Timor-Leste national influenza programme: influenza factsheet 2021

55 Basic Information (2021) Total population 1,327,0381 Children < 5 years 145,5501 Under-5 mortality rate (per 1,000 live births) 45.81 Life expectancy at birth (years) 69.62 Provinces/divisions/regions/zones 13 Districts 65 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 Sites involved in ILI surveillance Community health centres Clinical case definition used for ILI case ascertainment WHO 2011 Is laboratory confirmation sought in ILI cases? Yes, 6 ILI cases per week Number of ILI surveillance sites 5 Number of states/districts covered by the surveillance system 3 % of the population covered by the surveillance system 15% Denominator used for ILI surveillance Catchment population (for the sentinel site) Reporting frequency to national level Weekly How are the data reported Case-based data Form of the reporting tool Paper based Severe acute respiratory infections (SARI) surveillance Type of SARI surveillance Sentinel Sites involved in SARI surveillance Hospitals (inpatients) Clinical case definition used for SARI case ascertainment WHO 2011 Is laboratory confirmation sought in SARI cases? No Number of SARI surveillance sites 6 TIMOR-LESTE National Influenza Programme 56 Number of states/districts covered by the surveillance system 13 % of the population covered by the surveillance system 20% Denominator used for SARI surveillance No denominators used Reporting frequency to the national level Weekly How are the data reported Case-based data Form of the reporting tool Paper based Intensive Care Unity (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 Death surveillance Is timely all-cause mortality data (i.e. within one month) available in the country? No Virological surveillance system Does the country have virological surveillance? Yes Type of virological surveillance If sentinel, number of sites involved Sentinel 8 Is epidemiological case information collected? If yes, are the laboratory results linked with epidemiological data? Yes Yes Average number of virological samples processed per week 2–3 Are samples processed from ILI or SARI surveillance systems? Yes, from both sources Does the country have virus isolation capacity? No Does the country have RT-PCR capacity? % laboratories that perform RT-PCR % RT-PCR laboratories that report to the NIC Yes – – Does the country use rapid diagnostic testing for influenza surveillance? Yes Does the country have genomic sequencing capacity? No Does the country test for other respiratory viruses? No 57 Number and proportion of specimens positive for influenza and subtypes, 2019–2021 Source: GISRS/ FLUMART (http://apps.who.int/flumart/) Influenza surveillance sites National influenza centre Does the country have a national influenza centre (NIC) or a national laboratory focusing on influenza ? No NIC; the national laboratory focuses on influenza Assays routinely performed at the NIC or national laboratory - Does the NIC have Virus isolation capability Antigenic characterisation capability Antiviral susceptibility testing capability Sequencing capability No Yes No No Does the NIC test for other respiratory viruses? No Does the country have a quality control plan? Yes Does the country follow national biosafety and biosecurity policy guidelines? Yes 58 Does the country forward samples to a WHO CC? How often are samples shipped to a WHO CC ? Yes – Victorian Infectious Diseases Reference Laboratory (VIDRL), Melbourne, Australia Once a year Reporting Frequency of national reports Annually Are epidemiological and virologic data integrated? No Reported via a website? No Does the country report to the FluID? Year of beginning of reporting Frequency of reporting No Not applicable Not applicable Does the country report to the FluNet? Year of beginning of reporting Frequency of reporting Yes 2016 Weekly Are there fixed outbreak thresholds? No Level at which data are stored, managed and analysed National level 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? No – 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 Not applicable Not applicable Not applicable Not applicable Not applicable Is seasonal influenza offered in the private sector? Only offered to particular risk groups? Vaccination period Northern/Southern hemisphere vaccine ? Vaccine type No Not applicable Not applicable Not applicable Not applicable Is vaccine offered to Hajj and Umrah pilgrims? No Vaccine production capacity No Pandemic preparedness Does the country have a National Influenza Pandemic Preparedness Plan? Year developed Year last updated Yes 2009 2019 Has the country performed simulation exercises? Yes, table top exercises, functional exercises, drills, field exercises Are there laboratory testing strategies in place for different phases of an influenza pandemic? Yes Are there surge capacity plans? – Does the pandemic preparedness plan include a detailed National Pandemic Vaccine Deployment Plan? Are there priority groups for pandemic vaccinations? Yes Yes – those aged 18 years or older