Influenza situation in the Eastern Mediterranean Region: W33/2021 (from 15/08/2021 to 21/08/2021): source of data: EMFLU Network and FLUMART

Flu A: seasonal H3N2 399 (39) 51 (65) Table 1. Type and number of influenza viruses detected from W33/2020 to W33/2021 and during the last four weeks Virus type W33/2020-W33/2021 Last 4 weeks Number (%) Number (%) Flu B 549 (54) 9 (12) Flu A: Unsubtyped 37 (4) 15 (19) Flu A: H5N1 8 (1) Total 1026 78 Influenza situation in the Eastern Mediterranean Region W33/2021 (from 15/08/2021 to 21/08/2021) Figure 1. Number of positive influenza cases and influenza positivity rate per week, 2020-2021 Figure 2. Percentage of circulating virus type by positive influenza cases W33/2020 - W33/2021 Last 4 weeks Flu A: A(H1N1)pdm09 33 (3) 3 (4) 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 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 W 5 3 P er ce n ta g e o f p o si ti v e ca se s (% ) N u m b er o f p o si ti v e in fl u en za c a se s Epi week Number of positive influenza cases - 2020 Number of positive influenza cases - 2021 Percentage of positive cases (%) - 2020 Percentage of positive cases (%) - 2021 3% 39% 4% 1% 53% Flu A: A(H1N1)pdm09 Flu A: seasonal H3N2 Flu A: Unsubtyped Flu A: H5N1 Flu B 4% 65% 19% 12% Flu A: A(H1N1)pdm09 Flu A: seasonal H3N2 Flu A: Unsubtyped Flu B WHO-EM/CSR/448/E 1/2 Flu B Flu A (H1N1)pdm0 9 Flu A (H3N2) Flu A (Not- subtyped) Flu A: H5N1 Number (%) (-) 13 (21) (-) (-) 49 (79) (-) (-) (-) (-) 7 (100) (-) 154 (89) (-) (-) 19 (11) (-) 1 (25) (-) (-) 3 (75) (-) 1 (10) (-) 8 (80) 1 (10) (-) (-) (-) (-) (-) (-) (-) (-) (-) (-) (-) (-) (-) (-) (-) (-) (-) (-) (-) (-) (-) (-) (-) (-) 10 (100) (-) 114 (43) (-) (-) 149 (57) 3 (2) 48 (31) 35 (23) (-) 68 (44) 1 (1) (-) 2 (2) (-) 87 (97) (-) (-) (-) (-) (-) (-) 5 (100) (-) (-) (-) (-) (-) (-) (-) (-) (-) 6 (75) (-) (-) 2 (25) 4 (1) 342 (44) 37 (5) 8 (1) 395 (50) (-) 5 (18) (-) 8 (1) 30096 (94) 786 (3) 263 (5) 154 (4) 90 (2) 13 (100) 28 (100) 129 (100) 740 (100) 7 (2) 173 (4) 4 (0) 10 (2) (-) (-) (-) (-) 10 (0) 664 (100) 2080 (100) (-) 1392 (100) 122 (100) 4292 (99) 5205 (100) 4272 (100) 3985 (76) Syrian Arab Republic 28 129 740 © World Health Organization 2021. 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 31966 4102 1137 664 282 (98) 4102 (100) 1137 (100) Sudan Saudi Arabia Qatar Pakistan Oman Morocco Lebanon Kuwait Jordan 2080 140 1392 122 4326 5205 4272 5261 13 Figure 3. Comparison of respiratory pathogens detected from tested specimens by last 12 weeks Table 2. Reported cases by country during W01-W33/2021 Figure. 4 Age group distribution of influenza cases by virus type in the Region from W33/2020 to W33/2021 Iraq Iran (Islamic Republic of) Egypt Bahrain Afghanistan Positive cases Number of enrolled cases Tested cases number (%) Infuenza positive cases number (%) Flu A Country 2067 1653 (80) 62 (4) 288 0 5 10 15 20 25 30 35 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 W22 W23 W24 W25 W26 W27 W28 W29 W30 W31 W32 W33 N u m b er o f p o si ti v e in fl u en za c a se s Flu A: A(H1N1)pdm09 Flu A: seasonal H3N2 Flu A: Unsubtyped Flu B (blank) 0 20 40 60 80 100 120 140 160 180 Less than 2 3 to 5 6 to 15 16 to 50 51 to 65 More than 65 N u m b er o f p o si ti v e in fl u en za c a se s Age group Flu A: A(H1N1)pdm09 Flu A: seasonal H3N2 Flu A: Unsubtyped Flu B 2/2