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Published on: August 14, 2019
Virological and Epidemiological Situation in the Influenza Epidemic Seasons 2016/2017 and 2017/2018 in Poland
E Hallmann-Szelińska1, K Łuniewska2, K Szymański2
1Department of Influenza Research - National Influenza Center, National Institute of Public Health - National Institute of Hygiene, Warsaw, Poland. ehallmann@pzh.gov.pl.
Abstract:
The World Health Organization estimates that influenza virus infects 3-5 million people worldwide every year, of whom 290,000 to 650,000 die. In the 2016/2017 epidemic season in Poland, the incidence of influenza was 1,692 per 100,000 population. The influenza A virus, subtype A/H3N2/, was the predominant one in that season. However, in the most recent 2017/2018 epidemic season, the incidence exceeded 1,782 per 100,000 already by August of 2018. In this season, influenza B virus predominated, while the A/H1N1/pdm09 strain was most frequent among the influenza A subtypes. The peak incidence, based on the number of clinical specimens tested, was in weeks 4-5 of 2017 and week 8 of 2018 in the 2016/2017 and 2017/2018 epidemic seasons, respectively. As of the 2017/2018 season, a quadrivalent vaccine, consisting of two antigens of influenza A subtypes and another two of influenza B virus, was available in Poland. Nonetheless, the vaccination rate remained at one of the lowest level in Europe, fluctuating between 3% and 4% of the general Polish population.
Insights
Influenza remains a significant global health concern, with Poland experiencing high incidence rates. Despite available quadrivalent vaccines, vaccination rates in Poland remain critically low, posing a public health challenge.
Area of Science:
- Epidemiology
- Public Health
- Virology
Background:
- Influenza virus causes millions of infections and hundreds of thousands of deaths globally each year.
- Poland observed high influenza incidence in the 2016/2017 and 2017/2018 seasons, with shifts in predominant strains (A/H3N2/ then Influenza B).
- Despite the availability of quadrivalent influenza vaccines since the 2017/2018 season, vaccination coverage in Poland remains exceptionally low (3-4%).
Purpose of the Study:
- To analyze influenza incidence and predominant strains in Poland during the 2016/2017 and 2017/2018 epidemic seasons.
- To highlight the low influenza vaccination rates in Poland despite vaccine availability.
- To underscore the public health implications of low vaccine uptake.
Main Methods:
- Analysis of influenza incidence data per 100,000 population.
- Identification of predominant influenza A and B virus strains.
- Review of vaccination coverage statistics in Poland.
Main Results:
- Influenza incidence in Poland was 1,692/100,000 (2016/2017) and over 1,782/100,000 (2017/2018).
- Influenza A/H3N2/ predominated in 2016/2017; Influenza B and A/H1N1/pdm09 were most frequent in 2017/2018.
- Peak incidence occurred in weeks 4-5 of 2017 and week 8 of 2018.
- Poland's influenza vaccination rate is among Europe's lowest, at 3-4%.
Conclusions:
- Poland faces a substantial burden from seasonal influenza, with varying dominant strains.
- Low influenza vaccination coverage in Poland presents a significant public health challenge.
- Strategies to improve influenza vaccine uptake are crucial for mitigating disease impact.
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