comparison of virus detections reported as sentinel or non-sentinel by eu/eea countries
DESCRIPTION
Presentation by Cornelia Adlhoch of ECDC at the Joint WHO/Euro & ECDC Annual Influenza Surveillance Meeting, Vienna, Austria, 11–13 June 2014TRANSCRIPT
Comparison of virus detections reported as sentinel or non-sentinel by EU/EAA countries
Joint WHO/Europe & ECDC Annual Influenza Surveillance Meeting
Vienna, 11-13 June 2014
Number of tested specimens
Discrepancies between number of tested samples in sentinel/non-sentinel across countries:
Different populations sampled in non-sentinel across countries?
Comparability?
Non-sentinel data sources
Countries General
practices
Paediatric
practices
Polyc
linics
ICU/
critical
care
General/
internal
medicine
Paediatric
hospitals
Maternity
wards
Infectious
disease
hospital
wards
Respiratory
disease
hospital
wards
Chronic
disease
hospital
wards
Specimens
collected during
respiratory
disease outbreaks
Other
AT
BE
BG
DK
EE
GR
HU
IS
IT
LV
LT
MT
NO
PL
PT
SK
SE
IE
Percentage of flu-positive specimens by
surveillance system and week, 2010/11-
2013/14
Max. sentinel
Max. non-sentinel
Season threshold
Discrepancies in sentinel/non-sentinel overall data for season estimate:
How can non-sentinel data be used?
Number of flu-
positive
specimens by
surveillance
system, week
and (sub)type,
2008/09-
2013/14
Summary
Number of specimens tested vary between seasons and
differ between countries -> different source populations
of non-sentinel specimens?
Positivity rate in non-sentinel differs to sentinel over
weeks, lower amplitude and smaller number of week
above 10% threshold – added value for season
estimates?
Distribution of types and subtypes differ between
sentinel and non-sentinel specimens – how to interpret?
Points to be discussed
Non-sentinel data are collected differently in every country
(general practice and primary care, hospitals, ICU, outbreaks etc):
1. How should we pool the data at the Regional level?
2. What is the added value of the non-sentinel data and how can non-
sentinel data be useful?
3. Which non-sentinel data should be reported from every country?
4. How should non-sentinel data be displayed, compared and
reported in the joint bulletin?