Annual report of the National Influenza Surveillance Scheme, 1999

An effective national surveillance system is an essential component of a program for the control of influenza. The National Influenza Surveillance Scheme includes data from sentinel general practice consultations for influenza-like illness, laboratory reports of influenza and absenteeism rates from a national employer. The 1999 season peaked between May and September with maximal activity between July and August. Influenza A was the dominant type in all States and Territories with influenza A H3N2 viruses predominating and influenza A H1N1 occurring sporadically. There was no evidence of significant drift among the H3N2 isolates (A/Sydney-like strains) whereas the H1N1 isolates showed significant antigenic changes from the vaccine strain A/Beijing/262/95 and were closely related to a new variant A/New Caledonia/20/99. A small peak in influenza B activity occurred towards the end of the influenza season and isolates remained closely related to the vaccine reference strain B/Beijing/184/93.