Worldwide Laboratory Based Influenza Surveillance Linda C. Canas Brooks AFB San Antonio, TX
ANNUAL MESSAGE SELECTED ISOLATES Epidemiology and Laboratory personnel provide: -Program Oversight -Annual Guidance Letter USAF Surgeon General’s Office (EA) Sentinel Sites Brooks AFB Virology Laboratory -Isolation and Identification Disease Surveillance, Results Analysis CDCSubmitting Sites Vaccine Decisions SUPPLIES DoD Global Influenza Surveillance IN ACTION COLLECT/SHIP SPECIMENS USAF Surgeon General’s Office, DoD GEIS REPORTS INPUT Improvements PATIENT RESULTS
Sentinel Sites
All Sites
North America
Pacific Rim Japan Korea Singapore Guam Hawaii
Europe UK Germany Turkey Italy Spain
South America Argentina Ecuador Peru
Nepal and Thailand
Influenza Subtypes by Region Season
B/Beijing-like Subtype by Region
H1N1 Subtype by Region
H3N2 Subtype by Region
Influenza A Subtypes by Season
Flu B H1N1 H3N2 % Nucleotide Homology of HA1 to Reference Strains
Summary for Influenza Season99-00 Influenza Season –Predominately H3N2 worldwide and U.S.A. –Panama 2007 strain included in vaccine. –Early detection of Peru strains incited the NC/20/99 vaccine component. –Molecular and immunological descriptions of these Peru strains being prepared for publication with CDC Influenza Season00-01 Influenza Season –Predominately H1N1 and B. –Nepal isolates currently being analyzed.