Infectious Diseases Source Type: journals
"I-MOVE" towards monitoring seasonal and pandemic influenza vaccine effectiveness: lessons learnt from a pilot multi-centric case-control study in Europe, 2008-9
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Within I-MOVE (European programme to monitor seasonal and pandemic influenza vaccine effectiveness (IVE)) five countries conducted IVE pilot case-control studies in 2008-9. One hundred and sixty sentinel general practitioners (GP) swabbed all elderly consulting for influenza-like illness (ILI). Influenza confirmed cases were compared to influenza negative controls. We conducted a pooled analysis to obtain a summary IVE in the age group of ?65 years.
We measured IVE in each study and assessed heterogeneity between studies qualitatively and using the I2 index. We used a one-stage pooled model with study as a fixed effect. W...
Source: Eurosurveillance latest news - November 5, 2009 Category: Infectious Diseases Source Type: journals
Genome sequence analysis of the first human West Nile virus isolated in Italy in 2009
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In 2009, six new human cases of West Nile neuroinvasive disease (WNND) were identified in Veneto region, following the six cases already reported in 2008. A human West Nile virus (WNV) isolate was obtained for the first time from an asymptomatic blood donor. Whole genome sequence of the human WNV isolate showed close phylogenetic relatedness to the Italy-1998-WNV strain and to other WNV strains recently isolated in Europe, with the new acquisition of the NS3-Thr249Pro mutation, a trait associated with avian virulence, increased virus transmission, and the occurrence of outbreaks in humans. (Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - November 5, 2009 Category: Infectious Diseases Source Type: journals
Trichinellosis acquired in Nunavut, Canada in September 2009: meat from grizzly bear suspected
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Five cases of trichinellosis with onset of symptoms in September 2009, were reported in France, and were probably linked to the consumption of meat from a grizzly bear in Cambridge Bay in Nunavut, Canada. Travellers should be aware of the risks of eating raw or rare meat products in arctic regions, particularly game meat such as bear or walrus meat. (Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - November 5, 2009 Category: Infectious Diseases Source Type: journals
Interpreting "Google Flu Trends" data for pandemic H1N1 influenza: The New Zealand experience
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For the period of the spread of pandemic H1N1 influenza in New Zealand during 2009, we compared results from Google Flu Trends with data from existing surveillance systems. The patterns from Google Flu Trends were closely aligned with (peaking a week before and a week after) two independent national surveillance systems for influenza-like illness (ILI) cases. It was much less congruent with (delayed by three weeks) data from ILI-related calls to a national free-phone Healthline and with media coverage of pandemic influenza. Some patterns were unique to Google Flu Trends and may not have reflected the actual ILI burden in t...
Source: Eurosurveillance latest news - November 5, 2009 Category: Infectious Diseases Source Type: journals
Measures against transmission of pandemic H1N1 influenza in Japan in 2009: simulation model
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The first outbreak of pandemic H1N1 influenza in Japan was contained in the Kansai region in May 2009 by social distancing measures. Modelling methods are needed to estimate the validity of these measures before their implementation on a large scale. We estimated the transmission coefficient from outbreaks of pandemic H1N1 influenza among school children in Japan in summer 2009; using this transmission coefficient, we simulated the spread of pandemic H1N1 influenza in a virtual community called the virtual Chuo Line which models an area to the west of metropolitan Tokyo. Measures evaluated in our simulation included: isola...
Source: Eurosurveillance latest news - November 5, 2009 Category: Infectious Diseases Source Type: journals
Surveillance of the first 205 confirmed hospitalised cases of pandemic H1N1 influenza in Ireland, 28 April - 3 October 2009
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From 28 April 2009 to 3 October 2009, 205 cases of confirmed pandemic H1N1 influenza were hospitalised in Ireland. Detailed case-based epidemiological information was gathered on all hospitalised cases. Age-specific hospitalisation rates were highest in the age group of 15 to 19 year-olds and lowest in those aged 65 years and over. Nineteen hospitalised cases (9%) were admitted to intensive care units (ICU) where the median length of stay was 24 days. Four hospitalised cases (2%) died. Fifty-one percent of hospitalised cases and 42% of ICU cases were not in a recognised risk group. Asthma was the most common risk factor am...
Source: Eurosurveillance latest news - November 5, 2009 Category: Infectious Diseases Source Type: journals
Syndromic surveillance: the next phase of public health monitoring during the H1N1 influenza pandemic?
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - November 5, 2009 Category: Infectious Diseases Source Type: journals
Authors' correction for Euro Surveill. 2009;14(42)
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - October 29, 2009 Category: Infectious Diseases Source Type: journals
Job vacancies at the European Centre for Disease Prevention and Control
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - October 29, 2009 Category: Infectious Diseases Source Type: journals
In the national epidemiological bulletins - a selection from current issues
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - October 29, 2009 Category: Infectious Diseases Source Type: journals
Estimating diagnostic accuracy of tests for latent tuberculosis infection without a gold standard among healthcare workers
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In conclusion, when used in healthcare workers, in vitro assays may provide a significant increase of specificity for tuberculosis infection compared to TST, even among non vaccinated individuals, at the cost of some sensitivity. (Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - October 29, 2009 Category: Infectious Diseases Source Type: journals
An outbreak of hospital-acquired Staphylococcus aureus skin infection among newborns, Nan Province, Thailand, January 2008
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In January 2008, we investigated a cluster of neonates with bullous impetigo in a hospital of northern Thailand in order to control the outbreak and identify a potential source of the infection. We reviewed medical records and working timetables of healthcare workers (HCWs) and conducted a case-control study. We performed an environmental study and took bacteriological samples from HCWs and equipments. According to our case definitions, we identified 16 confirmed cases and 14 probable cases. The attack rate was 42%. Most cases had skin blisters (28 cases) followed by pustules (five cases) and exfoliation (three cases). The...
Source: Eurosurveillance latest news - October 29, 2009 Category: Infectious Diseases Source Type: journals
Applied epidemiology training in Europe: quite a success - but more to be done
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This article describes the development of training in applied epidemiology in Europe and outlines the current situation in Europe with a view of how the system can be improved to meet future challenges. (Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - October 29, 2009 Category: Infectious Diseases Source Type: journals
New perspectives after the transition of EPIET to ECDC - the future of the programme
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This article examines the achievements of the EPIET programme after its transition to ECDC and provides an outlook on its future. (Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - October 29, 2009 Category: Infectious Diseases Source Type: journals
Contribution of EPIET to public health workforce in the EU, 1995-2008
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We analyse activities and outputs of fellows of the European Programme for Intervention Epidemiology Training (EPIET) between 1995 and 2008 and describe the employment history of graduates after the training to demonstrate the contribution of this programme and of national EPIET-associated programmes to the public health workforce in the European Union and Norway. Up to 2008, some 161 fellows entered the training: 121 in EPIET and 40 in EPIET-associated programmes. Of these 149 were awarded a diploma. Fellows engaged in projects in all areas of surveillance, in outbreaks and field investigations and produced 340 publicatio...
Source: Eurosurveillance latest news - October 29, 2009 Category: Infectious Diseases Source Type: journals
Differences and Commonalities of National Field Epidemiology Training Programmes in Europe
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From 1994 to 2009, national field epidemiology training programmes (FETP) have been installed in Spain, Germany, Italy, France and Norway. During their two year duration, different components of the FETP are devised as follows: 63-79 weeks are spent on projects in hosting institutes, 2-26 weeks in outside projects, 9-30 weeks in courses and modules, and 1-2 weeks in scientific conferences. A considerable proportion of the Spanish FETP has is provided conventional 'class room training'. The content of the modules is very similar for all programmes. Except from the Italian programme, all focus on infectious disease epidemiol...
Source: Eurosurveillance latest news - October 29, 2009 Category: Infectious Diseases Source Type: journals
The European Scientific Conference on Applied Infectious Disease Epidemiology (ESCAIDE) - selected papers from the conference 2008
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - October 29, 2009 Category: Infectious Diseases Source Type: journals
Building capacity in field epidemiology: lessons learned from the experience in Europe
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - October 29, 2009 Category: Infectious Diseases Source Type: journals
Authors' correction for Euro Surveill. 2009;14(41)
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - October 22, 2009 Category: Infectious Diseases Source Type: journals
The 2009 pandemic H1N1 influenza and indigenous populations of the Americas and the Pacific
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There are few structured data available to assess the risks associated with pandemic influenza A(H1N1)v infection according to ethnic groups. In countries of the Americas and the Pacific where these data are available, the attack rates are higher in indigenous populations, who also appear to be at approximately three to six-fold higher risk of developing severe disease and of dying. These observations may be associated with documented risk factors for severe disease and death associated with pandemic H1N1 influenza infection (especially the generally higher prevalence of diabetes, obesity, asthma, chronic obstructive pulmo...
Source: Eurosurveillance latest news - October 22, 2009 Category: Infectious Diseases Source Type: journals
Early transmission characteristics of influenza A(H1N1)v in Australia: Victorian state, 16 May - 3 June 2009
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Australia was one of the first countries of the southern hemisphere to experience influenza A(H1N1)v with community transmission apparent in Victoria, Australia, by 22 May 2009. With few identified imported cases, the epidemic spread through schools and communities leading to 897 confirmed cases by 3 June 2009. The estimated reproduction ratio up to 31 May 2009 was 2.4 (95% credible interval (CI): 2.1-2.6). Methods designed to account for undetected transmission reduce this estimate to 1.6 (95% CI: 1.5-1.8). Time varying reproduction ratio estimates show a steady decline in observed transmission over the first 14 days of t...
Source: Eurosurveillance latest news - October 22, 2009 Category: Infectious Diseases Source Type: journals
Pandemic H1N1 influenza surveillance in Victoria, Australia, April - September, 2009
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Victoria was the first Australian state to report widespread transmission of pandemic H1N1 2009 influenza. Notifiable laboratory-confirmed influenza and a general practitioner sentinel surveillance system measuring influenza-like illness (ILI), including laboratory confirmation of influenza as the cause of ILI, were used to assess the pandemic. The pandemic influenza A(H1N1)v virus quickly became the dominant circulating strain and notification rates were highest in children and young adults. Despite a high number of notified cases, comparison of ILI rates suggested the season peaked in late June, was similar in magnitude ...
Source: Eurosurveillance latest news - October 22, 2009 Category: Infectious Diseases Source Type: journals
Progression and impact of the first winter wave of the 2009 pandemic H1N1 influenza in New South Wales, Australia
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A range of surveillance systems were used to assess the progression and impact of the first wave of pandemic H1N1 influenza in New South Wales, Australia during the southern hemisphere winter. Surveillance methods included laboratory notifications, near real-time emergency department syndromic surveillance, ambulance despatch surveillance, death certificate surveillance and purpose-built web-based data systems to capture influenza clinic and intensive care unit activity. The epidemic lasted 10 weeks. By 31 August 2009, 1,214 people with pandemic H1N1 influenza infection were hospitalised (17.2 per 100,000 population), 225 ...
Source: Eurosurveillance latest news - October 22, 2009 Category: Infectious Diseases Source Type: journals
Pandemic influenza in a southern hemisphere setting: the experience in Peru from May to September, 2009
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This paper presents a description of Peru's experience with pandemic H1N1 influenza 2009. It is based on data from four main surveillance systems: a) ongoing sentinel surveillance of influenza-like illness cases with virological surveillance of influenza and other respiratory viruses; b) sentinel surveillance of severe acute respiratory infections and associated deaths; c) surveillance of acute respiratory infections in children under the age of five years and pneumonia in all age groups; and d) case and cluster surveillance. On 9 May 2009, the first confirmed case of pandemic H1N1 influenza in Peru was diagnosed in a Peru...
Source: Eurosurveillance latest news - October 22, 2009 Category: Infectious Diseases Source Type: journals
Pandemic H1N1 influenza in Brazil: Analysis of the first 34,506 notified cases of influenza-like illness with severe acute respiratory infection (SARI)
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We report an analysis of the first 34,506 cases of influenza-like illness with severe acute respiratory infection (SARI) notified in Brazil during the epidemiological weeks 16 to 33. The 5,747 confirmed cases of pandemic H1N1 influenza showed two incidence peaks across the age span: one in children up to the age of five years (3.8/100,000) and one in individuals aged 20 to 29 years (4.6/100,000). People over the age of 60 had the lowest incidence (1.1/100,000 inhabitants). The epidemic peaked rapidly. Ninety-four percent of cases were concentrated in two of Brazil's five geographic regions - the south and southeast, region...
Source: Eurosurveillance latest news - October 22, 2009 Category: Infectious Diseases Source Type: journals
Interim report on pandemic H1N1 influenza virus infections in South Africa, April to October 2009: Epidemiology and factors associated with fatal cases
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We provide an interim report on pandemic H1N1 influenza activity in South Africa, with a focus on the epidemiology and factors associated with deaths. Following the importation of the virus on 14 July 2009, and the epidemic peak during the week starting 3 August, the incidence in South Africa has declined. A total of 12,331 cases and 91 deaths have been laboratory-confirmed as of 12 October 2009. Age distribution and risk groups were similar to those observed elsewhere. The median age of patients who died (33.5 years) was significantly higher than that of the non-fatal cases (15.0 years, p (Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - October 22, 2009 Category: Infectious Diseases Source Type: journals
Preliminary analysis of the pandemic H1N1 influenza on Réunion Island (Indian Ocean): surveillance trends (July to mid-September 2009)
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We report preliminary epidemiological characteristics of the pandemic on Réunion Island in 2009 until week 37 ending September 13. (Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - October 22, 2009 Category: Infectious Diseases Source Type: journals
Pandemic H1N1 influenza lessons from the southern hemisphere
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(Source: Eurosurveillance latest news)
Source: Eurosurveillance latest news - October 22, 2009 Category: Infectious Diseases Source Type: journals
