Influenza situation in the Eastern Mediterranean Region: W46/2020 (from 08/11/2020 to 14/11/2020): source of data: EMFLU Network and FLUMART

Influenza situation in the Eastern Mediterranean Region W46/2020 (from 08/11/2020 to 14/11/2020) Figure 1. Number of positive influenza cases and influenza positivity rate per week, 2019-2020 Figure 2. Percentage of circulating virus type by positive influenza cases W33/2019 - W46/2020 Last 4 weeks Flu A: A(H1N1)pdm09 9207 (31) 6 (18) Source of data : EMFLU Network and FLUMART Flu A: seasonal H3N2 2375 (8) 2 (6) Table 1. Type and number of influenza viruses detected from W33/2019 to W46/2020 and during the last four weeks Virus type W33/2019-W46/2020 Last 4 weeks Number (%) Number (%) Flu A: Unsubtyped 11283 (38) Flu B 6850 (23) 26 (76) Total 29715 34 0 10 20 30 40 50 60 70 80 90 100 0 50 100 150 200 250 300 350 W 0 1 W 0 2 W 0 3 W 0 4 W 0 5 W 0 6 W 0 7 W 0 8 W 0 9 W 1 0 W 1 1 W 1 2 W 1 3 W 1 4 W 1 5 W 1 6 W 1 7 W 1 8 W 1 9 W 2 0 W 2 1 W 2 2 W 2 3 W 2 4 W 2 5 W 2 6 W 2 7 W 2 8 W 2 9 W 3 0 W 3 1 W 3 2 W 3 3 W 3 4 W 3 5 W 3 6 W 3 7 W 3 8 W 3 9 W 4 0 W 4 1 W 4 2 W 4 3 W 4 4 W 4 5 W 4 6 W 4 7 W 4 8 W 4 9 W 5 0 W 5 1 W 5 2 P e rc e n ta g e o f p o si ti v e c a se s (% ) N u m b e r o f p o si ti v e in fl u e n za c a se s Epi week Number of positive influenza cases - 2019 Number of positive influenza cases - 2020 Percentage of positive cases (%) - 2019 Percentage of positive cases (%) - 2020 31% 8% 38% 23% Flu A: A(H1N1)pdm09 Flu A: seasonal H3N2 Flu A: Unsubtyped Flu B 18% 6% 76% Flu A: A(H1N1)pdm09 Flu A: seasonal H3N2 Flu B WHO-EM/CSR/372/E 1/2 Flu B Flu A (H1N1)pdm09 Flu A (H3N2) Number (%) 38 (30) 61 (48) 29 (23) 14 (30) 8 (17) 14 (30) 385 (57) 140 (21) 156 (23) 26 (4) 3 (0) 586 (83) 101 (33) 44 (14) 159 (52) 42 (43) 29 (30) 23 (23) 9 (4) 15 (7) 63 (29) 86 (30) 40 (14) 165 (57) 35 (19) 121 (65) 31 (17) 145 (39) 188 (51) 36 (10) 60 (39) 32 (21) 21 (14) 6 (46) 7 (54) (-) 927 (25) 47 (1) 659 (18) 228 (44) (-) 146 (28) (-) (-) (-) 1 (2) (-) 4 (7) 220 (72) 12 (4) 72 (24) 84 (46) 27 (15) 72 (39) 63 (83) 8 (11) 5 (7) 2470 (31) 782 (10) 2241 (28) Figure 3. Comparison of respiratory pathogens detected from tested specimens by last 12 weeks Table 2. Reported cases by country during W01-W46/2020 Figure. 4 Age group distribution of influenza cases by virus type in the Region from W33/2019 to W46/2020 Iraq Iran (Islamic Republic of) Egypt Bahrain Afghanistan Positive cases Number of enrolled cases Tested cases number (%) Infuenza positive cases number (%) Flu A (Not- subtyped) Flu A Country 2768 1538 (56) 128 (8) (-) 341 12829 4694 140391 316 (93) 12829 (100) 4694 (100) Saudi Arabia Qatar Pakistan Oman occupied Palestinian territory Morocco Lebanon Kuwait Jordan 1193 4619 567 764 4381 4011 165 © World Health Organization 2020. Some rights reserved. This work is available under the Creative Commons Attribution-Non Commercial-Share Alike 3.0 IGO license (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc- sa/3.0/igo). Total United Arab Emirates Tunisia Syrian Arab Republic Yemen 183 (12) 76 (17) 203061 17134 6010 Sudan 1569 (100) 443 (101) 93 272 821 1571 437 1469 (24) 18 (19) 247 (91) 538 (66) 5391 (4) 1193 (100) 1273 (28) 557 (98) 764 (100) 4381 (100) 3463 (86) 165 (100) 17135 (100) 46 (15) 681 (5) 708 (15) 304 (6) 98 (8) 218 (17) 291 (52) 187 (24) 369 (8) (-) (-) 520 (35) (-) 61 (25) 305 (57) 57983 (29) 8092 (14) 2599 (32) 10 (22) (-) 93 (13) (-) 4 (4) 131 (60) (-) (-) (-) 42 (27) (-) 2116 (56) 146 (28) (-) 56 (92) 1 (0) 155 (4) 13 (8) 3749 (22) 0 200 400 600 800 1000 1200 1400 1600 1800 2000 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 W35 W36 W37 W38 W39 W40 W41 W42 W43 W44 W45 W46 N u m b e r o f p o si ti v e in fl u e n za c a se s Flu A: A(H1N1)pdm09 Flu A: seasonal H3N2 Flu A: Unsubtyped Flu B (blank) 0 200 400 600 800 1000 1200 1400 1600 Less than 2 3 to 5 6 to 15 16 to 50 51 to 65 More than 65 N u m b e r o f p o si ti v e in fl u e n za c a se s Age group Flu A: A(H1N1)pdm09 Flu A: seasonal H3N2 Flu A: Unsubtyped Flu B 2/2