India national influenza programme: influenza factsheet 2020

India Influenza Surveillance – Landscape Analysis 2020 INFLUENZA FACTSHEET 2020 Basic information (2020) Total population 1 358 652 1151 Children <5 years 147 826 6671 Under-5 mortality rate (per 1000 live births) 39.11 Life expectancy at birth (years) 68.82 Provinces/divisions/regions/zones 36 Districts 712 Total health expenditure (% of GDP) 3.91 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 Hospitals (outpatients) Surveillance case definition used for ILI case ascertainment WHO 2014 Is laboratory confirmation sought in ILI cases? Yes, for 5 cases a week per a site Number of ILI surveillance sites 54 Number of states/districts covered by the ILI sentinel surveillance system 36 % of the population covered by the ILI sentinel surveillance system 100% Denominator used for ILI sentinel surveillance No denominator Reporting frequency to the national level Daily Type of data reported Case-based Form of the data reporting tool Electronic Severe Acute Respiratory Infection (SARI) Surveillance Type of SARI surveillance Sentinel Sites involved in SARI sentinel surveillance Hospitals (inpatients) Surveillance case definition used for SARI case ascertainment WHO 2014 Is laboratory confirmation sought in SARI cases? Yes, for 5 cases a week per a site Number of SARI sentinel surveillance sites 54 Number of states/districts covered by the SARI sentinel surveillance system 36 % of the population covered by the SARI sentinel surveillance system 100% Denominator used for SARI sentinel surveillance No denominator Reporting frequency to the national level Daily Type of data reported Case-based Form of the data reporting tool Electronic INDIA National Influenza Programme Influenza Surveillance – Landscape Analysis 2020 India Intensive Care Unit (ICU) surveillance Does the country have surveillance for influenza in the ICU? No Is laboratory confirmation sought in ICU cases? Not applicable Is case-based information collected? Not applicable Mortality surveillance Is there all-cause mortality data (i.e. within one month) available in the country? No Virological surveillance system Does the country have virologic surveillance? Yes Type of virological surveillance Sentinel – If sentinel, number of sentinel sites involved 54 Is epidemiological case information collected? Yes – If yes, are the laboratory results linked to epidemiological data? Yes The average number of virological samples processed per week 270 Are samples processed from ILI or SARI surveillance systems? Yes, from both systems Does the country have virus isolation capacity? Yes Does the country have RT-PCR capacity? Yes – % laboratories that perform RT-PCR 100% – % RT-PCR laboratories 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 Virological surveillance: The number and percentage of specimens positive for influenza and subtypes , 2018–2020 Source: GISRS/ FLUMART (http://apps.who.int/flumart/) India Influenza Surveillance – Landscape Analysis 2020 National Influenza Centre Does the country have a National Influenza Centre (NIC) or national laboratory? Yes, NIC (established in 1980) Assays routinely performed at the NIC or national laboratory PCR, antiviral susceptibility testing Does the NIC have – Virus isolation capability – Antigenic characterisation capability – Antiviral susceptibility testing capability – Sequencing capability Yes Yes Yes Yes Does the NIC test for other respiratory viruses? Yes –Respiratory Syncytial Virus(RSV), Human metapneumovirus (HMPV), coronavirus, parainfluenza, rhinovirus, adenovirus, bocavirus 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; National Institute of Infectious Diseases: Tokyo, Japan. – How often? Twice a year Reporting Frequency of national reports Annually Are epidemiological and virological data integrated? No Reported via a website? Yes – https://ncdc.gov.in/showfile. php?lid=280 Does the country report to FluID? – Year of beginning of reporting – Frequency of reporting No Not applicable Not applicable Does the country report to FluNet? – Year of beginning of reporting – Frequency of reporting Yes 2011 Weekly Are there fixed outbreak thresholds? No Level at which data are stored, managed and analysed Both national and sub-national levels 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 October 2017 Yes 2022 Vaccination Does the country have a formal seasonal influenza vaccination policy? Yes Has seasonal influenza vaccine been introduced in the public sector? – Year introduced – Recommended risk groups – Vaccination period – Northern/Southern hemisphere vaccine ? – Vaccine type Yes 2015 Health care workers working in emergencies, ICU, RRTs, laboratory staff and drivers involved in handling influenza patients Winter Northern hemisphere vaccine Quadrivalent Is seasonal influenza offered in the private sector? – Only offered to particular risk groups? – Vaccination period – Vaccine hemisphere – Vaccine type Yes No winter Southern hemisphere vaccine Quadrivalent Is vaccine offered to Hajj and Umrah pilgrims? Yes, through the national programme Vaccine production capacity Yes Influenza Surveillance – Landscape Analysis 2020 India Pandemic preparedness Does the country have a National Influenza Pandemic Preparedness Plan? – Year developed – Year last updated Yes 2009 2019 (in the draft stage) Has the country performed simulation exercises? No Are there laboratory testing strategies in place for different phases of an influenza pandemic? Yes Are there surge capacity plans? Yes – included in the National Influenza Pandemic Preparedness Plan Does the pandemic preparedness plan include a detailed National Pandemic Vaccine Deployment Plan? – Are there priority groups? No Not applicable