Influenza surveillance in Victoria, 2006
James E Fielding1, Emma R Miller, Josie Adams
1Communicable Disease Control Unit, Department of Human Services, Melbourne, Victoria. James.Fielding@dhs.vic.gov.au
Abstract:
The Victorian influenza season in 2006 remained within normal seasonal activity thresholds and was relatively mild compared with recent years. The season peaked in mid-August, with influenza-like illness (ILI) rates from general practitioner sentinel surveillance and the Melbourne Medical Locum Service (MMLS), and cases of laboratory-confirmed influenza notified to the Department of Human Services, reaching their zeniths within one week of each other. A total of 74 general practitioners (GPs) participated in the sentinel surveillance in 2006, reporting a total of 136,732 consultations during the surveillance period from May to September inclusive. Participating GPs reported a total of 765 patients with an ILI; an average ILI rate of 5.6 cases per 1,000 consultations. The average ILI rate from the MMLS in the same period was 8.5 cases per 1,000 call-outs. Eighty-two per cent of laboratory-confirmed influenza notifications during the surveillance period were type A; the remainder were type B. Typing indicated circulation of two predominant strains during the season: A/Wisconsin/67/2005(H3N2)-like virus and B/Malaysia/2506/2004-like virus. The influenza vaccine for 2006 contained A/New Caledonia/20/ 99(H1N1)-like virus, A/California/7/2004(H3N2)-like virus and B/Malaysia/2506/2004-like virus.
Insights
The 2006 Victorian influenza season was mild, peaking in August. Surveillance data showed influenza-like illness (ILI) rates and confirmed cases aligned, with Type A influenza predominating.
Area of Science:
- Epidemiology
- Virology
- Public Health
Background:
- Victorian influenza seasons typically exhibit seasonal activity patterns.
- Monitoring influenza activity is crucial for public health interventions.
Purpose of the Study:
- To describe the epidemiological characteristics of the 2006 Victorian influenza season.
- To identify the predominant influenza strains circulating and compare them to vaccine strains.
Main Methods:
- Sentinel surveillance by general practitioners (GPs) and the Melbourne Medical Locum Service (MMLS).
- Reporting of influenza-like illness (ILI) rates and laboratory-confirmed influenza cases.
- Viral typing of confirmed influenza cases.
Main Results:
- The 2006 season was mild and peaked in mid-August.
- Average ILI rates were 5.6 per 1,000 consultations (GPs) and 8.5 per 1,000 call-outs (MMLS).
- Type A influenza accounted for 82% of confirmed cases, with strains A/Wisconsin/67/2005(H3N2)-like and B/Malaysia/2506/2004-like predominating.
Conclusions:
- The 2006 Victorian influenza season demonstrated typical patterns but with reduced severity.
- Circulating influenza strains were identified, informing future vaccine composition.
- Surveillance systems effectively tracked influenza activity and strain prevalence.
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