Influenza situation in the Eastern Mediterranean Region: W45/2020 (from 01/11/2020 to 07/11/2020): source of data: EMFLU Network and FLUMART

Influenza situation in the Eastern Mediterranean Region W45/2020 (from 01/11/2020 to 07/11/2020) 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 - W45/2020 Last 4 weeks Flu A: A(H1N1)pdm09 9202 (31) 1 (7) Source of data : EMFLU Network and FLUMART Flu A: seasonal H3N2 2373 (8) Table 1. Type and number of influenza viruses detected from W33/2019 to W45/2020 and during the last four weeks Virus type W33/2019-W45/2020 Last 4 weeks Number (%) Number (%) Flu A: Unsubtyped 11283 (38) Flu B 6837 (23) 13 (93) Total 29695 14 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 7% 93% Flu A: A(H1N1)pdm09 Flu B WHO-EM/CSR/371/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) 380 (57) 138 (21) 150 (22) 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) (-) 139 (27) (-) (-) (-) 1 (2) (-) 4 (7) 220 (72) 12 (4) 72 (24) 84 (46) 27 (15) 72 (39) 63 (83) 8 (11) 5 (7) 2465 (31) 780 (10) 2228 (28) Figure 3. Comparison of respiratory pathogens detected from tested specimens by last 12 weeks Table 2. Reported cases by country during W01-W45/2020 Figure. 4 Age group distribution of influenza cases by virus type in the Region from W33/2019 to W45/2020 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 2710 1480 (55) 128 (9) (-) 341 12695 4652 139196 316 (93) 12695 (100) 4652 (100) Saudi Arabia Qatar Pakistan Oman occupied Palestinian territory Morocco Lebanon Kuwait Jordan 1174 4582 567 764 4381 3851 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) 200772 16965 5577 Sudan 1547 (100) 443 (101) 93 261 812 1549 437 1434 (26) 18 (19) 236 (90) 529 (65) 5391 (4) 1174 (100) 1273 (28) 557 (98) 764 (100) 4381 (100) 3304 (86) 165 (100) 16966 (100) 46 (15) 668 (5) 708 (15) 304 (6) 98 (8) 218 (17) 291 (52) 187 (24) 369 (8) (-) (-) 513 (36) (-) 61 (26) 305 (58) 57325 (29) 8072 (14) 2599 (32) 10 (22) (-) 93 (13) (-) 4 (4) 131 (60) (-) (-) (-) 42 (27) (-) 2116 (56) 146 (28) (-) 56 (92) 1 (0) 155 (5) 13 (8) 3749 (22) 0 200 400 600 800 1000 1200 1400 1600 1800 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 W34 W35 W36 W37 W38 W39 W40 W41 W42 W43 W44 W45 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