global laboratory based influenza surveillance linda c. canas brooks afb san antonio, tx global...
TRANSCRIPT
Global Laboratory Based
Influenza Surveillance
Linda C. Canas
Brooks AFB
San Antonio, TX
GLOBAL EMERGING INFECTIONS SYSTEM
ANNUAL MESSAGE
SELECTEDISOLATES
Epidemiology andLaboratory personnel provide:-Program Oversight-Annual Guidance Letter
USAF Surgeon General’s Office (EA)
Sentinel Sites
Brooks AFB Virology Laboratory
-Isolation and Identification
Disease Surveillance, Disease Surveillance, Results AnalysisResults Analysis
CDCSubmitting Sites
Vaccine Decisions
SUPPLIES
DoD Global Influenza SurveillanceDoD Global Influenza Surveillance................................................................ IN ACTIONIN ACTION
COLLECT/SHIP SPECIMENS
USAF Surgeon General’s Office, DoD GEIS
REPORTS
INPUT
Impr
ovem
ents
PATIENTRESULTS
SENTINEL SITES
• USAF Academy COLORADO• Andersen AFB GUAM• Andrews AFB WASHINGTON DC• Elmendorf AFB ALASKA• Hawaii Army- Tripler
Air Force- Hickam Navy-Pearl Harbor
• Incirlik AFB TURKEY• Kadena AFB OKINAWA• Kunsan AFB KOREA• Lakenheath AFB UNITED
KINGDOM• Maxwell AFB ALABAMA• McGuire AFB NEW JERSEY• Misawa AFB JAPAN• Osan AFB KOREA• Ramstein AFB GERMANY• Sheppard AFB TEXAS• Travis AFB CALIFORNIA• Yokosuk NH JAPAN• Yokota AFB JAPAN
• Armed Forces Research Institute of Medical Sciences (AFRIMS)
• NEPAL• THAILAND
• Naval Medical Research Institute Detachment (NAMRID)
• PERU• ECUADOR• BOLIVIA• ARGENTINA
• Walter Reed Army Institute of Research
• (WRAIR)• UGANDA
Influenza A Isolates by Week(as of January 25, 2002)
Influenza A Isolates by Week(as of January 25, 2002)
0
5
10
15
20
25
39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9
WEEK
7
1
OCTOBER9% (36/402) of samples pos for any respiratory virus*
21% (8/36) of all resp viruses were Influenza A
25% (2/8) of the flus were typed and all were H3N2
*adjusted to exclude recruit adenovirus samples
OCTOBER9% (36/402) of samples pos for any respiratory virus*
21% (8/36) of all resp viruses were Influenza A
25% (2/8) of the flus were typed and all were H3N2
*adjusted to exclude recruit adenovirus samples
41
2
1
4
NOVEMBER25.5 % (86/337) of all samples were pos for any respiratory virus*
58% (50/101) of all resp viruses were Influenza A
2.9% (3/101) of all resp viruses were Influenza B-all from Peru
30% of the Influenza A’s were typed (15/50) and all were H3N2
*adjusted to exclude recruit adenovirus samples
NOVEMBER25.5 % (86/337) of all samples were pos for any respiratory virus*
58% (50/101) of all resp viruses were Influenza A
2.9% (3/101) of all resp viruses were Influenza B-all from Peru
30% of the Influenza A’s were typed (15/50) and all were H3N2
*adjusted to exclude recruit adenovirus samples
2
3
5
10
5
DECEMBER17.3% (43/248) of all samples were pos for any respiratory virus*
65% (28/43) of all resp viruses were Influenza A
75% of the Influenza A’s were typed (21/28) and 95% (20/21)were H3N2
The only H1N1 was from Korea
*adjusted to exclude recruit adenovirus samples
DECEMBER17.3% (43/248) of all samples were pos for any respiratory virus*
65% (28/43) of all resp viruses were Influenza A
75% of the Influenza A’s were typed (21/28) and 95% (20/21)were H3N2
The only H1N1 was from Korea
*adjusted to exclude recruit adenovirus samples
11 1
2
12
4
11
2
225
3
17
1
1JANUARY(as of Jan 25)
17.3% (83/480) of all samples were positive for any respiratory virus*
80% (66/83) of all resp viruses were Influenza A
18% of the Influenza A’s typed so far (12/66) have all been H3N2
*adjusted to exclude recruit adenovirus samples
JANUARY(as of Jan 25)
17.3% (83/480) of all samples were positive for any respiratory virus*
80% (66/83) of all resp viruses were Influenza A
18% of the Influenza A’s typed so far (12/66) have all been H3N2
*adjusted to exclude recruit adenovirus samples
Influenza A H3N2 Hemagglutinin Gene (HA1), 2001-2002Influenza A H3N2 Hemagglutinin Gene (HA1), 2001-2002
0
3.1
2
A.Hawaii.125.02A.Hawaii.2916.01A.Hawaii.126.02A.Hawaii.124.02A.Hawaii.117.02
A.Japan.4165.02A.Japan.53.02
A.Japan.62.02A.Panama.2007.99
A.Hawaii.3921.01A.Texas.3809.01
A.Hawaii.127.02 A.Japan.65.02A.Texas.50.02
A.Texas.49.02A.England.14.02
A.England.3902.01A.England.23.02.A.England.18.02