Bangladesh national influenza programme: influenza factsheet 2020

Bangladesh Influenza Surveillance – Landscape Analysis 2020 INFLUENZA FACTSHEET 2020 BANGLADESH National Influenza Programme Basic information (2020) Total population 167 836 8211 Children <5 years of age 16 026 4571 Under-5 mortality rate (per 1000 live births) 45.01 Life expectancy at birth (years) 74.32 Provinces/divisions/regions/zones 8 Districts 64 Total health expenditure (% of GDP) 2.31 Income level (World Bank) Lower middle3 1https://www.who.int/southeastasia/health-topics/immunization 2https://www.who.int/gho/publications/world_health_statistics/2020/en/ 3https://data.worldbank.org/ Influenza Like Illness (ILI) Surveillance Type of ILI surveillance Sentinel Sentinel sites involved in ILI surveillance Hospital (outpatients) Surveillance case definition used for ILI case ascertainment WHO 2014 Is laboratory confirmation sought for ILI cases? Yes, for 10 cases per site per week Number of ILI sentinel surveillance sites 10 Number of states/districts covered by the ILI sentinel surveillance system 10 % of the population covered by the ILI sentinel surveillance system ~20 Denominator used for ILI sentinel surveillance Number of outpatient visits Reporting frequency to the national level Monthly Type of data reported Aggregated Form of the data reporting Electronic Severe Acute Respiratory Infection (SARI) Surveillance Type of SARI surveillance Sentinel Sentinel sites involved in SARI surveillance Hospital (inpatients) Surveillance case definition used for SARI case ascertainment WHO 2014 Is laboratory confirmation sought for enrolled SARI cases? Yes, for all enrolled SARI cases Number of SARI sentinel surveillance sites 19 Number of states/districts covered by the SARI sentinel surveillance system 19 % of the population covered by the SARI surveillance system ~38 Denominator used for SARI sentinel surveillance Number of inpatient visits Reporting frequency to the national level Monthly Type of data reported Aggregated Form of the data reporting Electronic Influenza Surveillance – Landscape Analysis 2020 Bangladesh Location of Influenza sentinel surveillance sites Influenza Like Illness (ILI) Surveillance: Number of ILI cases, 2020 Jan 2020 0 10 20 30 Nu mb er of ca se s 40 50 60 Mar 2020 May 2020 Jul 2020 Sep 2020 Nov 2020 Bangladesh Influenza Surveillance – Landscape Analysis 2020 Severe Acute Respiratory infections (SARI) Surveillance: Number of and proportion of SARI cases per 100 inpatients, 2018–2020 (2018–2020) Source: GISRS/ FLUMART (http://apps.who.int/flumart/) Intensive Care Unit (ICU) surveillance Does the country have surveillance for influenza in the ICU? No Is laboratory confirmation sought in ICU cases? Not Relevant Is case-based information collected? Not Relevant Mortality surveillance Is timely all-cause mortality data (i.e. within one month) available in the country? No Virological surveillance Does the country have virological surveillance? Yes Type of virological surveillance Sentinel – If sentinel, the number of sites involved 19 Is epidemiological case information collected? Yes – If yes, are the laboratory results linked with epidemiological data? Yes The average number of virological samples processed per week 200 Are samples processed from ILI or SARI surveillance systems? Yes, also other systems in addition to ILI/SARI Does the country have virus isolation capacity? Yes Does the country have RT-PCR capacity? Yes – % labs that perform RT-PCR 100 – % RT-PCR labs that report to NIC 100 Does the country use rapid diagnostic testing for influenza surveillance? No Does the country have sequencing capacity? Yes Does the country test for other respiratory viruses? Yes Influenza Surveillance – Landscape Analysis 2020 Bangladesh Virological surveillance: Number of specimens positive for influenza by subtype and % positive, 2018–2020 Source: GISRS/ FLUMART (http://apps.who.int/flumart/) National Influenza Centre Does the country have a National Influenza Centre (NIC) or national laboratory? Yes – NIC (since 2007) Assays routinely performed at the NIC or national laboratory RT-PCR Does the NIC have – Virus isolation capability – Antigenic characterisation capability – Antiviral susceptibility testing capability – Sequencing capability Yes No No Yes Does the NIC test for other respiratory viruses? Yes – Respiratory syncytial virus (RSV), Human metapneumovirus (HMPV), human parainfluenza virus 1,2,3,4, Human Adenovirus, Middle East Respiratory Syndrome Coronavirus (MERS-CoV), other coronaviruses (43, 63, 229, HKU1), Rotavirus, Enterovirus Does the country have a quality control plan? Yes Does the country follow national biosafety and biosecurity policy guidelines? Yes Does the country forward samples to a WHO CC? Yes –US CDC, Atlanta, USA – How often? Quarterly Bangladesh Influenza Surveillance – Landscape Analysis 2020 For technical information, please contact: Dr Pushpa Ranjan Wijesinghe, Programme Area Manager (Infectious Hazard Management). Email: wijesinghep@who.int Reporting Frequency of national reports Monthly Are epidemiological and virological data integrated? Yes, both Reported via a website? Yes – http://www.iedcr.gov.bd Does the country report to FluID? – Year of beginning of reporting – Frequency of reporting Yes 2010 Weekly Does the country report to FluNet? – Year of beginning of reporting – Frequency of reporting Yes 2015 Weekly Are there fixed outbreak thresholds? No Level at which data are stored, managed and analysed National Has formal training on data reporting and analysis been provided to surveillance and laboratory staff? – If yes, when? – Has a training session been planned? If yes, when? Yes 2016 No Vaccination Does the country have a formal seasonal influenza vaccination policy? No Has seasonal influenza vaccine been introduced in the public sector? – Year introduced – Recommended risk groups – Vaccination period – Northern/Southern hemisphere vaccine ? – Vaccine type No – – – – – Is seasonal influenza vaccine offered in the private sector? – Only offered to particular risk groups? – Vaccination period – Northern/Southern hemisphere vaccine ? – Vaccine type Yes No All year Northern hemisphere vaccine Quadrivalent Is vaccine offered for Hajj and Umrah pilgrims? Yes, via the national programme Vaccine production capacity Yes Pandemic preparedness Does the country have a National Influenza Pandemic Preparedness Plan? – Year developed – Year last updated Yes 2006 2016 Has the country performed simulation exercises? Yes – tabletop Are there laboratory testing strategies in place for different phases of an influenza pandemic? Yes Are there surge capacity plans? No Does the pandemic preparedness plan include a detailed National Pandemic Vaccine Deployment Plan? – Are there priority groups? No –