During the 13th week of 2018 (26.03.2018 – 01.04.2018), the Republic of Macedonia registered 386  influenza cases/flu-like diseases(I=18.7/100.000).

Compared with the number of registered cases in the last week, are increased for 44%(chart 1)and increased for 7 times compared with the cases of the last season.

Chart 1. Distribution of cases of seasonal influenza by week, typical epidemic curve of the seasons 2010-2017, 2016/2017 and 2017/2018

 graf 1

Regarding the distribution of patients by age groups, the largest number of cases this week have been reported in the age group of 15-64 years (234 cases) and the highest incidence is registered in the age group, from 5-14 years. (I=27.7/100.000)

This week the biggest number of influenza cases is registered in Strumica, n= 63 and also, the highest incidence is registered in Makedonski Brod (I = 98.2/ 100.000).

From 31 reporting units, Sveti Nikole registered medium activity of the influenza virus, while other units- registered low to very low activity, 4 units didn’t registered any cases

Chart 2. Level of influenza activity according to the incidence of 100,000 inhabitants, week 13 2018

rsz_13_nedela

In the 2017/2018 season, the total number of influenza like illness (ILI) cases is 23483 (I = 1134.9/ 100.000).Compared with the previous season (34849cases), the number has decreased for 1/3 .

This season the biggest number of influenza cases is registered in Gostivar-2341, Skopje-3091, Strumica-2297, with the highest incindence in Kavadarci (I=3736.6 /100 000).

Regarding the distribution of patients by age groups, the largest number of cases this season have been reported in the age group of 15-64 years, 14285 cases (60.8%) and the highest incidence is registered in the age group of 5-14 years. (I=2047.1/100 000).

The analysis of the number of seasonal flu cases per month indicates a gradual increase in the number of patients in January (2,396 patients or 10.2%) and a peak in February (12,951 or 55.2%). In march, are registered 7054 or 30%.

 

During this week the laboratory for virology of IPH has received 9 samples, materials for laboratory diagnostics. 4 samples(44.4%) are positive for the presence of influenza virus, subtyped as: 3 are Influenza B (1 Yamagata, and 2 non-subtyped), and 1 is Influenza A of which (1 А(H1N1)pdm09),

Since the beginning of the season 2017/2018, the laboratory received 460 materials, of which, 239 are positive (52%) for the presence of the influenza virus, 69.5% Influenza B (88.6% Yamagata, 4.8% Victoria and 6.6% non-subtyped.) and 30.5% Influenza A (of which 80.8% are A(H1N1)pdm09 and 19.2% are non sub-typed.) (chart 2)

 Chart 2. Weekly distribution of number and percentage of positive samples of influenza 2017/2018

 

Europe

No new updated data from Flu News Europe on the state of flu in the 2017/2018 in Europe.