Thailand national influenza programme: influenza factsheet 2018

Influenza factsheet – THAILAND | 2020 Influenza factsheet 2018 Thailand national Influenza Programme Basic information (2018) Total population 66 188 5031 Children < 5 years 3 009 1551 Under-5 mortality rate (per 1,000 LBa) 12.21 Life expectancy at birth (years)2 75.52 Provinces/divisions/regions 77 Districts 928 Total health expenditure (% of GDP) 3.81 Income level (Source: World Bank) Upper middle income3 alive births 1http://www.searo.who.int/immunization/data/thailand_2018.pdf 2https://www.who.int/gho/publications/world_health_statistics/2018/en/ 3https://data.worldbank.org/country/thailand Population pyramid (by age and sex) Source: https://population.un.org/wpp/Graphs/DemographicProfiles/ Influenza factsheet – thaIlanD | 2020 Infl uenza surveillance Surveillance systems System Site type System type Sample collection National Disease Surveillance Hospital National Partial Sentinel Virological Surveillance by National Infl uenza Centre in collaboration with Division of Epidemiology Hospital Sentinel Surveillance Yes National Disease surveillance (epidemiological) Characteristics ILI Case defi nition WHO 2011 Target population Out-patients and In-patients Number of provinces 77 Number of sites 1323 Selection for sampling Partial Reporting frequency Weekly Sentinel surveillance (virological) Virological surveillance Yes National or sentinel Sentinel Number of provinces 20 Number of sites 32 Epidemiological case information provided Yes Weekly average no. of samples processed 51 Samples collected from both surveillance systems Yes Sentinel sites North region • Chiang Mai • Chiang Rai North-East region • Nakhon Ratchasima • Nong Khai • Udonthani • Nakhon Phanom • Yasothon • Maha Sarakham • Loei Central region • Bangkok • Ayutthaya • Lop Buri • Ratchaburi • Chanthaburi • Phetchaburi South region • Prachuap Khiri Khan • Nakhon Si Thammarat • Surat Thani • Trang • Phuket Influenza factsheet – THAILAND | 2020 National Influenza Centre (NIC) Number of NICs 1 Year established as NIC 1972 Routine assays performed at NIC/national laboratory Real-time RT-PCR and viral isolation Percentage of laboratories with RT-PCR 100 Detection of other respiratory virus by PCR Yes Other respiratory viruses detected AdV, FluA, FluB, PIV1, PIV2, PIV3, PIV4, HRV, RSV A, RSV B, HBoV, MPV, CoV 229E, CoV NL63, CoV OC43, HEV Availability of a quality control plan Yes Sending samples to WHO CC Yes WHO CC to which samples sent US CDC, Atlanta, USA; VIDRL, Melbourne, Australia Frequency Twice a year for each WHO CC Reporting Frequency of published national reports Weekly Inclusion of sentinel data Yes Integration of epidemiological and virological information Yes Reporting through website Yes Website link www.thainihnic.orgwww.boe.moph.go.th Reporting to Flunet Yes Frequency ILI only from 2011 to Q1 2016 Reporting to FluID Yes Frequency Weekly since 2003 Virological data (FluNet) Number of specimens of influenza subtypes and % influenza positives by week and year, Thailand 0 20 40 60 80 100 0 10 20 30 40 50 60 70 80 90 100 1 6 111621263136414651 4 9 1419242934394449 1 6 111621263136414651 4 9 1419242934394449 2 7 121722273237424752 5 101520253035404550 2013 2014 2015 2016 2017 2018 % P os iti ve N um be r o f s pe ci m en A/H1N1pm09 A/H1N1 A/H3N2 A/H5N1 A (Unsubtyped) B Yamagata B Victoria B (Unsubtyped) % Positive Plotted in R (ggplot2). Data source: FluMART, available at http://apps.who.int/flumart/ Influenza factsheet – THAILAND | 2020 For technical information, please contact: Dr Pushpa Ranjan Wijesinghe, Programme Area Manager (Infectious Hazard Management). Email: wijesinghep@who.int Epidemiological data (FluID) Number of influenza like illness (ILI) cases and ILI cases per 1000 outpatients, by week and year, Thailand 0 10 20 30 40 50 60 70 0 20000 40000 60000 80000 100000 120000 140000 1 5 9 13 17 21 25 29 33 37 41 45 49 2 6 10 14 18 22 26 30 34 38 42 46 50 1 5 9 44 48 52 4 8 12 16 20 24 28 32 36 40 44 48 52 4 8 12 16 20 24 28 32 36 40 44 48 52 2014 2015 2016 2017 2018 Ca se s p er 10 00 ou tpa tie nts Nu mb er of ca se s ILI cases ILI cases per 1000 outpatients Data source: FluMART, available at http://apps.who.int/flumart/Default?ReportNo=16 Influenza vaccination Availability of a national seasonal influenza vaccination policy Yes Year introduced 2004 Recommended risk groups Pregnant; <2yrs; ≥65 yrs; healthcare personnel and poultry cullers; chronic diseases; mental disability; obesity Vaccination period May–September Vaccination type Southern hemisphere Vaccine production capacity in 2014 – Pandemic preparedness National influenza pandemic preparedness plan Yes Year developed 2005 Year updated 2012 (Planned for updating in 2019)