Influenza situation in the Eastern Mediterranean Region: W31/2020 (from 26/07/2020 to 01/08/2020): source of data: EMFLU Network and FLUMART

Flu A: seasonal H3N2 2365 (8) 2 (22) Table 1. Type and number of influenza viruses detected from W33/2019 to W31/2020 and during the last four weeks Virus type W33/2019-W31/2020 Last 4 weeks Number (%) Number (%) Flu A: Unsubtyped 11283 (38) 1 (11) Flu B 6820 (23) 1 (11) Total 29651 9 Influenza situation in the Eastern Mediterranean Region W31/2020 (from 26/07/2020 to 01/08/2020) 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 - W31/2020 Last 4 weeks Flu A: A(H1N1)pdm09 9183 (31) 5 (56) Source of data : EMFLU Network and FLUMART 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 56% 22% 11% 11% Flu A: A(H1N1)pdm09 Flu A: seasonal H3N2 Flu A: Unsubtyped Flu B WHO-EM/CSR/357/E 1/2 Flu B Flu A (H1N1)pdm09 Flu A (H3N2) Number (%) 38 (31) 61 (50) 22 (18) 14 (30) 8 (17) 14 (30) 364 (56) 131 (20) 150 (23) 23 (3) 3 (0) 583 (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) 31 (20) 21 (14) 6 (46) 7 (54) (-) 927 (25) 47 (1) 659 (18) 228 (45) (-) 132 (26) (-) (-) (-) 1 (2) (-) 4 (7) 220 (72) 12 (4) 72 (24) 84 (46) 27 (15) 72 (39) 63 (83) 8 (11) 5 (7) 2446 (30) 772 (10) 2211 (28)50613 (35) 8028 (16) 2599 (32) 10 (22) (-) 93 (13) (-) 4 (4) 131 (60) (-) (-) (-) 42 (27) (-) 2116 (56) 146 (29) (-) 56 (92) 1 (0) 154 (10) 13 (8) 3749 (24) 46 (16) 645 (6) 702 (16) 304 (6) 98 (11) 218 (17) 291 (52) 187 (24) 369 (8) (-) (-) 506 (38) (-) 61 (48) 305 (62) 5391 (6) 930 (100) 1273 (32) 555 (98) 764 (100) 4361 (100) 1545 (74) 165 (100) 15409 (100)15408 4858 Sudan 1379 (100) 443 (101) 93 153 773 1381 437 1349 (28) 18 (19) 128 (84) 490 (63) © 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 (13) 76 (17) 144845 (-) 312 10637 4366 91273 288 (92) 10637 (100) 4366 (100) Saudi Arabia Qatar Pakistan Oman occupied Palestinian territory Morocco Lebanon Kuwait Jordan 930 4019 565 764 4361 2084 165 Figure 3. Comparison of respiratory pathogens detected from tested specimens by last 12 weeks Table 2. Reported cases by country during W01-W31/2020 Figure. 4 Age group distribution of influenza cases by virus type in the Region from W33/2019 to W31/2020 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 2266 1122 (50) 121 (11) 0 50 100 150 200 250 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 W20 W21 W22 W23 W24 W25 W26 W27 W28 W29 W30 W31 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